Information Collection

FPRS Work Sheet FNS 366 B associated with Interim Final Rule

IC 218428 under ICR 201508-0584-002 · OMB 0584-0608.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0608 can be found here:

Documents and Forms

Document Name Document Type
Form FNS 366 B FPRS Work Sheet FNS 366 B associated with Interim Final Rule Form and Instruction
FNS 366 B Program and Budget Summary Statement Program Activity St FNS-366B FPRS Screenshot 8-3-15.pdf www.fprs.usda.fns.gov Form and Instruction
FNS 366 B Program and Budget Summary Statement Program Activity St FNS-366B FPRS Screenshot 8-3-15.pdf Form and Instruction
0584-0594 FPRS PBStatement _ExpDatDisplayed 7-16-14.pdf Public Burden Statement (displayed) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FPRS Work Sheet FNS 366 B associated with Interim Final Rule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 366 B	Program and Budget Summary Statement Program Activity Statement	FNS-366B FPRS Screenshot 8-3-15.pdf	www.fprs.usda.fns.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 366 B	Program and Budget Summary Statement Program Activity Statement	FNS-366B FPRS Screenshot 8-3-15.pdf		Yes	Yes	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,891,092	10,891,092
Annual IC Time Burden (Hours)	210,849	210,849
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Public Burden Statement (displayed)	0584-0594 FPRS PBStatement _ExpDatDisplayed 7-16-14.pdf	03/09/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.