Information Collection

State/Local: O - Program Data

IC 203787 under ICR 201208-0584-008 · OMB 0584-0530.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0530 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
rev062112 Attachment O.3-Administrative Data Items Being Rqst from State Agencies.doc	Other-O.3-Administrative Data Items
rev062112 Attachment O.1-Advance Letter to State.doc O.1-Advance Letter to State	IC Document
rev062112 Attachment O.2-State Agency Director Protocol.doc O.2-State Agency Director Protocol	IC Document

IC Title:

State/Local: O - Program Data

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-O.3-Administrative Data Items Being Rqst from State Agencies			rev062112 Attachment O.3-Administrative Data Items Being Rqst from State Agencies.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 49

Number of Respondents for Small Entity: 5

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	49	49
Annual IC Time Burden (Hours)	392	392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
O.1-Advance Letter to State	rev062112 Attachment O.1-Advance Letter to State.doc	08/19/2012
O.2-State Agency Director Protocol	rev062112 Attachment O.2-State Agency Director Protocol.doc	08/19/2012

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