Information Collection

SFAs must submit to SA an application and agreement to operate the SMP

IC 204551 under ICR 201201-0584-010 · OMB 0584-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0005 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-66B SFAs must submit to SA an application and agreement to operate the SMP Form and Instruction
FNS-66B Special Milk Program Application, Agreement Policy State FNS-66B.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SFAs must submit to SA an application and agreement to operate the SMP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 215.7(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-66B	Special Milk Program Application, Agreement Policy Statement	FNS-66B.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.