Information Collection

SA Second Review of Applications

IC 204317 under ICR 201401-0584-002 · OMB 0584-0573.

Documents and Forms

Document Name Document Type
Form FNS-742A SA Second Review of Applications Form
FNS-742A FNS Independent Review Reporting Form 011414 FNS-742A.pdf fprs.fns.usda.gov/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SA Second Review of Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.11(b)(2)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-742A	FNS Independent Review Reporting Form	011414 FNS-742A.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: 56	Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	28	28
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.