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

Uniform Grant Application for Non-Entitlement Discretionary Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.