Information Collection

7 CFR 225 - State Agency Burden

IC 3001 under ICR 202411-0584-002 · OMB 0584-0280.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0280 can be found here:

2026-06-24 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment_C_FNS_843.docx	Other-Attachment C: FNS 843: Report
Attachment_C_FNS_843.docx	Other-Attachment C: FNS 843: Report
Attachment_D_FNS_844.pdf	Other-Attachment D: FNS 844: Report
Attachment_D_FNS_844.pdf	Other-Attachment D: FNS 844: Report

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

7 CFR 225 - State Agency Burden

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 225.18(f)(2) 7 CFR 225.8(a) 7 CFR 225.14(c)(7) 7 CFR 225.7(d)(5) 7 CFR 225.6(h)(2)(iii), (h)(3) 7 CFR 225.6 (h)(5), (h)(2) 7 CFR 225.15(c) 7 CFR 225.15(a) 7 CFR 225.9(b)(2), (d)(4) 7 CFR 225.13(d) 7 CFR 225.12(a) 7 CFR 225.6(c)(3), 6(e) 7 CFR 225.3(b) 7 CFR 225.14(a), 14(c) 7 CFR 225.18(b), (b)(2) 7 CFR 225.7(d)(2) 7 CFR 225.8(d)(1), (d)(2) 7 CFR 225.6(c)(1), (c)(4), (c)(2) 7 CFR 225.16(a) 7 CFR 225.4(a) 7 CFR 225.15(g) 7 CFR 225.15(d)(2) 7 CFR 225.15(d)(3) 7 CFR 225.6(c)(5) 7 CFR 225.6(n) 7 CFR 225.6(n)(1)(i),(ii), (iii) 7 CFR 225.6(n)(1)(iii)(C) 7 CFR 225.6(n)(1)(iv), (v) 7 CFR 225.6(n)(2) 7 CFR 225.6(n)(2)(iii), (iv) 7 CFR 225.13(a) 7 CFR 225.18(a)(2)(i), 225.18(a)(3) 7 CFR 225.18(a)(2)(ii) 7 CFR 225.18(a)(6)(i) 7 CFR 225.18(a)(2)(iii) 7 CFR 225.18(c)(2)(ii) 7 CFR 225.18(a)(2)(iv) 7 CFR 225.18(a)(6)(ii) 7 CFR 225.18(a)(2)(v) 7 CFR 225.18(f)(1)(iii)(E) 7 CFR 225.18(a)(2)(vi) 7 CFR 225.18(a)(6)(iii) 7 CFR 225.18(c)(3) 7 CFR 225.18(d)(2) 7 CFR 225.18(e)(2)(iii) 7 CFR 225.18(e)(3)(ii) 7 CFR 225.18(e)(3)(iii)(B) 7 CFR 225.18(g)(2) 7 CFR 225.18(h)(2)(i)

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-Attachment C: FNS 843: Report of Disqualification from Participation: Institution and Responsible Principals/Individuals					Yes	Yes	Fillable Fileable
Other-Attachment D: FNS 844: Report of Disqualification from Participation: Individually Disqualified Responsible Principal/Individual or Day Care Home Provider					Yes	Yes	Fillable Fileable

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: 3,367

Number of Respondents for Small Entity: 1,734

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	146,660	12,223	134,437
Annual IC Time Burden (Hours)	264,794	9,409	255,385
Annual IC Cost Burden (Dollars)	0	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.

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