Information Collection

Farmer's Market SNAP Support (State/Local/Tribal)

IC 216016 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⚠️ Notice: This information collection may be referencing outdated material.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
FMSSG RFA -- 04.17.15.docx www.grants.gov	Other-Request for Applications (Gran
FMSSG Request to OMB to Use 0584-0512 Business NFP --05 05 15.pdf OMB Justification Memo SA	IC Document
FMSSG Supporting Statement for OMB -- 04.17.15.docx Supporting Statement	IC Document
FMSSG Program Narrative -- FNS-10-545A -- 04.17.15.docx FMSSG Program Narrative -- FNS-10-545A -- 04.17.15	IC Document
FMSSG Budget Summary -- FNS-10-545B -- 04.17.15.xlsx FMSSG Budget Summary FNS 10-545B	IC Document
SF424_2_1-V2.1.pdf SF424_2_1-V2.1	IC Document
SF424A-V1.0.pdf SF424A-V1.0	IC Document
SF424B-V1.1.pdf SF424B-V1.1	IC Document
SF-425 screenshot July 2013.docx SF-425 screenshot	IC Document
SF-LLL Lobbying Form.pdf SF-425 screenshot July 2013	IC Document
AD_3030-V1.0 Expires 2-29-16.pdf AD_3030-V1.0 Expires 2-29-16	IC Document
AD_3031-V1.0 Expires 2-29-16.pdf AD_3031-V1.0 Expires 2-29-16	IC Document

IC Title:

Farmer's Market SNAP Support (State/Local/Tribal)

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 (Grants)			FMSSG RFA -- 04.17.15.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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	860	860
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo SA	FMSSG Request to OMB to Use 0584-0512 Business NFP --05 05 15.pdf	05/29/2015
Supporting Statement	FMSSG Supporting Statement for OMB -- 04.17.15.docx	05/05/2015
FMSSG Program Narrative -- FNS-10-545A -- 04.17.15	FMSSG Program Narrative -- FNS-10-545A -- 04.17.15.docx	05/05/2015
FMSSG Budget Summary FNS 10-545B	FMSSG Budget Summary -- FNS-10-545B -- 04.17.15.xlsx	05/05/2015
SF424_2_1-V2.1	SF424_2_1-V2.1.pdf	05/05/2015
SF424A-V1.0	SF424A-V1.0.pdf	05/05/2015
SF424B-V1.1	SF424B-V1.1.pdf	05/05/2015
SF-425 screenshot	SF-425 screenshot July 2013.docx	05/05/2015
SF-425 screenshot July 2013	SF-LLL Lobbying Form.pdf	05/05/2015
AD_3030-V1.0 Expires 2-29-16	AD_3030-V1.0 Expires 2-29-16.pdf	05/05/2015
AD_3031-V1.0 Expires 2-29-16	AD_3031-V1.0 Expires 2-29-16.pdf	05/05/2015

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