View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

State and Local Burden
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 210.11(b)(2) 7 CFR 210.5(d)(2)(ii) 7 CFR 210.9(b)(21),(c)(7) 7 CFR 210.18(m)(1) 7 CFR 210.31e(2),e(3) 7 CFR 210 7 CFR 210.11(b)(2) 7 CFR 210.15(a)(7) 7 CFR 210.5(d)(2)(ii) 7 CFR 210.18(i)(3) 7 CFR 210.18(c-h) 7 CFR 210.13(b) 7 CFR 210.18(h)(2)(iv) 7 CFR 210.9(b)(19) 7 CFR 210.31(a)&(c)(5) 7 CFR 210.20(b)(11),(b)(14) 7 CFR 210.10(m) 7 CFR 210.31(d)(2),(3) 7 CFR 210.19(f) 7 CFR 210.20(a)(7) 7 CFR 210.15(a)(1) &210.8(b)&(c) 7 CFR 210.15(b)(1)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment T1: Off-site Assessment Tool No   Paper Only
Other-Attachment T2: On-site Assessment Tool No   Paper Only
Other-Attachment T3: Site Selection Worksheet No   Paper Only
Other-Attachment T4: Statistical Sample Generator No   Paper Only
Other-Attachment T5: Meal Compliance Risk Assessment Tool No   Paper Only
Other-Attachment T6: Dietary Specifications Assessment Tool No   Paper Only
Other-Attachment T7: Nutrient Analysis and Validation Checklist No   Paper Only
Other-Attachment T8: Nutrient Analysis Protocols No   Paper Only
Other-Attachment T9: Resource Management Comprehensive Review Form No   Paper Only
Other-Attachment T10: Resource Management Risk Indicator Tool No   Paper Only
Other-Attachment T11: Fiscal Action Workbook No   Paper Only
Other-Attachment T12: Non-reimbursable Meal Allocation Form No   Paper Only
Other-Attachment T13: School Data and Meal Pattern Error Form (S-1) No   Paper Only
Other-Attachment T14: Other Meal Claim Errors (S-2) No   Paper Only
Other-Attachment T15: Eligibility Certification and Benefit Issuance Error Worksheet (SFA-1) No   Paper Only
Other-Attachment T16: Other Eligibility Certifcation and Benefit Issuance Errors Worksheet (SFA-2) No   Paper Only
Other-Attachment T17: SFA Data Summary Form (SFA-3) No   Paper Only
Other-Attachment T18: Special Provisions Non-Base Year and CEP Claiming Percentage/Funding Level Summary Form (SFA-1A) No   Paper Only
Other-Attachment T19: Community Eligibility Provison ISP and Claiming Percentage Validation Worksheet (SFA-2A) No   Paper Only
Other-Attachment T20: Seamless Summer Option School Data and Meal Pattern Error Form (SSO S-1) No   Paper Only
Other-Attachment T21: Seamless Summer Option Eligibility Certification Form (SSO S-2) No   Paper Only
Other-Attachment T22: Supplemental Seamless Summer Option Administrative Review Form No   Paper Only
Other-Attachment T23: Supplemental Afterschool Snacks Administrative Review Form No   Paper Only
Other-Attachment T24: Supplemental Special Milk Program Administrative Review Form No   Paper Only
Other-Attachment T25: Infant and Pre-K Meal Pattern On-Site Validation Checklist No   Paper Only

Income Security Food and Nutrition Assistance

 

115,935 115,499
   
State, Local, and Tribal Governments
 
   96 %

  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 47,631,996 0 12,918 -2,203,327 0 49,822,405
Annual IC Time Burden (Hours) 9,808,454 0 304,711 -526,257 0 10,030,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C: Form FNS-640 Administrative Review Data Report 09/29/2019
Attachment D: OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement 09/29/2019
Attachment E: Form FNS-10 Report of School Operations (OMB# 0584-0594) 09/29/2019
Attachment F: Form FNS-13 Annual Report of State Revenue Matching (OMB# 0584-0594) 09/29/2019
Attachment G: Form FNS-828 School Food Authority Paid Lunch Price Report (OMB# 0584-0594) 09/29/2019
Attachment H: Form FNS-777 Financial Status Report (OMB# 0584-0594) 09/29/2019
Attachment T: Administrative Review Manual 11/05/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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