Information Collection

Fdpir - Food Distribution Program Nutrition Education (fdpne

IC 215349 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⚠️ Notice: This information collection may be referencing outdated material.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
0512 RFA for FDPNE15- SNAS eview GW-2-12-2015 PRAO comments 2-25-15-aw2-27 -3.docx	Other-Request for Application (Grant
Request to OMB to Use 0584-0512 - FDPNE 2015-letter Julie Wise-3-3-15.pdf OMB Generic Clearance Memo	IC Document
0512 Generic Supporting Statement for FDPNE 3-3-15 final.docx Generic Supporting Statement -FDPNE	IC Document
SF424_2_1-V2.1 (2016).pdf Application for Federal Assistance SF-424	IC Document
SF424A-V1 0.pdf SF 424A BUDGET INFORMATION - Non-Construction Programs	IC Document
SF424B-V1 1.pdf SF 424B ASSURANCES - NON-CONSTRUCTION PROGRAMS	IC Document
SFLLL-V1 1-Disclosure of Lobbying Activities.pdf SF LLL Disclosure of Lobbying Activities	IC Document
Terms and Conditions - 1-7-2015 - FINAL.docx Terms and Conditions	IC Document
SF-425 screenshot July 2013.docx SF 425 Screenshot	IC Document

IC Title:

FDPIR - FOOD DISTRIBUTION PROGRAM NUTRITION EDUCATION (FDPNE

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 Application (Grant)				www.grants.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: 30

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	350	350
Annual IC Time Burden (Hours)	2,211	2,211
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Generic Clearance Memo		03/03/2015
Generic Supporting Statement -FDPNE		03/03/2015
Application for Federal Assistance SF-424		02/26/2015
SF 424A BUDGET INFORMATION - Non-Construction Programs		02/26/2015
SF 424B ASSURANCES - NON-CONSTRUCTION PROGRAMS		02/26/2015
SF LLL Disclosure of Lobbying Activities		02/26/2015
Terms and Conditions		02/27/2015
SF 425 Screenshot		03/03/2015

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

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