Information Collection

State Agencies

IC 245980 under ICR 202102-0584-001 · OMB 0584-0661.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C - FNS Emergency Operating Costs Reimbursement Program Guidance.pdf	Other-Appendix C - FNS Emergency Ope
Appendix D - Emergency Operating Costs Reimbursement Program Opt-In Application.docx	Other-Appendix D - Emergency Operati
Appendix E - School Meals State Implementation Plan Template.docx	Other-Appendix E - School Meals Stat
Appendix F - CACFP State Implementation Plan Template.docx	Other-Appendix F - CACFP State Imple

IC Title:

State Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C - FNS Emergency Operating Costs Reimbursement Program Guidance	Appendix C - FNS Emergency Operating Costs Reimbursement Program Guidance.pdf	Yes	No	Printable Only
Other-Appendix D - Emergency Operating Costs Reimbursement Program Opt-In Application	Appendix D - Emergency Operating Costs Reimbursement Program Opt-In Application.docx	Yes	Yes	Fillable Fileable
Other-Appendix E - School Meals State Implementation Plan Template	Appendix E - School Meals State Implementation Plan Template.docx	Yes	Yes	Fillable Fileable
Other-Appendix F - CACFP State Implementation Plan Template	Appendix F - CACFP State Implementation Plan Template.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 69

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
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	182	182
Annual IC Time Burden (Hours)	1,234	1,234
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.