Information Collection

A4 - Farm to School Grant Program (Business IC)

IC 219830 under ICR 201711-0584-002 · OMB 0584-0512.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A4 - Farm to School Grant Program.docx grants.gov	Other-RFA: A4 - Farm to School Grant
A-4 FSGP-V1.0.pdf	Other-A-4 Farm to School Grant Progr
Change Request for 0584-0512 (Team Nutrition and Farm to School) 110917.pdf Change Request for 0584-0512 (Team Nutrition and Farm to School) 110917	IC Document

IC Title:

A4 - Farm to School Grant Program (Business IC)

Agency IC Tracking Number:

IC Status: Modified

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-A-4 Farm to School Grant Program (FSGP) Application Cover Sheet			A-4 FSGP-V1.0.pdf		Yes	Yes	Fillable Fileable
Other-RFA: A4 - Farm to School Grant Program			A4 - Farm to School Grant Program.docx	grants.gov	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA e-Authentication Service

FR Citation: 77 FR 15024

Number of Respondents: 160

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	304	304
Annual IC Time Burden (Hours)	10,104	10,104
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Change Request for 0584-0512 (Team Nutrition and Farm to School) 110917	Change Request for 0584-0512 (Team Nutrition and Farm to School) 110917.pdf	11/09/2017

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