Information Collection

A5 - Child Nutrition – Administrative Review & Training Grants (SLT)

IC 235882 under ICR 201807-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form AD-1047 DebarmentCert-PrimaryCovered A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form AD-1048 DebarmentCert-LowerTierCovered A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form AD-1049 DrugFreeCert-Alt1 4-2022.pdf A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form AD-1052 DrugFreeCert-FedFY 4-2022.pdf A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form FNS 906 GRANT PROGRAM ACCOUNTING SYSTEM & FINANCIAL CAPABILITY QUESTIONNAIRE A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form
Form FNS 908 PERFORMANCE PROGRESS REPORT A5 - Child Nutrition – Administrative Review & Training Grants (SLT)	Form and Instruction
Attachment A5 CN ART Grant RFA Template - FINAL 7-10-19.doc	Other-Request for Application Templa
AD-1047 DebarmentCert-PrimaryCovered AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf	Form
AD-1048 DebarmentCert-LowerTierCovered AD-1048 DebarmentCert-LowerTierCovered 4-2022.pdf	Form
AD-1049 DrugFreeCert-Alt1 4-2022.pdf AD-1049 DrugFreeCert-Alt1 4-2022.pdf	Form
AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf	Form
AD-1052 DrugFreeCert-FedFY 4-2022.pdf AD-1052 DrugFreeCert-FedFY 4-2022.pdf	Form
FNS 906 GRANT PROGRAM ACCOUNTING SYSTEM & FINANCIAL CAPABILITY Q FNS-906.pdf	Form
FNS 908 PERFORMANCE PROGRESS REPORT FNS-908 April 2019.pdf	Form and Instruction
Award Terms and Conditions - Generic - 2.21.2019.docx Award Terms and Conditions - Generic - 2.21.2019.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

A5 - Child Nutrition â Administrative Review & Training Grants (SLT)

Agency IC Tracking Number:

IC Status: New

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
Form	AD-1047	DebarmentCert-PrimaryCovered	AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form	AD-1048	DebarmentCert-LowerTierCovered	AD-1048 DebarmentCert-LowerTierCovered 4-2022.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form	AD-1049	DrugFreeCert-Alt1 4-2022.pdf	AD-1049 DrugFreeCert-Alt1 4-2022.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form	AD-1050	DrugFreeCert-Alt2 - 4-2022.pdf	AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form	AD-1052	DrugFreeCert-FedFY 4-2022.pdf	AD-1052 DrugFreeCert-FedFY 4-2022.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form	FNS 906	GRANT PROGRAM ACCOUNTING SYSTEM & FINANCIAL CAPABILITY QUESTIONNAIRE	FNS-906.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 908	PERFORMANCE PROGRESS REPORT	FNS-908 April 2019.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Other-Request for Application Template			Attachment A5 CN ART Grant RFA Template - FINAL 7-10-19.doc	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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: 6

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	162	162
Annual IC Time Burden (Hours)	409	409
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Award Terms and Conditions - Generic - 2.21.2019.docx	Award Terms and Conditions - Generic - 2.21.2019.docx	05/07/2019

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