Information Collection

Worksheet FNS 683A OMB# 0541

IC 204872 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⚠️ Notice: This information collection may be referencing outdated material.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 683A 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 Senior Farmers' Market Nutrition Program (SFMNP) Annual FNS-683A.docx fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction
FNS 683A Senior Farmers' Market Nutrition Program (SFMNP) Annual FNS-683A.docx fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction

IC Title:

Worksheet FNS 683A OMB# 0541

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 249.23

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 683A	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report	FNS-683A.docx	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 683a.pdf	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: 57

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	57	3	54
Annual IC Time Burden (Hours)	114	6	108
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.