Information Collection

SNAP Recipient Trafficking Prevention Grants

IC 211631 under ICR 201209-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Recipient Trafficking Prevention Grant RFA FINAL PRAO recommendations 5-14-14 SAB edits 5-27-14.docx www.grants.gov	Other-Request for Applications
Request to OMB to Use 0584-0512 (SNAP Recipient Trafficking) 5-22-14 PRAO recommendations 5-27-14 SAB edits.docx Generic Clearance Memo	IC Document
Final FY2014 SNAP Recipient Trafficking Grants Supporting Statement 5-22-14 PRAO recommendations SAB edits 5-27-14.docx Supporting Statement Justification	IC Document
SF424_2_1-V2.1.pdf SF424	IC Document
SF424A-V1.0.pdf SF 424A	IC Document
SF424B-V1.1.pdf SF 424B	IC Document
SF-LLL Lobbying Form.pdf SF LLL	IC Document
AD1047-F-01-92.PDF Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	IC Document
AD1048-F-01-92.PDF Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	IC Document
AD1049-F-05-90.pdf CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS	IC Document
AD-1052 June 2014.pdf CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS, STATE AND STATE AGENCIES	IC Document
AD1050-F-01-92.pdf CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE II - FOR GRANTEES WHO ARE INDIVIDUALS	IC Document

IC Title:

SNAP Recipient Trafficking Prevention Grants

Agency IC Tracking Number:

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-Request for Applications			Recipient Trafficking Prevention Grant RFA FINAL PRAO recommendations 5-14-14 SAB edits 5-27-14.docx	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA e-Authentication Service

FR Citation: 71 FR 42346

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	1,086	1,086
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Memo	Request to OMB to Use 0584-0512 (SNAP Recipient Trafficking) 5-22-14 PRAO recommendations 5-27-14 SAB edits.docx	05/29/2014
Supporting Statement Justification	Final FY2014 SNAP Recipient Trafficking Grants Supporting Statement 5-22-14 PRAO recommendations SAB edits 5-27-14.docx	05/29/2014
SF424	SF424_2_1-V2.1.pdf	05/22/2014
SF 424A	SF424A-V1.0.pdf	05/22/2014
SF 424B	SF424B-V1.1.pdf	05/22/2014
SF LLL	SF-LLL Lobbying Form.pdf	05/22/2014
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.PDF	05/29/2014
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.PDF	05/29/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS	AD1049-F-05-90.pdf	05/29/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS, STATE AND STATE AGENCIES	AD-1052 June 2014.pdf	06/03/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE II - FOR GRANTEES WHO ARE INDIVIDUALS	AD1050-F-01-92.pdf	06/03/2014

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