Information Collection

State Agency (49); Local Agency (696)

IC 184656 under ICR 202405-0584-004 · OMB 0584-0447.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix F - FY 24 Consolidated State Plan Guidance - Complete.pdf	Other-Appendix F - Consolidated Stat
Appendix F - FY 24 Consolidated State Plan Guidance - Complete.pdf	Other-Appendix F - Consolidated Stat
Appendix G - FY 24 FMNP State Plan Guidance - Complete.pdf	Other-Appendix G FMNP State Plan Gui
Appendix G - FY 24 FMNP State Plan Guidance - Complete.pdf	Other-Appendix G FMNP State Plan Gui
Appendix I - FPRS Annual Financial and Program Data Report (FNS-683B) -1.pdf Appendix I - Annual Financial and Program Data Report	IC Document
Appendix I - FPRS Annual Financial and Program Data Report (FNS-683B) -1.pdf Appendix I - Annual Financial and Program Data Report	IC Document
Appendix J - Federal and State Supplemental Nutrition Programs Agreement (FNS-339).pdf Appendix J - Federal and State Agreements	IC Document
Appendix J - Federal and State Supplemental Nutrition Programs Agreement (FNS-339).pdf Appendix J - Federal and State Agreements	IC Document
Appendix H - FPRS Landing Page and Public Burden Statement -1.pdf Appendix H: FPRS Landing Page and Public Burden Statement	IC Document
Appendix H - FPRS Landing Page and Public Burden Statement -1.pdf Appendix H: FPRS Landing Page and Public Burden Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Agency (49); Local Agency (696)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 248.10(k) 7 CFR 248.11(a) 7 CFR 248.17(a) 7 CFR 248.17(b)(2)(ii) 7 CFR 248.10(b)(5) 7 CFR 246.5 7 CFR 248.4 7 CFR 248.10(a)(4)(d) 7 CFR 248.10(b)(c) 7 CFR 248.6 7 CFR 248.10(i) 7 CFR 248.10(a)(4)(d) 7 CFR 248.10(b)(5) 7 CFR 248.10(d) 7 CFR 248.3(e) 7 CFR 248.10(e)(2), (3) 7 CFR 248.17(c)(1)(i) 7 CFR 248.10(e)(4) 7 CFR 248.10(f) 7 CFR 248.10(h) 7 CFR 248.10(j) 7 CFR 248.17(c)(2) 7 CFR 248.18(b) 7 CFR 248.4(c) 7 CFR 248.9 7 CFR 248.16(a) 7 CFR 248.23(a) 7 CFR 248.11(c)

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
Other-Appendix F - Consolidated State Plan Guidance					Yes	Yes	Fillable Printable
Other-Appendix G FMNP State Plan Guidance					Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 819

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 48 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,679,842	-459,438	3,139,280
Annual IC Time Burden (Hours)	684,051	-121,690	805,741
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix I - Annual Financial and Program Data Report		07/08/2024
Appendix J - Federal and State Agreements		07/08/2024
Appendix H: FPRS Landing Page and Public Burden Statement		07/08/2024

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

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