Information Collection

LEA - Local Wellness Policy

IC 210084 under ICR 201401-0584-004 · OMB 0584-0592.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0592 can be found here:

Documents and Forms

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Document Name	Document Type

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IC Title:

LEA - Local Wellness Policy

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.30(a) 7 CFR 210.30(e)(2) through (e)(4) 7 CFR 210.30(f)

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,858

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	319,822	319,822
Annual IC Time Burden (Hours)	241,605	241,605
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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