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Hunger Free Communities
Uniform Grant Application for Non-Entitlement Discretionary Grants
OMB: 0584-0512
IC ID: 192724
OMB.report
USDA/FNS
OMB 0584-0512
ICR 201203-0584-001
IC 192724
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:
2024-08-02 - No material or nonsubstantive change to a currently approved collection
2024-03-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Hunger Free Communities
Agency IC Tracking Number:
IC Status:
Unchanged
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:
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:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
20 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
75
0
0
0
0
75
Annual IC Time Burden (Hours)
3,055
0
0
0
0
3,055
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.