Information Collection

Alternatives to Face-to-Face Interviews in SNAP

IC 197846 under ICR 201203-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form SF 425 Alternatives to Face-to-Face Interviews in SNAP	Form and Instruction
SF 425 Federal Financial Reporting SF-425 (fillable).pdf www.fprs.fns.usda.gov	Form and Instruction
SF-424.pdf SF 424	IC Document
SF-424B.pdf SF 424 B	IC Document
SF-LLL.pdf SF LLL	IC Document
AD1047-F-01-92[1].pdf Certification Regarding Debarment, Suspension, and Other	IC Document
AD1048-F-01-92[2].pdf Certification Regarding Debarment, Suspension, Ineligibility	IC Document
AD1049-F-05-90[1].pdf CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)	IC Document
Cover Memo Alternatives to Face2Face Interviews 5-26-11.doc Generic Clearance Justification Memo Alternative Face to Face Interviews in SNAP	IC Document
Supporting Statement (Alternatives to Face2Face) 6-6-11.doc Supporting Statement	IC Document
RFA (Alternatives to F2F) 06_16_11.doc RFA (Face to Face Interviews)	IC Document

IC Title:

Alternatives to Face-to-Face Interviews in SNAP

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	SF 425	Federal Financial Reporting	SF-425 (fillable).pdf	www.fprs.fns.usda.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: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1,548	1,548
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SF 424	SF-424.pdf	05/25/2011
SF 424 B	SF-424B.pdf	05/25/2011
SF LLL	SF-LLL.pdf	05/25/2011
Certification Regarding Debarment, Suspension, and Other	AD1047-F-01-92[1].pdf	05/25/2011
Certification Regarding Debarment, Suspension, Ineligibility	AD1048-F-01-92[2].pdf	05/25/2011
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)	AD1049-F-05-90[1].pdf	05/25/2011
Generic Clearance Justification Memo Alternative Face to Face Interviews in SNAP	Cover Memo Alternatives to Face2Face Interviews 5-26-11.doc	05/26/2011
Supporting Statement	Supporting Statement (Alternatives to Face2Face) 6-6-11.doc	06/06/2011
RFA (Face to Face Interviews)	RFA (Alternatives to F2F) 06_16_11.doc	06/16/2011

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