Information Collection

State Agencies

IC 244868 under ICR 202310-0584-001 · OMB 0584-0660.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C FNS-292B.pdf Attachment C FNS 292	IC Document
Attachment C FNS-292B.pdf Attachment C FNS 292	IC Document
Attachment F SF-425.pdf Attachment F SF 425	IC Document
Attachment F SF-425.pdf Attachment F SF 425	IC Document

IC Title:

State Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 245.6 (f) (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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS-10: Persons Doing Business with the Food and Nutrition Service

FR Citation: 65 FR 17251

Number of Respondents: 50

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	50	-8,661,010	8,661,060
Annual IC Time Burden (Hours)	800	-8,661,029	8,661,829
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment C FNS 292	Attachment C FNS-292B.pdf	11/06/2023
Attachment F SF 425	Attachment F SF-425.pdf	11/06/2023

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