Information Collection

Hunger Free Communities

IC 192724 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⚠️ Notice: This information collection may be referencing outdated material.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
sf424.pdf SF 424	IC Document
sf424a.pdf SF 424A	IC Document
sf424b.pdf SF 424B	IC Document
sf424c.pdf SF 424C	IC Document
sf424d.pdf SF 424D	IC Document
SF 425.xls SF 425	IC Document
sflll.pdf SF LLL	IC Document
AD-1052.pdf AD-1052 Drug Free Workplace	IC Document
AD1047-F-01-92[1].pdf AD 1047 Debarment, Suspension and Other	IC Document
AD1048-F-01-92[2].pdf AD 1048 Debarment, Suspension, Ineligibility and Voluntary Exclusion	IC Document
AD1049-F-05-90[1].pdf AD 1049 Drug Free Workplace Requirments Alternative 1	IC Document
Hunger-Free_Supporting Statement_5-3-10.docx Supporting Statement	IC Document
Hunger-Free Communities - OMB Memo 4-28-10.docx Justification Memo	IC Document
Hunger-Free RFA 4-22-10.docx Request for Application	IC Document
SF-425A.pdf SF 425A	IC Document

IC Title:

Hunger Free Communities

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2011-2036 (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: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	3,055	3,055
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SF 424	sf424.pdf	04/28/2010
SF 424A	sf424a.pdf	04/28/2010
SF 424B	sf424b.pdf	04/28/2010
SF 424C	sf424c.pdf	04/28/2010
SF 424D	sf424d.pdf	04/28/2010
SF 425	SF 425.xls	04/28/2010
SF LLL	sflll.pdf	04/28/2010
AD-1052 Drug Free Workplace	AD-1052.pdf	04/28/2010
AD 1047 Debarment, Suspension and Other	AD1047-F-01-92[1].pdf	04/28/2010
AD 1048 Debarment, Suspension, Ineligibility and Voluntary Exclusion	AD1048-F-01-92[2].pdf	04/28/2010
AD 1049 Drug Free Workplace Requirments Alternative 1	AD1049-F-05-90[1].pdf	04/28/2010
Supporting Statement	Hunger-Free_Supporting Statement_5-3-10.docx	05/03/2010
Justification Memo	Hunger-Free Communities - OMB Memo 4-28-10.docx	04/29/2010
Request for Application	Hunger-Free RFA 4-22-10.docx	05/03/2010
SF 425A	SF-425A.pdf	05/03/2010

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