OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Worksheet FNS 209 & FNS 209 PR OMB# 0069 (53 States plus 1 Puerto Rico = 54 State agencies)

IC 204659 under ICR 202303-0584-001 · OMB 0584-0594.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Worksheet FNS 209 & FNS 209 PR OMB# 0069 (53 States plus 1 Puerto Rico = 54 State agencies)
 
No Modified
 
Mandatory
 
7 CFR 273.18

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FNS 209 Screenshot Status of Claims Against Households FNS-209.docx https:/fprs.fns.usda.gov Yes Yes Fillable Fileable Signable
Form and Instruction FNS 209 Screenshot Puerto Rico (PR) Status of Claims Against Households FNS-209 PR.docx https://fprs.fns.usda.gov Yes Yes Fillable Fileable Signable
Instruction FNS 209.pdf https://fprs.fns.usda.gov Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

 

54 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 216 0 0 0 0 216
Annual IC Time Burden (Hours) 648 0 0 0 0 648
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.