Information Collection

Request for Application for Elderly & Working Poor Grant

IC 189413 under ICR 200906-0584-002 · OMB 0584-0512.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RFA FY2009 Pilots for Elderly Working Poor 5-18-2009.doc www.grants.gov	Other-Guidance for Grant Proposal
RFA FY2009 Pilots for Elderly Working Poor FINAL - 5-18-2009.doc Supporting Statement Justification for EWP Grants	IC Document

IC Title:

Request for Application for Elderly & Working Poor Grant

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 227.5

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
Other-Guidance for Grant Proposal			RFA FY2009 Pilots for Elderly Working Poor 5-18-2009.doc	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Justification for EWP Grants	RFA FY2009 Pilots for Elderly Working Poor FINAL - 5-18-2009.doc	06/03/2009

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