SNAP Recipient Integrity Information Technology Grants (SLT agencies only)

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⚠️ Notice: This information collection may be referencing outdated material.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
Recipient Integrity Information Technology Grant RFA FINAL PRAO reveiwed.docx www.grants.gov Other-Request for Application (Grant
FY2015 SNAP Recipient Integrity Information Technology Grants Supporting Statement PRAO reviewed.docx Supporting Statement IC Document
SF424_2_1-V2.1.pdf SF 424 IC Document
SF424A-V1.0.pdf SF 424A IC Document
SF424B-V1.1.pdf SF 424B IC Document
SF-425 screenshot July 2013.docx SF 425 IC Document
SF-LLL Lobbying Form.pdf SF LLL IC Document
Terms and Conditions - 3-17-2015 -FINAL.docx Terms and Conditions IC Document
Request to OMB to Use 0584-0512 (SNAP Recipient Integrity Information Technology Grants 4-24-15.docx OMB Justification Memo IC Document

Information Collection (IC) Details

IC Title:	SNAP Recipient Integrity Information Technology Grants (SLT agencies only)	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 Application (Grantees)			Recipient Integrity Information Technology Grant RFA FINAL PRAO reveiwed.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:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	526	526
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	FY2015 SNAP Recipient Integrity Information Technology Grants Supporting Statement PRAO reviewed.docx	04/21/2015
SF 424	SF424_2_1-V2.1.pdf	04/21/2015
SF 424A	SF424A-V1.0.pdf	04/21/2015
SF 424B	SF424B-V1.1.pdf	04/21/2015
SF 425	SF-425 screenshot July 2013.docx	04/21/2015
SF LLL	SF-LLL Lobbying Form.pdf	04/21/2015
Terms and Conditions	Terms and Conditions - 3-17-2015 -FINAL.docx	04/21/2015
OMB Justification Memo	Request to OMB to Use 0584-0512 (SNAP Recipient Integrity Information Technology Grants 4-24-15.docx	05/06/2015

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