State/Local: O - Program Data

Third Access, Participation, Eligibility and Certification Study Series (APEC III)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0530 can be found here:

Documents and Forms

Document Name Document Type
rev062112 Attachment O.3-Administrative Data Items Being Rqst from State Agencies.doc Other-O.3-Administrative Data Items
rev062112 Attachment O.1-Advance Letter to State.doc O.1-Advance Letter to State IC Document
rev062112 Attachment O.2-State Agency Director Protocol.doc O.2-State Agency Director Protocol IC Document

Information Collection (IC) Details

IC Title:	State/Local: O - Program Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-O.3-Administrative Data Items Being Rqst from State Agencies			rev062112 Attachment O.3-Administrative Data Items Being Rqst from State Agencies.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 49	Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-49	49
Annual IC Time Burden (Hours)	-392	392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
O.1-Advance Letter to State	rev062112 Attachment O.1-Advance Letter to State.doc	08/19/2012
O.2-State Agency Director Protocol	rev062112 Attachment O.2-State Agency Director Protocol.doc	08/19/2012

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