Information Collection Request

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

ICR 202610-0584-001 · OMB 0584-0584 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FNS-844 eport of Disqualification from Participation – Individually Disqualified Responsible Principal/Individual or Day Care Home Provider Form Modified Available
Form FNS-843 Report of Disqualification from Participation – Institution and Responsible Principals/Individuals Form Modified Available
Attachment F Comment and Response #2.pdf Public Comments Uploaded 2026-08-17 Available
Attachment E Comment and Response #1.pdf Public Comments Uploaded 2026-08-04 Available
0584-0584 Supporting Statement for NDL System Final 2026 PRAO Comments 10.6.26.docx Supporting Statement A Uploaded 2026-10-06 Available
Attachment G Burden Chart.docx Supplementary Document Uploaded 2026-10-01 Available
Attachment D----Section 243 (c) of Public Law 106-224, the Agricultural Risk Protection Act of 2000.png Supplementary Document Uploaded 2026-10-01 Available
Attachment C---7 CFR 226.6 (c)(7)(i).png Supplementary Document Uploaded 2026-10-01 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
1,568 0
784 0
0 0





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

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,568 0 0 0 0 1,568
Annual Time Burden (Hours) 784 0 0 0 0 784
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No