Information Collection

Annual report of State Revenue Matching

IC 2974 under ICR 201311-0584-007 · OMB 0584-0075.

Documents and Forms

Document Name Document Type
Form FNS-13 Annual report of State Revenue Matching Form and Instruction
FNS-13 Annual Report of State Revenue Matching FNS-13 Screenshots and Instruction.pdf fprs.fns.usda.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual report of State Revenue Matching	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 210.17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-13	Annual Report of State Revenue Matching	FNS-13 Screenshots and Instruction.pdf	https://fprs.fns.usda.gov	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: 57	Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	57	0	57
Annual IC Time Burden (Hours)	456	-4,104	4,560
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.