Information Collection

Worksheet FNS 683A OMB# 0541

IC 204872 under ICR 202204-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 683a (screensh Worksheet FNS 683A OMB# 0541 Form and Instruction
FNS 683a.pdf fprs.fns.usda.gov Instruction
FNS 683a.pdf fprs.fns.usda.gov Instruction
FNS 683a (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part B.jpg fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 683a (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part B.jpg fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part C.jpg fprs.fns.usda.gov Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part C.jpg fprs.fns.usda.gov Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part Remarks.jpg fprs.fns.usda.gov Form and Instruction
FNS-683A (screensh Senior Farmers' Market Nutrition Program (SFMNP) Annual SFMNP FNS-683A Part Remarks.jpg fprs.fns.usda.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Worksheet FNS 683A OMB# 0541	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 249.23

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 683a (screenshot 1)	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report	SFMNP FNS-683A Part B.jpg	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 683a.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-683A (screenshot 2)	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report	SFMNP FNS-683A Part C.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-683A (screenshot 3)	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report	SFMNP FNS-683A Part Remarks.jpg	https://fprs.fns.usda.gov	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: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	108	108
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.