Information Collection

SNAP Recipient Integrity Information Technology Grants (SLT agencies only)

IC 216187 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

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 (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 %

table that charts list of burden
	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

table that charts IC Documents
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.