Information Collection

Recordkeeping only for OMB number 0584-0081 FNS 388

IC 242587 under ICR 202308-0584-005 · OMB 0584-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I FNS-388 FPRS.jpg Appendix J FNS-388 FPRS.jpg	IC Document
Appendix I FNS-388 FPRS.jpg Appendix J FNS-388 FPRS.jpg	IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf Appendix H 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf Appendix H 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 274.4

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

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: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-636	636
Annual IC Time Burden (Hours)	-15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix J FNS-388 FPRS.jpg	Appendix I FNS-388 FPRS.jpg	07/07/2020
Appendix H 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019-1.pdf	07/07/2020

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