Worksheet FNS 10 OMB# 0002

Food Programs Reporting System (FPRS)

Documents and Forms

Document Name Document Type
FNS-10.pdf fprs.fns.usda.gov Instruction
FNS-10.pdf fprs.fns.usda.gov Instruction
FNS-10 Form (Non-Congregate) v1 (IMB).pdf fprs.fns.usda.gov Other-FNS-10 Form (Non-Congregate) v
FNS-10 Form (Non-Congregate) v1 (IMB).pdf fprs.fns.usda.gov Other-FNS-10 Form (Non-Congregate) v
FNS-10 SSO Form (Non-Congregate) v2.docx fprs.fns.usda.gov Other-FNS-10 SSO Form (Non-Congregat
FNS-10 SSO Form (Non-Congregate) v2.docx fprs.fns.usda.gov Other-FNS-10 SSO Form (Non-Congregat

Information Collection (IC) Details

IC Title:	Worksheet FNS 10 OMB# 0002	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.5

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	FNS-10.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-FNS-10 Form (Non-Congregate) v1 (IMB)	FNS-10 Form (Non-Congregate) v1 (IMB).pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-FNS-10 SSO Form (Non-Congregate) v2	FNS-10 SSO Form (Non-Congregate) v2.docx	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,052	2,052
Annual IC Time Burden (Hours)	3,591	3,591
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.