Information Collection

State Agency Reporting - Major System Changes

IC 206224 under ICR 202604-0584-001 · OMB 0584-0579.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C - Major Change Notification Effective 2026-05-06.docx	Other-Appendix C - Major Change Noti
Appendix C - Major Change Notification Effective 2026-05-06.docx	Other-Appendix C - Major Change Noti
Appendix D - Major Changes Quarterly Reporting Template.xlsx	Other-Appendix D - Major Changes Qua
Appendix D - Major Changes Quarterly Reporting Template.xlsx	Other-Appendix D - Major Changes Qua
Appendix E.xlsx	Other-Appendix E - Major Changes Qua
Appendix E.xlsx	Other-Appendix E - Major Changes Qua
FNS webpage OMB 0584-0579 Exp 5.31.2026.pdf FNS webpage OMB 0584-0579 Exp 5.31.2026	IC Document
FNS webpage OMB 0584-0579 Exp 5.31.2026.pdf FNS webpage OMB 0584-0579 Exp 5.31.2026	IC Document
FNS webpage.pdf FNS webpage	IC Document
FNS webpage.pdf FNS webpage	IC Document
WIMS Home page.pdf WIMS Home page	IC Document
WIMS Home page.pdf WIMS Home page	IC Document
WIMS OMB 0584-0579 and Exp 05.31.2026.pdf WIMS OMB 0584-0579 and Exp 05.31.2026	IC Document
WIMS OMB 0584-0579 and Exp 05.31.2026.pdf WIMS OMB 0584-0579 and Exp 05.31.2026	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.15(b)(1)-(3) 7 CFR 272.15(a)(3) 7 CFR 272.15(b)(4)

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C - Major Change Notification Effective 2026-05-06	Yes	Yes	Printable Only
Other-Appendix D - Major Changes Quarterly Reporting Template	Yes	Yes	Printable Only
Other-Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications	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: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208	123	85
Annual IC Time Burden (Hours)	14,620	5,760	8,860
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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