FNS User Access Request Form (State)

FNS Computer System Access Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0532 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-674 FNS User Access Request Form (State) Form and Instruction
FNS-674 FNS User Access Request Form 2008-0584-0532-REVISED FNS-674.pdf Form and Instruction
2008-0584-0532-FNCS 702 Handbook_v1.pdf Information System Security Guidelines & Procedures 702 Handbook IC Document
5cfr732.102.pdf 5 CFR 732 IC Document
Cost to Respondent table ICR 5-5-08.xls Cost to Public IC Document

Information Collection (IC) Details

IC Title:	FNS User Access Request Form (State)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 732.101-103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-674	FNS User Access Request Form	2008-0584-0532-REVISED FNS-674.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Persons Doing Business with the Food and Nutrition Service	FR Citation: 65 FR 17251

Number of Respondents: 210	Number of Respondents for Small Entity: 21

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Information System Security Guidelines & Procedures 702 Handbook	2008-0584-0532-FNCS 702 Handbook_v1.pdf	05/12/2008
5 CFR 732	5cfr732.102.pdf	05/12/2008
Cost to Public	Cost to Respondent table ICR 5-5-08.xls	05/13/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.