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A3 - Child Nutrition Technology RFA (SLT)
Uniform Grant Application for Non-Entitlement Discretionary Grants
OMB: 0584-0512
IC ID: 235880
OMB.report
USDA/FNS
OMB 0584-0512
ICR 202008-0584-002
IC 235880
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:
2024-08-02 - No material or nonsubstantive change to a currently approved collection
2024-03-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment A3 CN Tech - Improve Grant Template - FINAL 7-9-19.docx
www.grants.gov
Other-Request for Application Templa
FNS 906 GRANT PROGRAM ACCOUNTING SYSTEM & FINANCIAL CAPABILITY Q
FNS-906.pdf
www.grants.gov
Form
FNS 908 REVISED 8- PERFORMANCE PROGRESS REPORT
FNS-908_v1.3 (8-11-2020).pdf
www.grants.gov
Form
AD-1047 DebarmentCert-PrimaryCovered
AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf
www.grants.gov
Form
AD-1048 DebarmentCert-PrimaryCovered
AD-1048 DebarmentCert-LowerTierCovered 4-2022.pdf
www.grants.gov
Form
AD-1049 DrugFreeCert-Alt1 4-2022.pdf
AD-1049 DrugFreeCert-Alt1 4-2022.pdf
www.grants.gov
Form
AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf
AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf
www.grants.gov
Form
AD-1052 DrugFreeCert-FedFY 4-2022.pdf
AD-1052 DrugFreeCert-FedFY 4-2022.pdf
www.grants.gov
Form
SF 425 Screenshots FederalFinancialReport
SF-425 Screenshots.pdf
www.fprs.gov
Form
SF 425 FederalFinancialReport
SF425_2_0-V2.0 exp 2-2022.pdf
www.grants.gov
Form
Award Terms and Conditions - Generic - 2.21.2019.docx
Award Terms and Conditions - Generic - 2.21.2019.docx
IC Document
AD_3030_2_0-V2.0.pdf
AD 3030
IC Document
SF424_2_1-V2.1.pdf
SF 424
IC Document
SF424A-V1.0.pdf
SF 424A
IC Document
SF424B-V1.1.pdf
SF 424B
IC Document
SF424C_2_0-V2.0.pdf
SF 424C
IC Document
SF424D-V1.1.pdf
SF 424D
IC Document
SFLLL_1_2-V1.2.pdf
SF LLL
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
A3 - Child Nutrition Technology RFA (SLT)
Agency IC Tracking Number:
EX
IC Status:
Modified
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-Request for Application Template
Attachment A3 CN Tech - Improve Grant Template - FINAL 7-9-19.docx
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
FNS 908 REVISED 8-12-2020
PERFORMANCE PROGRESS REPORT
FNS-908_v1.3 (8-11-2020).pdf
www.grants.gov
Yes
Yes
Fillable Fileable Signable
Form
AD-1047
DebarmentCert-PrimaryCovered
AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf
www.grants.gov
Yes
Yes
Fillable Fileable Signable
Form
AD-1048
DebarmentCert-PrimaryCovered
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
SF 425 Screenshots
FederalFinancialReport
SF-425 Screenshots.pdf
www.fprs.gov
Yes
Yes
Fillable Fileable Signable
Form
SF 425
FederalFinancialReport
SF425_2_0-V2.0 exp 2-2022.pdf
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:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
288
0
0
0
0
288
Annual IC Time Burden (Hours)
1,228
0
0
0
0
1,228
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Award Terms and Conditions - Generic - 2.21.2019.docx
Award Terms and Conditions - Generic - 2.21.2019.docx
04/30/2019
AD 3030
AD_3030_2_0-V2.0.pdf
05/29/2019
SF 424
SF424_2_1-V2.1.pdf
05/29/2019
SF 424A
SF424A-V1.0.pdf
05/29/2019
SF 424B
SF424B-V1.1.pdf
05/29/2019
SF 424C
SF424C_2_0-V2.0.pdf
05/29/2019
SF 424D
SF424D-V1.1.pdf
05/29/2019
SF LLL
SFLLL_1_2-V1.2.pdf
05/29/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.