View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Worksheet FNS 101 (3 respondents from CMNI and 2719 and 134 SLT OMB# 0025	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 247.29

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FNS-101.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form	FNS 101	Participation in Food Programs by Race	FNS-101.docx	https://fprs.usda.fns.gov	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: 2,856	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	2,856	0	-252	0	0	3,108
Annual IC Time Burden (Hours)	5,714	0	-490	0	0	6,204
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.