Information Collection

Recordkeeping Only: Program & Budget Summary Statement FNS 366A

IC 2990 under ICR 202308-0584-005 · OMB 0584-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 366A Recordkeeping Only: Program & Budget Summary Statement FNS 366A	Form
FNS 366A PROGRAM AND BUDGET SUMMARY STATEMENT Appendix D FNS-366A Form.pdf	Form
FNS 366A PROGRAM AND BUDGET SUMMARY STATEMENT Appendix D FNS-366A Form.pdf	Form
Appendix D FNS-366A Form.pdf Appendix D FNS-366A Form	IC Document
Appendix D FNS-366A Form.pdf Appendix D FNS-366A Form	IC Document

IC Title:

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	FNS 366A	PROGRAM AND BUDGET SUMMARY STATEMENT	Appendix D FNS-366A 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: 54

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	54	-423	477
Annual IC Time Burden (Hours)	3	-21	24
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D FNS-366A Form	Appendix D FNS-366A Form.pdf	08/23/2023

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