Information Collection

State Agency and SFAs (SLT)

IC 241382 under ICR 202004-0584-001 · OMB 0584-0655.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C. Form FNS-640 Administrative Review Data Report.pdf Attachment C. Form FNS-640 Administrative Review Data Report	IC Document
Attachment D. FPRS Home Screen.pdf Attachment D. OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Informaton and Public Burden Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Agency and SFAs (SLT)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.18(i)(3) 7 CFR 210.5(d)(2)(ii) 7 CFR 210.15(a)(3) 7 CFR 210.18(k)(2) 7 CFR 210.18(h)(iv) 7 CFR 210.20(b)(6) 7 CFR 210.18(o)(f)(k, l, m) 7 CFR 210.23(c) 7 CFR 210.20(b)(7) 7 CFR 210.19(c) 7 CFR 210.18(o) 7 CFR 210.18(c-h) 7 CFR 210.18(c) 7 CFR 210.18(m)(l)

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

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,864

Number of Respondents for Small Entity: 3,787

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 66 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28,000	28,000
Annual IC Time Burden (Hours)	298,614	298,614
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment C. Form FNS-640 Administrative Review Data Report	Attachment C. Form FNS-640 Administrative Review Data Report.pdf	04/16/2020
Attachment D. OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Informaton and Public Burden Statement	Attachment D. FPRS Home Screen.pdf	04/16/2020

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