View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State Agency (49); Local Agency (696)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 248.10(b)(5)
7 CFR 246.5
7 CFR 248.10(a)(4)(d)
7 CFR 248.10(b)(c)
7 CFR 248.4
7 CFR 248.6
7 CFR 248.10(i)
7 CFR 248.10(a)(4)(d)
7 CFR 248.10(b)(5)
7 CFR 248.10(d)
7 CFR 248.3(e)
7 CFR 248.10(e)(2), (3)
7 CFR 248.17(c)(1)(i)
7 CFR 248.10(e)(4)
7 CFR 248.10(f)
7 CFR 248.10(h)
7 CFR 248.10(j)
7 CFR 248.10(k)
7 CFR 248.11(a)
7 CFR 248.17(a)
7 CFR 248.17(b)(2)(ii)
7 CFR 248.17(c)(2)
7 CFR 248.18(b)
7 CFR 248.4(c)
7 CFR 248.9
7 CFR 248.16(a)
7 CFR 248.23(a)
7 CFR 248.11(c)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix F Consolidated State Plan Guidance
Appendix F- FY21 Consolidated State Plan Guidance Complete .pdf
Yes
No
Fillable Printable
Other-Appendix G WIC FMNP State Plan Guidance
Appendix G- FY21 FMNP State Plan Guidance Complete.pdf
Yes
No
Fillable Printable
Other-Appendix H Upload Procedures for SFPD State Plans
Appendix H- Upload Procedures for SFPD State Plans.docx
Yes
Yes
Fillable Fileable
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:
744
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
48 %
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
3,139,280
0
6,905
-176,815
0
3,309,190
Annual IC Time Burden (Hours)
805,741
0
5,756
-45,848
0
845,833
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix I Annual Financial and Program Data Report
Appendix I Annual Financial and Program Data Report FNS-683B (1).jpg
05/27/2021
Appendix Ia Annual Financial and Program Data Report and Remarks
Appendix Ia Annual Financial and Program Data Report FNS-683B (1) Remarks section.pdf
05/27/2021
Appendix J WIC Federal and State Agreements
Appendix J- WIC Federal and State Agreements.pdf
05/27/2021
Appendix L FPRS Home Page with OMB Disclosure Statement
Appendix L FPRS Home Page with OMB Information.pdf
05/27/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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