Information Collection

Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101

IC 2909 under ICR 200804-0584-006 · OMB 0584-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0025 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-191 Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101 Form and Instruction
FNS-191 Racial/Ethic Group Participation Commodity Supplemental FNS-191[2].pdf Form and Instruction
FNS-101 Participation in Food Programs - By Race FNS-101[1].pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 272.6 28 CFR 42 Subpart C - Section 42.106 7 CFR 247.37

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-191	Racial/Ethic Group Participation Commodity Supplemental Food Program	FNS-191[2].pdf		Yes	Yes	Fillable Printable
Form	FNS-101	Participation in Food Programs - By Race	FNS-101[1].pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,873	Number of Respondents for Small Entity: 287

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 32 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,873	3	2,870
Annual IC Time Burden (Hours)	5,746	-676	6,422
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.