Information Collection

Worksheet FNS 683 B OMB# 0594

IC 204618 under ICR 202405-0584-006 · OMB 0584-0594.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 683 B Worksheet FNS 683 B OMB# 0594	Form and Instruction
Form FNS 683 B Worksheet FNS 683 B OMB# 0594	Form and Instruction
Att 3 Form FNS-683B Instructions revised.docx	Instruction
Att 3 Form FNS-683B Instructions revised.docx	Instruction
FNS 683 B WIC FARMERS' MARKET PROGRAM (FMNP) ANNUAL FINANCIAL AND Att 2 FNS-683B revised.pdf fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction
FNS 683 B WIC FARMERS' MARKET PROGRAM (FMNP) ANNUAL FINANCIAL AND Att 2 FNS-683B revised.pdf fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 248.23 7 CFR 249.23

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 and Instruction	FNS 683 B	WIC FARMERS' MARKET PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT	Att 2 FNS-683B revised.pdf	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			Att 3 Form FNS-683B Instructions revised.docx		Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

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	Previously Approved
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	179	179
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.