Information Collection

State Agency Reporting - Major System Changes

IC 206224 under ICR 202604-0584-001 · OMB 0584-0579.

Documents and Forms

Document Name Document Type
Appendix C - Major Change Notification Effective 2026-05-06.docx Other-Appendix C - Major Change Noti
Appendix D - Major Changes Quarterly Reporting Template.xlsx Other-Appendix D - Major Changes Qua
Appendix E.xlsx Other-Appendix E - Major Changes Qua
FNS webpage OMB 0584-0579 Exp 5.31.2026.pdf FNS webpage OMB 0584-0579 Exp 5.31.2026 IC Document
FNS webpage.pdf FNS webpage IC Document
WIMS Home page.pdf WIMS Home page IC Document
WIMS OMB 0584-0579 and Exp 05.31.2026.pdf WIMS OMB 0584-0579 and Exp 05.31.2026 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency Reporting - Major System Changes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.15(b)(1)-(3) 7 CFR 272.15(a)(3) 7 CFR 272.15(b)(4)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C - Major Change Notification Effective 2026-05-06	Appendix C - Major Change Notification Effective 2026-05-06.docx	Yes	Yes	Printable Only
Other-Appendix D - Major Changes Quarterly Reporting Template	Appendix D - Major Changes Quarterly Reporting Template.xlsx	Yes	Yes	Printable Only
Other-Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications	Appendix E.xlsx	Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208	123	85
Annual IC Time Burden (Hours)	14,620	5,760	8,860
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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