Information Collection

Worksheet FNS 366A OMB# 0083 (PR/PR 2018-19/PR FFCRA-CARES)

IC 204662 under ICR 202303-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 366 A (Screens Worksheet FNS 366A OMB# 0083 (PR/PR 2018-19/PR FFCRA-CARES)	Form and Instruction
FNS 366a.pdf fprs.fns.usda.gov	Instruction
FNS 366a.pdf fprs.fns.usda.gov	Instruction
FNS 366 A (Screens Program and Budget Summary Statement: Budget Projection FNS-366A PR.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366 A (Screens Program and Budget Summary Statement: Budget Projection FNS-366A PR.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366A (page 1) Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page1.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366A (page 1) Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page1.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366 A Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page2.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366 A Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page2.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366 A Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page3.jpg fprs.fns.usda.gov	Form and Instruction
FNS 366 A Program and Budget Summary Statement Budget Projection SNAP-WRID1-CA -FNS-366A Page3.jpg fprs.fns.usda.gov	Form and Instruction

IC Title:

Worksheet FNS 366A OMB# 0083 (PR/PR 2018-19/PR FFCRA-CARES)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.2

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 366 A (Screenshot)	Program and Budget Summary Statement: Budget Projection	FNS-366A PR.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 366a.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 366A (page 1)	Program and Budget Summary Statement Budget Projection	SNAP-WRID1-CA -FNS-366A Page1.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 366 A	Program and Budget Summary Statement Budget Projection	SNAP-WRID1-CA -FNS-366A Page2.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 366 A	Program and Budget Summary Statement Budget Projection	SNAP-WRID1-CA -FNS-366A Page3.jpg	https://fprs.fns.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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	268	215	53
Annual IC Time Burden (Hours)	3,978	3,289	689
Annual IC Cost Burden (Dollars)	0	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.