Information Collection

State, Local and Tribal Agencies

IC 229727 under ICR 202106-0584-004 · OMB 0584-0639.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0639 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 885 State, Local and Tribal Agencies	Form and Instruction
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 1 - FNS 885 Qualtrics Version.docx snapedtoolkit.org/interventions/submit-an-intervention.	Form and Instruction
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 1 - FNS 885 Qualtrics Version.docx snapedtoolkit.org/interventions/submit-an-intervention.	Form and Instruction
FNS 886 SNAP-ED TOOLKIT INTERVENTION SUBMISSION FORM Appendix 2 - FNS 886 Qualtrics Version .docx snapedtoolkit.org/interventions/submit-an-intervention.	Form and Instruction
FNS 886 SNAP-ED TOOLKIT INTERVENTION SUBMISSION FORM Appendix 2 - FNS 886 Qualtrics Version .docx snapedtoolkit.org/interventions/submit-an-intervention.	Form and Instruction
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 3 - FNS 885 - AEM 6-29-21.pdf	Form and Instruction
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 3 - FNS 885 - AEM 6-29-21.pdf	Form and Instruction

IC Title:

State, Local and Tribal Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR § 272.2(2)(d) (To search for a specific CFR, visit the Code of Federal Regulations.)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 44

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	53	-52	105
Annual IC Time Burden (Hours)	136	-301	437
Annual IC Cost Burden (Dollars)	0	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.

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