Information Collection

Recordkeeping Only: Program & Budget Summary Statement FNS 366A

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recordkeeping Only: Program & Budget Summary Statement FNS 366A	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:

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 %

	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

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.