OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State CN Agency

IC 222035 under ICR 201606-0584-006 · OMB 0584-0618.

Documents and Forms
Document Name
Document Type
Other-Appendix B1 Sate Notification
Other-Appendix B6 State Sample Selec
Other-Appendix C18 State Meal Claim
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State CN Agency
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B1 Sate Notification Letter & Administrative Data Request Appendix B01 State Notification Letter & Administrative Data Request.docx Yes Yes Fillable Fileable
Other-Appendix B6 State Sample Selection Notification Letter (Notifying State of Sampled Sponsors/Centers) Appendix B06 State Sample Selection Notification Letter (Notifying State of Sampled Sponsors-Centers).docx No   Paper Only
Other-Appendix C18 State Meal Claim Request Appendix C18 State Meal Claim Request.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

50 0
   
State, Local, and Tribal Governments
 
   13 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 200 0 0 0
Annual IC Time Burden (Hours) 275 0 275 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B2 State Instructions for Submission of Administrative Data Appendix B02 State Instructions for Submission of Administrative Data.docx 06/22/2016
Appendix B3 State User Account Sheet Appendix B03 State User Account Sheet.docx 06/22/2016
Appendix B4 Guidelines for the EPICCS Administrative Data Request Appendix B04 Guidelines for the EPICCS Administrative Data Request.docx 06/22/2016
Appendix B5 Confirmation Email (Confirming Data File is Complete) Appendix B05 Confirmation Email (Confirming Data File is Complete).docx 06/22/2016
Appendix B7 Template Letter from State to Sponsors (Notification of Selection for Study) Appendix B07 Template Letter from State to Sponsors (Notification of Selection for Study).docx 06/22/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.