Information Collection

CACFP Characteristics - State Government

IC 213732 under ICR 201411-0584-001 · OMB 0584-0601.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0601 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
B1 State CACFP Agency Letter.docx	Other-B1 State CACFP Agency Letter
B2 Provider Sample Sponsor Letter.docx	Other-B2 Provider Sample Sponsor Let

IC Title:

CACFP Characteristics - State Government

Agency IC Tracking Number:

Is this a Common Form? No

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-B1 State CACFP Agency Letter			B1 State CACFP Agency Letter.docx		No		Paper Only
Other-B2 Provider Sample Sponsor Letter			B2 Provider Sample Sponsor Letter.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 196

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	196	196
Annual IC Time Burden (Hours)	392	392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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