Information Collection Request

Child and Adult Care Food Program (CACFP) and Summer Food Service Program (SFSP) National Disqualified List

ICR 202410-0584-006 · OMB 0584-0584 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FNS-844 Report of Disqualification from Participation: Individually Disqualified Responsible Principal/Individual or Day Care Home Provider Form Modified Repair queued
Form FNS-843 Report of Disqualification from Participation: Institution and Responsible Principals/Individuals Form Modified Repair queued
Form FNS-843 State Agencies - CACFP and SFSP Form Modified Repair queued
NDL_ICR_Supporting_Statement_MB Final.docx Supporting Statement A Uploaded 2024-12-18 Repair queued
NDL_ICR_Supporting_Statement_MB Final.docx Supporting Statement A Uploaded 2024-12-18 Missing upstream
Attachment_F_7_CFR_part_226.pdf Supplementary Document Uploaded 2024-10-29 Repair queued
Attachment_F_7_CFR_part_226.pdf Supplementary Document Uploaded 2024-10-29 Repair queued
Attachment_B_Healthy_Hunger_Free_Kids_Act.pdf Supplementary Document Uploaded 2024-10-29 Repair queued
Attachment_B_Healthy_Hunger_Free_Kids_Act.pdf Supplementary Document Uploaded 2024-10-29 Missing upstream
Attachment_A_Richard B. Russell National School Lunch Act.pdf Supplementary Document Uploaded 2024-10-29 Repair queued
Attachment_A_Richard B. Russell National School Lunch Act.pdf Supplementary Document Uploaded 2024-10-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
206841 State Agencies - CACFP and SFSP Form ModifiedReport of Disqualification from Participation: Individually Disqualified Responsible Principal/Individual or Day Care Home Provider
206841 State Agencies - CACFP and SFSP Form ModifiedReport of Disqualification from Participation: Institution and Responsible Principals/Individuals
206841 State Agencies - CACFP and SFSP Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2026 09/30/2026 09/30/2026
1,568 0 1,568
784 0 784
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
State Agencies - CACFP and SFSP FNS-843, FNS-844 ,  



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  No