Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Household - 7 CFR 245
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 245.6(a) & 245.6a(a)(7)(i)
7 CFR 245.6(a)(1)
7 CFR 245.6a(a)(7)(ii)
7 CFR 215.13a(g)(2)(iv)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Attachment J1 - Prototype Household Application for Free and Reduced Price School Meals (English)
Attachment J1. Prototype Household Application for Free and Reduced Price School Meals English.pdf
No
Paper Only
Other-Attachment J2 - Prototype Household Application for Free and Reduced Price School Meals (Albanian)
Attachment J2. Prototype Household Application for Free and Reduced Price School Meals Albanian.pdf
No
Paper Only
Other-Attachment J3 - Prototype Household Application for Free and Reduced Price School Meals (Amharic)
Attachment J3. Prototype Household Application for Free and Reduced Price School Meals Amharic.pdf
No
Paper Only
Other-Attachment J4 - Prototype Household Application for Free and Reduced Price School Meals (Arabic)
Attachment J4. Prototype Household Application for Free and Reduced Price School Meals Arabic.pdf
No
Paper Only
Other-Attachment J5 - Prototype Household Application for Free and Reduced Price School Meals (Armenian)
Attachment J5. Prototype Household Application for Free and Reduced Price School Meals Armenian.pdf
No
Paper Only
Other-Attachment J6 - Prototype Household Application for Free and Reduced Price School Meals (Bengali)
Attachment J6. Prototype Household Application for Free and Reeduced Price Meals Bengali .pdf
No
Paper Only
Other-Attachment J7 - Prototype Household Application for Free and Reduced Price School Meals (Bosnian)
Attachment J7. Prototype Household Application for Free and Reeduced Price Meals Bosnian.pdf
No
Paper Only
Other-Attachment J8 - Prototype Household Application for Free and Reduced Price School Meals (Burmese)
Attachment J8. Prototype Household Application for Free and Reduced Price School Meals Burmese.pdf
No
Paper Only
Other-Attachment J9 - Prototype Household Application for Free and Reduced Price School Meals (Chinese Simplified)
AT5B22~1.PDF
No
Paper Only
Other-Attachment J10 - Prototype Household Application for Free and Reduced Price School Meals (Chinese Traditional)
Attachment J10. Prototype Household Application for Chinese Trad.pdf
No
Paper Only
Other-Attachment J11 - Prototype Household Application for Free and Reduced Price School Meals (Croatian)
Attachment J11. Prototype Household Application for Free and Reduced Price School Meals Croatian.pdf
No
Paper Only
Other-Attachment J12 - Prototype Household Application for Free and Reduced Price School Meals (Farsi)
Attachment J12. Prototype Household Application Free and Reduced Price School Meals.pdf
No
Paper Only
Other-Attachment J13 - Prototype Household Application for Free and Reduced Price School Meals (French)
Attachment J13. Prototype Household Application for Free and Reduced Price School Meals French.pdf
No
Paper Only
Other-Attachment J14 - Prototype Household Application for Free and Reduced Price School Meals (French Creole)
ATD33F~1.PDF
No
Paper Only
Other-Attachment J15 - Prototype Household Application for Free and Reduced Price School Meals (Greek)
Attachment J15. Prototype Household Application for Free and Reduced Price School Meals Greek.pdf
No
Paper Only
Other-Attachment J16 - Prototype Household Application for Free and Reduced Price School Meals (Gujarati)
Attachment J16. Prototype Household Application for Free and Reduced Price School Meals Gujarati.pdf
No
Paper Only
Other-Attachment J17 - Prototype Household Application for Free and Reduced Price School Meals (Haitian Creole)
ATDB46~1.PDF
No
Paper Only
Other-Attachment J18 - Prototype Household Application for Free and Reduced Price School Meals (Hindi)
Attachment J18. Prototype Household Application for Free and Reduced Price School Meals Hindi.pdf
No
Paper Only
Other-Attachment J19 - Prototype Household Application for Free and Reduced Price School Meals (Hmong)
Attachment J19. Prototype Household Application for Free and Reduced Price School Meals Hmong.pdf
No
Paper Only
Other-Attachment J20 - Prototype Household Application for Free and Reduced Price School Meals (Igbo)
Attachment J20. Prototype Household Application for Free and Reduced Price School Meals Igbo.pdf
No
Paper Only
Other-Attachment J21 - Prototype Household Application for Free and Reduced Price School Meals (Ilkano)
Attachment J21. Prototype Household Application for Free and Reduced Price School Meals Ilokano.pdf
No
Paper Only
Other-Attachment J22 - Prototype Household Application for Free and Reduced Price School Meals (Italian)
Attachment J22. Prototype Household Application for Free and Reduced Price School Meals Italian.pdf
No
Paper Only
Other-Attachment J23 - Prototype Household Application for Free and Reduced Price School Meals (lu Mien)
Attachment J23. Prototype Household Application for Free and Reduced Price School Meals Iu Mien.pdf
No
Paper Only
Other-Attachment J24 - Prototype Household Application for Free and Reduced Price School Meals (Jamaican Creole)
Attachment J24. Prototype Household Application Free Reduced Price SMeals Jamaican Creole PC.pdf
No
Paper Only
Other-Attachment J25 - Prototype Household Application for Free and Reduced Price School Meals (Japanese)
Attachment J25. Prototype Household Application for Free and Reduced Price School Meals Japanese.pdf
No
Paper Only
Other-Attachment J26 - Prototype Household Application for Free and Reduced Price School Meals (Karen)
Attachment J26. Prototype Household Application for Free and Reduced Price School Meals Karen.pdf
No
Paper Only
Other-Attachment J27 - Prototype Household Application for Free and Reduced Price School Meals (Khmer)
Attachment J27. Prototype Household Application for Free and Reduced Price School Meals Khmer.pdf
No
Paper Only
Other-Attachment J28 - Prototype Household Application for Free and Reduced Price School Meals (Korean)
Attachment J28. Prototype Household Application for Free and Reduced Price School Meals Korean.pdf
No
Paper Only
Other-Attachment J29 - Prototype Household Application for Free and Reduce Price School Meals (Kru)
Attachment J29. Prototype Household Application for Free and Reduced Price School Meals Kru.pdf
No
Paper Only
Other-Attachment J30 - Prototype Household Application for Free and Reduced Price School Meals (Kurdish)
Attachment J30. Prototype Household Application for Free and Reduced Price School Meals Kurdish.pdf
No
Paper Only
Other-Attachment J31 - Prototype Household Application for Free and Reduced Price School Meals (Laotian)
Attachment J31. Prototype Household Application for Free and Reduced Price School Meals Laotian.pdf
No
Paper Only
Other-Attachment J32 - Prototype Household Application for Free and Reduced Price School Meals (Nepali)
Attachment J32. Prototype Household Application for Free and Reduced Price School Meals Nepali.pdf
No
Paper Only
Other-Attachment J33 - Prototype Household Application for Free and Reduced Price School Meals (Polish)
Attachment J33. Prototype Household Application for Free and Reduced Price School Meals Polish.pdf
No
Paper Only
Other-Attachment J34 - Prototype Household Application for Free and Reduced Price School Meals (Portuguese)
AT7302~1.PDF
No
Paper Only
Other-Attachment J35 - Prototype Household Application for Free and Reduced Price School Meals (Punjabi)
Attachment J35. Prototype Household Application for Free and Reduced Price School Meals Punjabi.pdf
No
Paper Only
Other-Attachment J36 - Prototype Household Application for Free and Reduced Price School Meals (Romanian)
Attachment J36. Prototype Household Application for Free and Reduced Price School Meals Romanian.pdf
No
Paper Only
Other-Attachment J37 - Prototype Household Application for Free and Reduced Price School Meals (Russian)
Attachment J37. Prototype Household Application for Free and Reduced Price School Meals Russian.pdf
No
Paper Only
Other-Attachment J38 - Prototype Household Application for Free and Reduced Price School Meals (Samoan)
Attachment J38. Prototype Household Application for Free and Reduced Price School Meals Samoan.pdf
No
Paper Only
Other-Attachment J39 - Prototype Household Application for Free and Reduced Price School Meals (Serbian)
Attachment J39. Prototype Household Application for Free and Reduced Price School Meals Serbian.pdf
No
Paper Only
Other-Attachment J40 - Prototype Household Application for Free and Reduced Price School Meals (Somali)
Attachment J40. Prototype Household Application for Free and Reduced Price School Meals Somali.pdf
No
Paper Only
Other-Attachment J41 - Prototype Household Application for Free and Reduced Price School Meals (Spanish)
Attachment J41. Prototype Household Application for Free and Reduced Price School Meals Spanish.pdf
No
Paper Only
Other-Attachment J42 - Prototype Household Application for Free and Reduced Price School Meals (Sudanese)
Attachment J42. Prototype Household Application for Free and Reduced Price School Meals Sudanese.pdf
No
Paper Only
Other-Attachment J43 - Prototype Household Application for Free and Reduced Price School Meals (Tagalog)
Attachment J43. Prototype Household Application for Free and Reduced Price School Meals Tagalog.pdf
No
Paper Only
Other-Attachment J44 - Prototype Household Application for Free and Reduced Price School Meals (Thai)
Attachment J44. Prototype Household Application for Free and Reduced Price School Meals Thai.pdf
No
Paper Only
Other-Attachment J45 - Prototype Household Application for Free and Reduced Price School Meals (Tigrinya)
Attachment J45. Prototype Household Application for Free and Reduced Price School Meals Tigrinya.pdf
No
Paper Only
Other-Attachment J46 - Prototype Household Application for Free and Reduced Price School Meals (Ukrainian)
Attachment J46. Prototype Household Application for Free and Reduced Price School Meals Ukranian.pdf
No
Paper Only
Other-Attachment J47 - Prototype Household Application for Free and Reduced Price School Meals (Urdu)
Attachment J47. Prototype Household Application for Free and Reduced Price School Meals Urdu.pdf
No
Paper Only
Other-Attachment J48 - Prototype Household Application for Free and Reduced Price School Meals (Vietnamese)
Attachment J48. Prototype Household Application for Free and Reduced Price School Meals Vietnamese.pdf
No
Paper Only
Other-Attachment J49 - Prototype Household Application for Free and Reduced Price School Meals (Yiddish)
Attachment J49. Prototype Household Application for Free and Reduced Price School Meals Yiddish.pdf
No
Paper Only
Other-Attachment J50 - Prototype Household Application for Free and Reduced Price School Meals (Yoruba)
Attachment J50. Prototype Household Application for Free and Reduced Price School Meals Yoruba.pdf
No
Paper Only
Other-Attachment K - Prototype Application Instructions
Attachment K. Prototype Application Instructions.pdf
No
Paper Only
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:
3,551,886
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
3,653,373
0
3,922
-1,886,049
0
5,535,500
Annual IC Time Burden (Hours)
441,049
0
476
-230,527
0
671,100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment L - Prototype Letter to Households
Attachment L. Prototype Letter to Households.pdf
03/30/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
An official website of the United States government
The .gov means it's official.
The site is secure.
