Information Collection

FNS-874 (formerly FNS-742a)

IC 219419 under ICR 201609-0584-003 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-874 (formerly FNS-874 (formerly FNS-742a) Form and Instruction
FNS-874 (formerly Local Educational Agency Second Review of Applications R 874 Aggregation Form & Instructions_OMB#0584-0594.xlsx Form and Instruction
FNS-874 (formerly Local Educational Agency Second Review of Applications R FNS-874 New Submission Screenshot.pdf www.fprs.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FNS-874 (formerly FNS-742a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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-874 (formerly FNS-742a)	Local Educational Agency Second Review of Applications Report	874 Aggregation Form & Instructions_OMB#0584-0594.xlsx		Yes	No	Fillable Printable
Form	FNS-874 (formerly FNS-742a)	Local Educational Agency Second Review of Applications Report	FNS-874 New Submission Screenshot.pdf	www.fprs.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: 1,456	Number of Respondents for Small Entity: 44

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,456	1,456
Annual IC Time Burden (Hours)	378	378
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.