Information Collection

State Agencies, Grantees and SFA

IC 196143 under ICR 201012-0584-005 · OMB 0584-0559.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0559 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D State Agencies Process Study 2-8-2011.docx	Other-Interview Protcol
SEBTC april grantee and major partners Final.doc	Other-Interview with Grantee and Maj
SEBTC april other orgs Final.doc	Other-April Other Orgs
SEBTC july other orgs Final.doc	Other-July Other Orgs
SEBTC sept grantees and major partners Final.doc	Other-sept grantees and major partne
SEBTC april SFAs Final.doc	Other-April SFAs Final
SEBTC july SFAs Final.doc	Other-July SFAs Final
SEBTC july SFSP sponsors Final.doc	Other-july SFSP sponsors Final
Appendix J States Advance Letters 2-8-2011.docx Appendix J State Agencies Officical Advance Letters	IC Document
Appendix L States Telephone Script 2-8-2011.docx Attachment L StatesTelephone Script	IC Document

IC Title:

State Agencies, Grantees and SFA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-April Other Orgs	SEBTC april other orgs Final.doc	No	Paper Only
Other-July Other Orgs	SEBTC july other orgs Final.doc	No	Paper Only
Other-sept grantees and major partners	SEBTC sept grantees and major partners Final.doc	No	Paper Only
Other-April SFAs Final	SEBTC april SFAs Final.doc	No	Paper Only
Other-July SFAs Final	SEBTC july SFAs Final.doc	No	Paper Only
Other-july SFSP sponsors Final	SEBTC july SFSP sponsors Final.doc	No	Paper Only
Other-Interview with Grantee and Major Partners	SEBTC april grantee and major partners Final.doc	No	Paper Only
Other-Interview Protcol	Appendix D State Agencies Process Study 2-8-2011.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62

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	119	119
Annual IC Time Burden (Hours)	219	219
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix J State Agencies Officical Advance Letters	Appendix J States Advance Letters 2-8-2011.docx	02/08/2011
Attachment L StatesTelephone Script	Appendix L States Telephone Script 2-8-2011.docx	02/08/2011

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