Information Collection

Business- Profit & Not -for- Profit

IC 196142 under ICR 201402-0584-004 · OMB 0584-0559.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix F Memorandum of Understanding with Grantees 3-10-14.docx	Other-Appendix F Extant Data Memoran
Attachment B Vendor EBT Data Recruitment Letter Implementation Interview 3-5-14.docx Attachment B Vendor Recruitment Advance Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Appendix F Extant Data Memorandum of Understanding with Grantees			Appendix F Memorandum of Understanding with Grantees 3-10-14.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS 8 USDA/FNS Studies and Reports

FR Citation: 56 FR 80

Number of Respondents: 5

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5	-82	87
Annual IC Time Burden (Hours)	3	-128	131
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B Vendor Recruitment Advance Letter	Attachment B Vendor EBT Data Recruitment Letter Implementation Interview 3-5-14.docx	03/11/2014

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