Information Collection

State Agency and SFAs (SLT)

IC 241382 under ICR 202004-0584-001 · OMB 0584-0655.

Documents and Forms

Document Name Document Type
Attachment C. Form FNS-640 Administrative Review Data Report.pdf Attachment C. Form FNS-640 Administrative Review Data Report IC Document
Attachment D. FPRS Home Screen.pdf Attachment D. OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Informaton and Public Burden Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency and SFAs (SLT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.18(i)(3) 7 CFR 210.5(d)(2)(ii) 7 CFR 210.15(a)(3) 7 CFR 210.18(k)(2) 7 CFR 210.18(h)(iv) 7 CFR 210.20(b)(6) 7 CFR 210.18(o)(f)(k, l, m) 7 CFR 210.23(c) 7 CFR 210.20(b)(7) 7 CFR 210.19(c) 7 CFR 210.18(o) 7 CFR 210.18(c-h) 7 CFR 210.18(c) 7 CFR 210.18(m)(l)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,864	Number of Respondents for Small Entity: 3,787

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 66 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28,000	28,000
Annual IC Time Burden (Hours)	298,614	298,614
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment C. Form FNS-640 Administrative Review Data Report	Attachment C. Form FNS-640 Administrative Review Data Report.pdf	04/16/2020
Attachment D. OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Informaton and Public Burden Statement	Attachment D. FPRS Home Screen.pdf	04/16/2020

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