Information Collection

State Agency - Faith Based

IC 191307 under ICR 200906-0584-001 · OMB 0584-0540.

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Information Collection (IC) Details

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IC Title:

State Agency - Faith Based

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 251.10(i)(1) and 251.10(i)(2) 7 CFR 226.25(g)(1) and 226.25(g)(2) 7 CFR 210.23(d)(1) and 210.23(d)(2) 7 CFR 225.18(i)(1) 7 CFR 246.26(h)(1) and 246.26(h)(2) 7 CFR 247.29(d)(1) and 247.29(d)(2)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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: 57

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	66,256	66,256
Annual IC Time Burden (Hours)	115,421	115,421
Annual IC Cost Burden (Dollars)	0	0

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