Information Collection

Recordkeeping only for OMB number 0584-0081 FNS 388

IC 242587 under ICR 201910-0584-004 · OMB 0584-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I FNS-388 FPRS.jpg Appendix J FNS-388 FPRS.jpg	IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf Appendix H 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	IC Document

IC Title:

Recordkeeping only for OMB number 0584-0081 FNS 388

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 274.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	636	636
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix J FNS-388 FPRS.jpg	Appendix I FNS-388 FPRS.jpg	07/07/2020
Appendix H 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	07/07/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.