Information Collection

Worksheet FNS 683A OMB# 0541

IC 204872 under ICR 202204-0584-003 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 683a (screensh Worksheet FNS 683A OMB# 0541	Form and Instruction
Form FNS 683a (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report Worksheet FNS 683A OMB# 0541	Form and Instruction
Form FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report Worksheet FNS 683A OMB# 0541	Form and Instruction
Form FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report Worksheet FNS 683A OMB# 0541	Form and Instruction
FNS 683a.pdf fprs.fns.usda.gov	Instruction
FNS 683a.pdf fprs.fns.usda.gov	Instruction
FNS 683a (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part B.jpg fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction
FNS 683a (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part B.jpg fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part C.jpg fprs.fns.usda.gov	Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part C.jpg fprs.fns.usda.gov	Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part Remarks.jpg fprs.fns.usda.gov	Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part Remarks.jpg fprs.fns.usda.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Worksheet FNS 683A OMB# 0541

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 249.23

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 683a (screenshot 1)	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction		https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-683A (screenshot 2)	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-683A (screenshot 3)	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

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: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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