Food Coupon Accountability Report

ICR 200410-0584-004

OMB: 0584-0009

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
2891 Migrated
ICR Details
0584-0009 200410-0584-004
Historical Active 200106-0584-002
USDA/FNS
Food Coupon Accountability Report
Revision of a currently approved collection   No
Regular
Approved without change 01/03/2005
Retrieve Notice of Action (NOA) 10/28/2004
FNS may not display the expiration date as long as the number of States and counties using EBT continues to decline. Should FNS need to revise or reprint this form, they must inform OMB and reinstate the expiration date on this collection.
  Inventory as of this Action Requested Previously Approved
01/31/2008 01/31/2008 12/31/2004
1,416 0 5,700
4,248 0 17,100
0 0 0

FNS needs to account for FSP coupons because they are Federal obligations. FNS uses the data from FNS-250 in fiscal accounting systems. State and local agencies issuing or handling coupons complete the forms.

None
None


No

1
IC Title Form No. Form Name
Food Coupon Accountability Report FNS-250

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,416 5,700 0 -4,284 0 0
Annual Time Burden (Hours) 4,248 17,100 0 -12,852 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/28/2004


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