Information Collection

State Agencies

IC 246994 under ICR 202104-0584-001 · OMB 0584-0667.

Documents and Forms

Document Name Document Type
2021-05-04 Appendix D-9 FNS-908.pdf Other- Appendix D-9 FNS-908
2021-05-04 Appendix D-9 FNS-908.pdf Other- Appendix D-9 FNS-908
Appendix B Announcement Letter.docx Other-Appendix B Announcement Letter
Appendix C Template.docx Other-Appendix C Template
Appendix C Template.docx Other-Appendix C Template
June 23 2021 Appendix B Announcement Letter.docx Other-Appendix B Announcement Letter

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 235

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other- Appendix D-9 FNS-908	2021-05-04 Appendix D-9 FNS-908.pdf	Yes	Yes	Fillable Fileable
Other-Appendix C Template	Appendix C Template.docx	Yes	Yes	Fillable Fileable
Other-Appendix B Announcement Letter	June 23 2021 Appendix B Announcement Letter.docx	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,020	1,020
Annual IC Time Burden (Hours)	1,508	1,508
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.