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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Program & Budget Summary Statement FNS 366A; FNS 366B
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 274.12
7 CFR 274.2
7 CFR 272.2
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS-366A
Part A - Program and Budget Summary Statement
366A Screenshots Consolidated 9-16-13.docx
https:/fprs/fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Form and Instruction
FNS-366B
Part B - Program and Budget Summary Statement
366B Screenshot 9-16-13.docx
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Form
SF 425
Federal Financial Report
SF-425 expires 2015.pdf
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Form
SF 425
Federal Finanacial Report Remarks screen
SF 425 Remarks.docx
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Instruction
SF 425 Instruction.pdf
https://fprs.fns.usda.gov
Yes
No
Printable Only
Other-SWIM Database
SWIM - Waiver Form w PaperWorkLang - 9-26-13.png
www.notyetcreated.com
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
1,025
0
-168
0
0
1,193
Annual IC Time Burden (Hours)
2,866
0
-4,711
0
0
7,577
Annual IC Cost Burden (Dollars)
0
0
0
0
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.