Information Collection

Record Keeping Only: FNS 366B

IC 261846 under ICR 202308-0584-005 · OMB 0584-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 366B Record Keeping Only: FNS 366B	Form
FNS 366B PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM AC Appendix E FNS-366B Form.pdf	Form
FNS 366B PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM AC Appendix E FNS-366B Form.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form	FNS 366B	PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM ACTIVITY STATEMENT	Appendix E FNS-366B Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

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
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	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.