Information Collection

TEFAP- Emergency Food Program Infrastructure Grant

IC 192296 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⚠️ Notice: This information collection may be referencing outdated material.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
OMB Justification Statement 3-21-2010.doc Supporting Statement	IC Document
Infrastructure Grant Rural version6.docx Infrastructure Grant Rural	IC Document
General RFA draft 4.docx RFA	IC Document
Infra ICR memo.pdf Infra ICR memo	IC Document
AD1047-F-01-92[1].pdf Certification Regarding Debarment, Suspension, and Other Responsibility Matters	IC Document
AD1048-F-01-92[2].pdf Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier	IC Document
AD1049-F-05-90[1].pdf Certification Regarding Drug-Free Workplace Requirements	IC Document
sf424.pdf SF424	IC Document
sf424a.pdf SF424a	IC Document
sf424b.pdf SF424b	IC Document
sf424c.pdf SF424c	IC Document
sf424d.pdf SF424d	IC Document
SF 425.xlsx SF425	IC Document
sflll.pdf SFLLL	IC Document

IC Title:

TEFAP- Emergency Food Program Infrastructure Grant

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 3015, 3016, and 3019 (To search for a specific CFR, visit the Code of Federal Regulations.)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	205	205
Annual IC Time Burden (Hours)	3,940	3,940
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	OMB Justification Statement 3-21-2010.doc	03/22/2010
Infrastructure Grant Rural	Infrastructure Grant Rural version6.docx	03/17/2010
RFA	General RFA draft 4.docx	03/17/2010
Infra ICR memo	Infra ICR memo.pdf	03/17/2010
Certification Regarding Debarment, Suspension, and Other Responsibility Matters	AD1047-F-01-92[1].pdf	03/17/2010
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier	AD1048-F-01-92[2].pdf	03/17/2010
Certification Regarding Drug-Free Workplace Requirements	AD1049-F-05-90[1].pdf	03/17/2010
SF424	sf424.pdf	03/17/2010
SF424a	sf424a.pdf	03/17/2010
SF424b	sf424b.pdf	03/17/2010
SF424c	sf424c.pdf	03/17/2010
SF424d	sf424d.pdf	03/17/2010
SF425	SF 425.xlsx	03/17/2010
SFLLL	sflll.pdf	03/17/2010

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