Food Stamp Nutrition Connection Resource Sharing Form Worksheet for Collection #0518-0031

NAL - Food Stamp Nutrition Connection Resource Sharing Fom BurdenHours for 0518-0031.xlsx

Food Stamp Nutrition Connection Resource Sharing Form

Food Stamp Nutrition Connection Resource Sharing Form Worksheet for Collection #0518-0031

OMB: 0584-0625

Document [xlsx]
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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 0518-0031







Food Stamp Nutrition Connection Resource Sharing Form





DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)












Private Sector None 80 4 320 0.17 55.0



State, Local or Tribal Government None 90 5 450 0.17 77.5




































SUBTOTAL
170.00
770.00
132.5


File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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