State & Local Agency Requirements

Senior Farmers' Market Nutrition Program (SFMNP)

Documents and Forms

Document Name Document Type
Appendix F - Consolidated State Plan Guidance.docx Appendix F - Consolidated Stare Plan Guidance IC Document
Appendix F - Consolidated State Plan Guidance.docx Appendix F - Consolidated Stare Plan Guidance IC Document
Appendix G - SFMNP State Plan Guidance.docx Appendix G - SFMNP State Plan Guidance IC Document
Appendix G - SFMNP State Plan Guidance.docx Appendix G - SFMNP State Plan Guidance IC Document
Appendix H - Upload Procedures for SFMND State Plans.docx Appendix H - Upload Procedures for DFMNP Stae Plans IC Document
Appendix H - Upload Procedures for SFMND State Plans.docx Appendix H - Upload Procedures for DFMNP Stae Plans IC Document
Appendix I - Annual Financial and Program Data Report.pdf Appendix I - Annual Financial and Program Data Report IC Document
Appendix I - Annual Financial and Program Data Report.pdf Appendix I - Annual Financial and Program Data Report IC Document
Appendix J - Federal-State Supplemental Nutrition Programs Agreement (Form FNS-339).pdf Appendix J - Federal State Supplemental Program Agreement -FNS-339 IC Document
Appendix J - Federal-State Supplemental Nutrition Programs Agreement (Form FNS-339).pdf Appendix J - Federal State Supplemental Program Agreement -FNS-339 IC Document

Information Collection (IC) Details

IC Title:	State & Local Agency Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 249.11 7 CFR 249.17(b)(2) 7 CFR 249.10 (b), (e), (f), and (h) 7 CFR 249.4 7 CFR 249.3(d) 7 CFR 249.12 7 CFR 249.9 7 CFR 249.18(b) 7 CFR 249.23(a) 7 CFR 249.16(a) 7 CFR 249.6(a)(3)

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: 733	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,469,599	-226,931	1,696,530
Annual IC Time Burden (Hours)	379,951	-54,077	434,028
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F - Consolidated Stare Plan Guidance	Appendix F - Consolidated State Plan Guidance.docx	11/16/2022
Appendix G - SFMNP State Plan Guidance	Appendix G - SFMNP State Plan Guidance.docx	11/16/2022
Appendix H - Upload Procedures for DFMNP Stae Plans	Appendix H - Upload Procedures for SFMND State Plans.docx	11/16/2022
Appendix I - Annual Financial and Program Data Report	Appendix I - Annual Financial and Program Data Report.pdf	11/16/2022
Appendix J - Federal State Supplemental Program Agreement -FNS-339	Appendix J - Federal-State Supplemental Nutrition Programs Agreement (Form FNS-339).pdf	11/16/2022

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