Information Collection

Business- Profit & Not -for- Profit

IC 196142 under ICR 201212-0584-003 · OMB 0584-0559.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0559 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E Business Process Study 2-8-2011.docx	Other-Questionnaire - Business
SEBTC april EBT processor Final.doc	Other-april EBT processor Final
SEBTC april retailers Final.doc	Other- april retailers Final
SEBTC july EBT processor Final.doc	Other-july EBT processor Final
SEBTC july retailers Final.doc	Other-july retailers Final
SEBTC sept EBT processor Final.doc	Other-sept EBT processor Final
Appendix G_ SEBTC april EBT processor.original.docm	Other-REV-Appendix G_ SEBTC april EB
Appendix G_SEBTC april retailers.original.docm	Other-REV-Appendix G_SEBTC april ret
Appendix G_SEBTC july EBT processor.original.docm	Other-REV-Appendix G_SEBTC july EBT
Appendix G_SEBTC july retailers.original.docm	Other-REV-Appendix G_SEBTC july reta
Appendix I Business-not for-ProfitAdvance Letter.docx Appendix I Business Advance Letter	IC Document

IC Title:

Business- Profit & Not -for- Profit

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Questionnaire - Business	Appendix E Business Process Study 2-8-2011.docx	No	Paper Only
Other-april EBT processor Final	SEBTC april EBT processor Final.doc	No	Paper Only
Other- april retailers Final	SEBTC april retailers Final.doc	No	Paper Only
Other-july EBT processor Final	SEBTC july EBT processor Final.doc	No	Paper Only
Other-july retailers Final	SEBTC july retailers Final.doc	No	Paper Only
Other-sept EBT processor Final	SEBTC sept EBT processor Final.doc	No	Paper Only
Other-REV-Appendix G_ SEBTC april EBT processor.original	Appendix G_ SEBTC april EBT processor.original.docm	No	Paper Only
Other-REV-Appendix G_SEBTC april retailers.original	Appendix G_SEBTC april retailers.original.docm	No	Paper Only
Other-REV-Appendix G_SEBTC july EBT processor.original	Appendix G_SEBTC july EBT processor.original.docm	No	Paper Only
Other-REV-Appendix G_SEBTC july retailers.original	Appendix G_SEBTC july retailers.original.docm	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 87

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	87	87
Annual IC Time Burden (Hours)	131	131
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix I Business Advance Letter	Appendix I Business-not for-ProfitAdvance Letter.docx	02/08/2011

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