Information Collection

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

IC 235882 under ICR 202008-0584-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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 REVISED 8- 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 REVISED 8- PERFORMANCE PROGRESS REPORT FNS-908_v1.3 (8-11-2020).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: 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-Request for Application Template			Attachment A5 CN ART Grant RFA Template - FINAL 7-10-19.doc	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-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 REVISED 8-12-2020	PERFORMANCE PROGRESS REPORT	FNS-908_v1.3 (8-11-2020).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: 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	Previously Approved
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.