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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.