Sponsor/FDCH Burden

CACFP Improper Payments Data Collection Pilot Project

Documents and Forms

Document Name Document Type
APPX B - Observation form.doc Other-Observation Form
APPX C - FDCH Provider Interview REVFEB08.doc Other-Survey

Information Collection (IC) Details

IC Title:	Sponsor/FDCH Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Observation Form			APPX B - Observation form.doc		No		Paper Only
Other-Survey			APPX C - FDCH Provider Interview REVFEB08.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 35	Number of Respondents for Small Entity: 35

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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