Information Collection

CACFP Characteristics - Businesses (Non-response)

IC 213746 under ICR 201612-0584-002 · OMB 0584-0601.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NON RESPONDENTS BURDEN INSTRUMENT.doc	Other-Non Respondents Burden Instrum
B3 Sponsor and Provider Recruitment Letters clean.docx B3 Sponsor and Provider Recruitment Letters clean	IC Document
B4 Sponsor and Provider Brochures clean.docx B4 Sponsor and Provider Brochures clean	IC Document
B5 Provider Recruitment Letter and Spanish Brochure_FINAL-Clean (1).docx B5 Provider Recruitment Letter and Spanish Brochure_FINAL-Clean (1)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Non Respondents Burden Instrument			NON RESPONDENTS BURDEN INSTRUMENT.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 684

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	684	684
Annual IC Time Burden (Hours)	118	118
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
B3 Sponsor and Provider Recruitment Letters clean	B3 Sponsor and Provider Recruitment Letters clean.docx	03/31/2015
B4 Sponsor and Provider Brochures clean	B4 Sponsor and Provider Brochures clean.docx	03/31/2015
B5 Provider Recruitment Letter and Spanish Brochure_FINAL-Clean (1)	B5 Provider Recruitment Letter and Spanish Brochure_FINAL-Clean (1).docx	03/31/2015

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