View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 247.37
7 CFR 272.6
28 CFR 42 Subpart C - Section 42.106
7 CFR 15.1-15.6
7 CFR 247.5
7 CFR 247.29
7 CFR 272.6
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS-191
Racial/Ethic Group Participation Commodity Supplemental Food Program
FNS-191.pdf
https://fprs.fns.usda.gov/
Yes
Yes
Fillable Fileable Signable
Form and Instruction
FNS-101
Participation in Food Programs - By Race
FNS-101.pdf
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Form and Instruction
FNS 101 Screenshot
Participation in Food Program By Race E-form
Fns-101_page1_part1.jpg
https://fprs.fns.usda.gov/
Yes
Yes
Fillable Fileable
Form and Instruction
FNS-101_page1_part2 Screenshot
Participation in Food Program By Race E-form
Fns-101_page1_part2.jpg
https://fprs.fns.usda.gov/
Yes
Yes
Fillable Fileable
Form and Instruction
FNS-101_page2 Screenshot
Participation in Food Program By Race E-form
Fns-101_page2.jpg
https://fprs.fns.usda.gov/
Yes
Yes
Fillable Fileable
Form and Instruction
FNS 191
RACIAL/ETHNIC GROUP PARTICIPATION COMMODITY SUPPLEMENTAL FOOD PROGRAM Screenshot
FNS 191CSFP Race-Ethnic Group Participation.docx
https://fprs.fns.usda.gov/
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:
2,927
Number of Respondents for Small Entity:
292
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
2,927
0
0
64
0
2,863
Annual IC Time Burden (Hours)
5,854
0
0
128
0
5,726
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FNS Handbook 501
FNSHandbook501-Chapter1_2010.pdf
05/16/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.