Information Collection

Business-for and not-for-profit Respondents

IC 238317 under ICR 201910-0584-005 · OMB 0584-0657.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
H. Observation Checklist.docx	Other-H. Observation Checklist
I.1. E&T Provider Director Protocol.docx	Other-I.1. E&T Provider Director Pro
I.2. E&T Provider Frontline Staff Protocol.docx	Other-I.2. E&T Provider Frontline St

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-H. Observation Checklist	H. Observation Checklist.docx	No	Paper Only
Other-I.1. E&T Provider Director Protocol	I.1. E&T Provider Director Protocol.docx	No	Paper Only
Other-I.2. E&T Provider Frontline Staff Protocol	I.2. E&T Provider Frontline Staff Protocol.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 10 Persons Doing Business with FNS

FR Citation: 65 FR 17251

Number of Respondents: 31

Number of Respondents for Small Entity: 16

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	31	31
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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