Information Collection

Local Food Purchase Assistance Cooperative Agreement Program

IC 249120 under ICR 202108-0581-005 · OMB 0581-0330.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0330 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Local Food Purchase Assistance Cooperative Agreement Program	Form and Instruction
LFPA Project Narrative Form LFPA Project Narrative Form-10-6.docx	Form and Instruction
LFPA Project Narrative Form LFPA Project Narrative Form-10-6.docx	Form and Instruction
LFPA Quarterly Report Form LFPA Quarterly Progress Report- FINAL.xlsx	Form and Instruction
LFPA Quarterly Report Form LFPA Quarterly Progress Report- FINAL.xlsx	Form and Instruction
Final Progress Report Final report narative - FINAL.docx	Form and Instruction
Final Progress Report Final report narative - FINAL.docx	Form and Instruction

IC Title:

Local Food Purchase Assistance Cooperative Agreement Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	LFPA Project Narrative Form	LFPA Project Narrative Form-10-6.docx	Yes	Yes	Fillable Fileable
Form and Instruction	none	LFPA Quarterly Report Form	LFPA Quarterly Progress Report- FINAL.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	none	Final Progress Report	Final report narative - FINAL.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	3,338	3,338
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.