Information Collection

School Food Authority (NSLP/SBP/SMP)

IC 3005 under ICR 201604-0584-002 · OMB 0584-0284.

Documents and Forms

Document Name Document Type
Attachment A.1 School Lunch, Breakfast, Snack Claim for Reimbursement.pdf Other-Attachment A.1 School Lunch/Br
Attachment A.2 Milk Claim for Reimbursement.pdf Other-Attachment A.2 Milk Claim for
Attachment A.3 National School Lunch, Breakfast, and Commodity School Program Application.pdf Other-Attachment A.3 National School
Attachment A.3 National School Lunch, Breakfast, and Commodity School Program Site Data.pdf Other-Attachment A.3 National School
Attachment A.4 Special Milk Program Application, Agreement Policy Statement.pdf Other-Attachment A.4 Special Milk Pr
Attachment A.4 Special Milk Program Site Data.pdf Other-Attachment A.4 Special Milk Pr

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	School Food Authority (NSLP/SBP/SMP)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A.1 School Lunch/Breakfast/Snack Claim for Reimbursement	Attachment A.1 School Lunch, Breakfast, Snack Claim for Reimbursement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Attachment A.2 Milk Claim for Reimbursement	Attachment A.2 Milk Claim for Reimbursement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Attachment A.3 National School Lunch, Breakfast, and Commodity School Program Application	Attachment A.3 National School Lunch, Breakfast, and Commodity School Program Application.pdf	Yes	Yes	Fillable Fileable Signable
Other-Attachment A.3 National School Lunch, Breakfast and Commodity School Program Site Data	Attachment A.3 National School Lunch, Breakfast, and Commodity School Program Site Data.pdf	Yes	Yes	Fillable Fileable Signable
Other-Attachment A.4 Special Milk Program Application, Agreement Policy Statement	Attachment A.4 Special Milk Program Application, Agreement Policy Statement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Attachment A.4 Special Milk Program Site Data	Attachment A.4 Special Milk Program Site Data.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 60

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	660	-1,860	2,520
Annual IC Time Burden (Hours)	330	-930	1,260
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.