Information Collection

SNAP E&T Data Grantees

IC 226979 under ICR 201601-0584-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
SNAP ET DATA grants RFA FINAL DRAFT6.20.17_OMB.docx	Other-Request for Applications
Request to OMB to Use 0584-0512 (SNAP ET DATA Grants)PRAO recommendations 5-23-17.docx OMB Justification Memo	IC Document
DATA Grant Supporting Statement - OMB Final 062017.docx Supporting Statement (SS)	IC Document
Terms and Conditions - 1-7-2015 - FINAL.docx Terms and Conditions	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
SFLLL_1_2-V1.2.pdf SF LLL	IC Document
AD_1047-V1.0.pdf AD 1047	IC Document
AD_1048-V1.0.pdf AD 1048	IC Document
AD_1049-V1.0.pdf AD 1049	IC Document
AD_1050-V1.0.pdf AD 1050	IC Document
AD_1052-V1.0.pdf AD 1052	IC Document
AD_3030_1_1-V1.1.pdf AD 3030	IC Document
SF425-V1.0 expires 2019.pdf SF 425 for Instructional Purposes	IC Document
SF-425 Screenshots.pdf SF 425 Screenshot in FPRS	IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf FPRS Public Burden Statement for SF 425	IC Document
SF-PPR_Cover Sheet (2).pdf SF PPR (Data Elements)	IC Document

IC Title:

SNAP E&T Data Grantees

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 Applications				www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA e-Authentication Service

FR Citation: 71 FR 42346

Number of Respondents: 15

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	65	65
Annual IC Time Burden (Hours)	664	664
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo		05/25/2017
Supporting Statement (SS)		06/21/2017
Terms and Conditions		05/25/2017
SF 424		05/25/2017
SF 424A		05/25/2017
SF 424B		05/25/2017
SF LLL		05/25/2017
AD 1047		05/25/2017
AD 1048		05/25/2017
AD 1049		05/25/2017
AD 1050		05/25/2017
AD 1052		05/25/2017
AD 3030		05/25/2017
SF 425 for Instructional Purposes		05/26/2017
SF 425 Screenshot in FPRS		05/26/2017
FPRS Public Burden Statement for SF 425		05/26/2017
SF PPR (Data Elements)		05/26/2017

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

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