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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
FNS 640
Modified
56
280
0
Form and Instruction
FNS 640 (A/B) (screenshot1)
Administrative Review Report
Form and Instruction
FNS 640 (A/B) (screenshot2)
Administrative Review Report
Form and Instruction
FNS-640 (A/B) (screenshot3)
Administrative Review Report
Instruction
Instruction
FNS-742
Modified
20858
15826
0
Form
FNS-742
FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template
Form and Instruction
FNS-742 (screenshot 1)
School Food Authority (SFA) Verification Collection Report
Form and Instruction
FNS-742 (screenshot2)
School Food Authority (SFA) Verification Collection Report
Form and Instruction
FNS-742 (screenshot3)
School Food Authority (SFA) Verification Collection Report
Form and Instruction
FNS-742 (screenshot4)
School Food Authority (SFA) Verification Collection Report
Instruction
FNS-828
Modified
56
280
0
Form and Instruction
FNS-828 (screenshot 1)
School Food Authority Paid Lunch Price Report
Form and Instruction
FNS-828 (screenshot 2)
School Food Authority Paid Lunch Price Report
Instruction
FNS-834
Modified
106
530
0
Form and Instruction
FNS-834
State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)
Form and Instruction
FNS-834 (screenshot1)
State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report
Form and Instruction
FNS-834 (screenshot2)
State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report
Instruction
FNS-874
Modified
1456
378
0
Form and Instruction
FNS-874 (screenshot1)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot2)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot3)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot4)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot5)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot 6)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot7)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot8)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot9)
Local Educational Agency Second Review of Applications Report
Form and Instruction
FNS-874 (screenshot10)
Local Educational Agency Second Review of Applications Report
Instruction
OMB# 4040-0014 SF 425
Modified
10355
15533
0
Form and Instruction
SF 425 (screenshot page 1)
Federal Financial Report
Instruction
Form and Instruction
SF 425 (screenshot page 2)
Federal Financial Report
Form and Instruction
SF 425 Screenshots (remarks section)
Federal Financial Report
Worksheet 366B OMB# 0083
New
212
3180
0
Form and Instruction
FNS 366 B
Program and Budget Summary Statement
Instruction
Worksheet FNS 366A OMB# 0083
Modified
53
689
0
Form and Instruction
FNS 366 A (Screenshot)
Program and Budget Summary Statement: Budget Projection
Instruction
Form and Instruction
FNS 366A (page 1)
Program and Budget Summary Statement Budget Projection
Form and Instruction
FNS 366 A
Program and Budget Summary Statement Budget Projection
Form and Instruction
FNS 366 A
Program and Budget Summary Statement Budget Projection
Worksheet FNS 10 OMB# 0002
Modified
1368
2736
0
Form and Instruction
FNS-10 - PART A.jpg
Report of School Program Operations
Instruction
Form
FNS-10 - PART B
Report of School Program Operations
Worksheet FNS 101 (3 respondents from CMNI and 2853 SLT & 191 (252 Respondents) OMB# 0025
Modified
3108
6204
0
Form and Instruction
FNS 191
CSFP Racial/Ethnic Group Participation
Form and Instruction
FNS 101
Participation in Food Programs-By Race
Instruction
Instruction
Worksheet FNS 13 OMB#0075
Modified
57
114
0
Form and Instruction
FNS 13
Annual Report of State Revenue Matching
Instruction
Worksheet FNS 152, 153 & 667 OMB# 0293
Modified
2614
9684
0
Form and Instruction
FNS 152 (screenshot 1)
Monthly Distribution of Donated Food to Family Units
Form and Instruction
FNS 153 (screenshot 1)
Monthly Report of the CSFP and Quarterly Administrative Financial Status Report
Form and Instruction
FNS 667 (screenshot)
Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs
Form and Instruction
FNS 152 (screenshot 2)
Monthly Distribution of Donated Food to Family Units
Instruction
Instruction
Form and Instruction
FNS 153 (screenshot 2)
Monthly Report of the CSFP and Quarterly Administrative Financial Status Report
Form and Instruction
FNS 667 (remarks section)
Report of The Emergency Food Assistance Program (TEFAP) Administrative Costs
Worksheet FNS 209 OMB# 0069
Modified
216
648
0
Form and Instruction
FNS 209 Screenshot
Status of Claims Against Households
Form and Instruction
FNS 209 Screenshot
Status of Claims Against Households
Instruction
Worksheet FNS 292A and 292B OMB# 0037
Modified
55
23
0
Form and Instruction
FNS 292A (screenshot)
Disaster Relief (Commodities Distrubution) Report of Commodity Distrubution for DR
Form and Instruction
FNS 292B (screenshot)
Disaster Relief SNAP Benefit Issuance
Instruction
Instruction
Instruction
Worksheet FNS 388 and 388A OMB# 0081
Modified
865
5686
0
Form and Instruction
FNS 388a
SNAP Project Area Data Format
Form and Instruction
FNS 388
State Issuance and Participation Estimates
Instruction
Instruction
Form and Instruction
FNS 388 (SNAP-TERR FNS 388(CNMI-NAP) Remarks.jpg)
State Issuance and Participation Estimates
Form and Instruction
FNS 388 (SNAP-TERR FNS 388 (PR).jpg)
State Issuance and Participation Estimates
Form and Instruction
FNS 388 (SNAP-TERR - FNS-388 AS.jpg)
State Issuance and Participation Estimates
Worksheet FNS 418 OMB# 0280
Modified
156
312
0
Form and Instruction
FNS 418 Worksheet
REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
Form and Instruction
FNS 418 Worksheet Part B-D
REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
Form and Instruction
FNS 418 Worksheet Part (remarks section)
REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
Worksheet FNS 44 OMB# 0055
Modified
672
2016
0
Form and Instruction
FNS 44
Report of Child and Adult Care Food Program
Instruction
Form and Instruction
FNS 44
Report of Child and Adult Care Food Program
Form and Instruction
FNS 44
Report of Child and Adult Care Food Program
Worksheet FNS 46 OMB# 0080
Modified
660
5232
0
Form and Instruction
FNS 46
Issuance Reconciliation Report
Instruction
Form and Instruction
FNS 46
Issuance Reconciliation Report (remarks section)
Worksheet FNS 583 OMB# 0339
Modified
212
20776
0
Form and Instruction
FNS 583 (screenshot)
SNAP Employment and Training Program Activity Report
Instruction
Worksheet FNS 648 OMB# 0431
Modified
1826
310
0
Form and Instruction
FNS 648 (screenshot 1)
WIC Local Agency Directory
Instruction
Other-Working With WIC Clinics Guidance for FNS 648
Form and Instruction
FNS 648 (screenshot 2)
WIC Local Agency Directory
Worksheet FNS 683 B OMB# 0594
Modified
49
147
0
Form and Instruction
FNS 683 B
WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT
Form and Instruction
FNS 683B (remarks section)
WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT
Worksheet FNS 683A OMB# 0541
Modified
54
108
0
Form and Instruction
FNS 683a (screenshot 1)
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Instruction
Form and Instruction
FNS-683A (screenshot 2)
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Form and Instruction
FNS-683A (screenshot 3)
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017
Modified
52
2808
0
Form and Instruction
FNS 759 EARS (screenshot 1)
SNAP Education & Admin Reporting System (EARS)
Form and Instruction
FNS 759 EARS (screenshot 2)
SNAP Education & Admin Reporting System (EARS)
Form and Instruction
FNS 759 EARS (screenshot 3)
SNAP Education & Admin Reporting System (EARS)
Instruction
Worksheet FNS 777 OMB# 0067
Modified
348
174
0
Form and Instruction
FNS 777 (screenshot 1)
Financial Status Report
Form and Instruction
FNS777 (screenshot 2)
Financial Status Report
Form and Instruction
FNS777 (screenshot 3)
Financial Status Report
Form and Instruction
FNS777 (screenshot 4)
Financial Status Report
Form and Instruction
FNS777 (screenshot 5)
Financial Status Report
Form and Instruction
FNS777 (screenshot 6)
Financial Status Report
Form and Instruction
FNS777 (screenshot 7)
Financial Status Report
Form and Instruction
FNS777 (screenshot 8)
Financial Status Report
Form and Instruction
FNS777 (screenshot 9)
Financial Status Report
Form and Instruction
FNS777 (screenshot 10)
Financial Status Report
Form and Instruction
FNS777 (screenshot 11)
Financial Status Report
Form and Instruction
FNS777 (screenshot 12)
Financial Status Report
Form and Instruction
FNS777 (screenshot 13)
Financial Status Report
Form and Instruction
FNS777 (screenshot 14)
Financial Status Report
Instruction
Worksheet FNS 778 AND 778A OMB# 0584-0594
Modified
253
4032
0
Form and Instruction
FNS 778 & 778a (screenshot1)
Federal Financial Report (SNAP OPERATIONS)
Instruction
Form and Instruction
FNS 778 & 778a (screenshot2)
Federal Financial Report (SNAP OPERATIONS)
Form and Instruction
FNS 778 & 778A (screenshot3)
Federal Financial Report (SNAP OPERATIONS)
Form and Instruction
FNS 778 & 778a (screenshot4)
Federal Financial Report (SNAP OPERATIONS)
Form and Instruction
FNS 778 & 778a (screenshot5)
Federal Financial Report (SNAP OPERATIONS)
Form and Instruction
FNS 778 & 778a (screenshot6)
Federal Financial Report (SNAP OPERATIONS)
Worksheet FNS 798 and 798A OMB# 0045
Modified
1440
4338
0
Form and Instruction
FNS 798/798A (screenshot 1)
WIC Financial Management and Participation Report
Instruction
Form and Instruction
FNS 789/798A (screenshot 2)
WIC Financial Management and Participation Report
Form and Instruction
FNS798/798A (screenshot 2)
WIC Financial Management and Participation Report
Form and Instruction
FNS 798-798A (screenshot 4)
WIC Financial Management and Participation Report
Form and Instruction
FNS 798/798A (screenshot 5)
WIC Financial Management and Participation Report
Form and Instruction
FNS 798/798A (screenshot 6)
WIC Financial Management and Participation Report
Form and Instruction
FNS 798/798A (screenshot 7)
WIC Financial Management and Participation Report
Form and Instruction
FNS 798/798A (screenshot 8)
WIC Financial Management and Participation Report
Total burden requested under this ICR:
47157
102044
0
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