Information Collection

Summer Food Site Locations for State Agencies

IC 236114 under ICR 202210-0584-003 · OMB 0584-0649.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0649 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-905 Summer Food Site Locations for State Agencies Form and Instruction
FNS-905 Summer Food Site Locator Attachment A - Form FNS-905_template.xlsx partnerweb.usda.gov Form and Instruction
FNS-905 Summer Food Site Locator Attachment A - Form FNS-905_template.xlsx partnerweb.usda.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Summer Food Site Locations for State Agencies	Agency IC Tracking Number:	2022 Renewal

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-905	Summer Food Site Locator	Attachment A - Form FNS-905_template.xlsx	https://partnerweb.usda.gov	Yes	Yes	Fillable Fileable Signable

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: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	583	159	424
Annual IC Time Burden (Hours)	73	20	53
Annual IC Cost Burden (Dollars)	0	-1,713	1,713

Documents for IC

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.