Information Collection

Recordkeeping only for OMB number 0584-0081 FNS 388 A

IC 242588 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Appendix J FNS-388A FPRS.jpg Appendix J FNS-388A 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recordkeeping only for OMB number 0584-0081 FNS 388 A	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:

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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	106	106
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix J FNS-388A FPRS.jpg	Appendix J FNS-388A 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.