Information Collection

LEA - Local Wellness Policy

IC 210084 under ICR 201603-0584-006 · OMB 0584-0592.

Documents and Forms

Documents and forms in this information collection
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: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.30 (d)(2) 7 CFR 210.30(d)(3), (e)(2), (e)(3) 7 CFR 210.30(a); 210.30 (c)(5) 7 CFR 210.15 (b)(9); 210.30(f)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,822

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	66,073	66,073
Annual IC Time Burden (Hours)	156,923	156,923
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.