Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
FNS 640 Unchanged 56 280 0 Form and Instruction FNS 640 (A/B) (screenshot1)
Form and Instruction FNS 640 (A/B) (screenshot2)
Form and Instruction FNS-640 (A/B) (screenshot3)
Instruction
Instruction
FNS-742 Unchanged 20858 15826 0 Form FNS-742
Form and Instruction FNS-742 (screenshot 1)
Form and Instruction FNS-742 (screenshot2)
Form and Instruction FNS-742 (screenshot3)
Form and Instruction FNS-742 (screenshot4)
Instruction
FNS-828 Unchanged 56 280 0 Form and Instruction FNS-828 (screenshot 1)
Form and Instruction FNS-828 (screenshot 2)
Instruction
FNS-834 Unchanged 106 530 0 Form and Instruction FNS-834
Form and Instruction FNS-834 (screenshot1)
Form and Instruction FNS-834 (screenshot2)
Instruction
FNS-874 Unchanged 1456 378 0 Form and Instruction FNS-874 (screenshot1)
Form and Instruction FNS-874 (screenshot2)
Form and Instruction FNS-874 (screenshot3)
Form and Instruction FNS-874 (screenshot4)
Form and Instruction FNS-874 (screenshot5)
Form and Instruction FNS-874 (screenshot 6)
Form and Instruction FNS-874 (screenshot7)
Form and Instruction FNS-874 (screenshot8)
Form and Instruction FNS-874 (screenshot9)
Form and Instruction FNS-874 (screenshot10)
Instruction
OMB# 4040-0014 SF 425 Unchanged 10355 15533 0 Form and Instruction SF 425 (screenshot page 1)
Instruction
Form and Instruction SF 425 (screenshot page 2)
Form and Instruction SF 425 Screenshots (remarks section)
Worksheet 366B OMB# 0083 Modified 212 3180 0 Form and Instruction FNS 366 B
Instruction
Form and Instruction FNS-366B Screenshot Currently Approved
Instruction
Form FNS 366B Form Changes due to AE 68
Worksheet FNS 366A OMB# 0083 Unchanged 53 689 0 Form and Instruction FNS 366 A (Screenshot)
Instruction
Form and Instruction FNS 366A (page 1)
Form and Instruction FNS 366 A
Form and Instruction FNS 366 A
Worksheet FNS 10 OMB# 0002 Unchanged 1368 2736 0 Form and Instruction FNS-10 - PART A.jpg
Instruction
Form FNS-10 - PART B
Worksheet FNS 101 (3 respondents from CMNI and 2853 SLT & 191 (252 Respondents) OMB# 0025 Unchanged 3108 6204 0 Form and Instruction FNS 191
Form and Instruction FNS 101
Instruction
Instruction
Worksheet FNS 13 OMB#0075 Unchanged 57 114 0 Form and Instruction FNS 13
Instruction
Worksheet FNS 152, 153 & 667 OMB# 0293 Unchanged 2614 9684 0 Form and Instruction FNS 152 (screenshot 1)
Form and Instruction FNS 153 (screenshot 1)
Form and Instruction FNS 667 (screenshot)
Form and Instruction FNS 152 (screenshot 2)
Instruction
Instruction
Form and Instruction FNS 153 (screenshot 2)
Form and Instruction FNS 667 (remarks section)
Worksheet FNS 209 OMB# 0069 Unchanged 216 648 0 Form and Instruction FNS 209 Screenshot
Form and Instruction FNS 209 Screenshot
Instruction
Worksheet FNS 292A and 292B OMB# 0037 Unchanged 55 23 0 Form and Instruction FNS 292A (screenshot)
Form and Instruction FNS 292B (screenshot)
Instruction
Instruction
Instruction
Worksheet FNS 388 and 388A OMB# 0081 Unchanged 865 5686 0 Form and Instruction FNS 388a
Form and Instruction FNS 388
Instruction
Instruction
Form and Instruction FNS 388 (SNAP-TERR FNS 388(CNMI-NAP) Remarks.jpg)
Form and Instruction FNS 388 (SNAP-TERR FNS 388 (PR).jpg)
Form and Instruction FNS 388 (SNAP-TERR - FNS-388 AS.jpg)
Worksheet FNS 418 OMB# 0280 Unchanged 156 312 0 Form and Instruction FNS 418 Worksheet
Form and Instruction FNS 418 Worksheet Part B-D
Form and Instruction FNS 418 Worksheet Part (remarks section)
Worksheet FNS 44 OMB# 0055 Unchanged 672 2016 0 Form and Instruction FNS 44
Instruction
Form and Instruction FNS 44
Form and Instruction FNS 44
Worksheet FNS 46 OMB# 0080 Unchanged 660 5232 0 Form and Instruction FNS 46
Instruction
Form and Instruction FNS 46
Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule) Modified 244 20845 0 Form and Instruction FNS 583 (screenshot)
Instruction
Form and Instruction FNS 583 (Proposed Changes AE68)
Worksheet FNS 648 OMB# 0431 Unchanged 1826 310 0 Form and Instruction FNS 648 (screenshot 1)
Instruction
Other-Working With WIC Clinics Guidance for FNS 648
Form and Instruction FNS 648 (screenshot 2)
Worksheet FNS 683 B OMB# 0594 Unchanged 49 147 0 Form and Instruction FNS 683 B
Form and Instruction FNS 683B (remarks section)
Worksheet FNS 683A OMB# 0541 Unchanged 54 108 0 Form and Instruction FNS 683a (screenshot 1)
Instruction
Form and Instruction FNS-683A (screenshot 2)
Form and Instruction FNS-683A (screenshot 3)
Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017 Unchanged 52 2808 0 Form and Instruction FNS 759 EARS (screenshot 1)
Form and Instruction FNS 759 EARS (screenshot 2)
Form and Instruction FNS 759 EARS (screenshot 3)
Instruction
Worksheet FNS 777 OMB# 0067 Unchanged 348 174 0 Form and Instruction FNS 777 (screenshot 1)
Form and Instruction FNS777 (screenshot 2)
Form and Instruction FNS777 (screenshot 3)
Form and Instruction FNS777 (screenshot 4)
Form and Instruction FNS777 (screenshot 5)
Form and Instruction FNS777 (screenshot 6)
Form and Instruction FNS777 (screenshot 7)
Form and Instruction FNS777 (screenshot 8)
Form and Instruction FNS777 (screenshot 9)
Form and Instruction FNS777 (screenshot 10)
Form and Instruction FNS777 (screenshot 11)
Form and Instruction FNS777 (screenshot 12)
Form and Instruction FNS777 (screenshot 13)
Form and Instruction FNS777 (screenshot 14)
Instruction
Worksheet FNS 778 AND 778A OMB# 0584-0594 Unchanged 253 4032 0 Form and Instruction FNS 778 & 778a (screenshot1)
Instruction
Form and Instruction FNS 778 & 778a (screenshot2)
Form and Instruction FNS 778 & 778A (screenshot3)
Form and Instruction FNS 778 & 778a (screenshot4)
Form and Instruction FNS 778 & 778a (screenshot5)
Form and Instruction FNS 778 & 778a (screenshot6)
Worksheet FNS 798 and 798A OMB# 0045 Unchanged 1440 4338 0 Form and Instruction FNS 798/798A (screenshot 1)
Instruction
Form and Instruction FNS 789/798A (screenshot 2)
Form and Instruction FNS798/798A (screenshot 2)
Form and Instruction FNS 798-798A (screenshot 4)
Form and Instruction FNS 798/798A (screenshot 5)
Form and Instruction FNS 798/798A (screenshot 6)
Form and Instruction FNS 798/798A (screenshot 7)
Form and Instruction FNS 798/798A (screenshot 8)
Total burden requested under this ICR: 47189 102113 0  
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