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

View Information Collection (IC)

State and Local Burden - SA, SFA/LEA/Schools
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 210.5 7 CFR 210.20(b)(3) 7 CFR 210.17 (g) & (h) 7 CFR 210.20(b)(6) 7 CFR 210.5(d)(2)(ii) 7 CFR 210.9(b)(21),(c)(7) 7 CFR 210.15(a)(3) 7 CFR 210.20(a)(7) 7 CFR 210.15(a)(1) &210.8(b)&(c) 7 CFR 210.15(b)(1) 7 CFR 210.18(j)(2) 7 CFR 210.15(a)(8) 7 CFR 210.14(e) 7 CFR 210.20(b)(1 & 2) 7 CFR 210.23(c) 7 CFR 210.18(f)(k,l,m,o) 7 CFR 210.15(b)(4) 7 CFR 210.9(b)(18 & 20) 7 CFR 210.9(a & b) 7 CFR 210.15(b)(6) 7 CFR 210.14(f) 7 CFR 210.15(b)(7) & (b)(8) 7 CFR 210.30(g) 7 CFR 210.15(b)(9) 7 CFR 210.31(f) 7 CFR 210.10(m) 7 CFR 210.11(b)(2) 7 CFR 210.9(b)(19) 7 CFR 210.31(d)(2),(3), e(2), e(3) 7 CFR 210.19(f) 7 CFR 210.15(a)(2) & (4) 7 CFR 210.18(m)(1) 7 CFR 210.18(i)(3) 7 CFR 210.20(b)(7) 7 CFR 210.19(c) 7 CFR 210.18(o) 7 CFR 210.20(b)(10) 7 CFR 210.19(b) 7 CFR 210.20(b)(12) 7 CFR 210.14(e)(7) 7 CFR 210.15(b)(1) 7 CFR 210.15(b)(2)(3) 7 CFR 210.13(b & c) 7 CFR 210.20(b)(14) 7 CFR 210.8(a)(5) 7 CFR 210.15(b)(2) 7 CFR 210.7(d)(2) 7 CFR 210.18(c-h) 7 CFR 210.13(b) 7 CFR 210.18(h)(2)(iv) 7 CFR 210.31e(2),e(3) 7 CFR 210 7 CFR 210.11(b)(2) 7 CFR 210.15(a)(7)/ 7 CFR 210.8(a)(5)/ 7 CFR 210.5(d)(2)(ii)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment N1 Off-site Assessment Tool No   Paper Only
Other-Attachment N2 On-site Assessment Tool No   Paper Only
Other-Attachment N3 Site Selection Worksheet No   Paper Only
Other-Attachment N4 Statistical Sample Generator No   Paper Only
Other-Attachment N5 Meal Compliance Risk Assessment Tool No   Paper Only
Other-Attachment N6 Dietary Specifications Assessment Tool No   Paper Only
Other-Attachment N7 Nutrient Analysis and Validation Checklist No   Paper Only
Other-Attachment N8 Nutrient Analysis Protocols No   Paper Only
Other-Attachment N9 Resource Management Comprehensive Review Form No   Paper Only
Other-Attachment N10 Resource Management Risk Indicator Tool No   Paper Only
Other-Attachment N11 Fiscal Action Workbook No   Paper Only
Other-Attachment N12 Non-reimbursable Meal Allocation Form No   Paper Only
Other-Attachment N13 School Data and Meal Pattern Error Form (S-1) No   Paper Only
Other-Attachment N14 Other Meal Claim Errors (S-2) No   Paper Only
Other-Attachment N15 Eligibility Certification and Benefit Issuance Error Worksheet (SFA-1) No   Paper Only
Other-Attachment N16 Other Eligibility Certification and Benefit Issuance Errors Worksheet (SFA-2) No   Paper Only
Other-Attachment N17 SFA Data Summary Form (SFA-3) No   Paper Only
Other-Attachment N18 Special Provisions Non-Base Year and CEP Claiming Percentage/Funding Level Summary Form (SFA-1A) No   Paper Only
Other-Attachment N19 Community Eligibility Provision ISP and Claiming Percentage Validation Worksheet (SFA-2A) No   Paper Only
Other-Attachment N20 Seamless Summer Option School Data and Meal Pattern Error Form (SSO S-1) No   Paper Only
Other-Attachment N21 Seamless Summer Option Eligibility Certification Form (SSO S-2) No   Paper Only
Other-Attachment N22 Supplemental Seamless Summer Option Administrative Review Form No   Paper Only
Other-Attachment N23 Supplemental Afterschool Snacks Administrative Review Form No   Paper Only
Other-Attachment N24 Supplemental Special Milk Program Administrative Review Form No   Paper Only
Other-Attachment N25 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 0 0 0 47,631,996
Annual IC Time Burden (Hours) 9,808,701 0 0 247 0 9,808,454
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C Form FNS-640 Administrative Review Data Report (OMB# 0584-0594) 07/28/2023
Attachment D OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement 07/28/2023
Attachment E Form FNS-10 Report of School Operations (OMB# 0584-0594) 07/28/2023
Attachment F Form FNS-13 Annual Report of State Revenue Matching (OMB# 0584-0594) 07/28/2023
Attachment G Form FNS-828 School Food Authority Paid Lunch Price Report (OMB# 0584-0594) 07/28/2023
Attachment H Form FNS-777 Financial Status Report (OMB# 0584-0594) 07/28/2023
Attachment M Administrative Review Manual 07/28/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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