Information Collection

Food Delivery Portal (FDP) Data Collection (State Program Staff) - SLT

IC 3052 under ICR 202109-0584-003 · OMB 0584-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C FDP Screenshots.docx	Other-Appendix C: FDP Screenshots
Appendix C FDP Screenshots.docx	Other-Appendix C: FDP Screenshots
Appendix D FDP State agency File Upload Templates v1 02192021.xlsx	Other-Appendix D: FDP State Agency F
Appendix D FDP State agency File Upload Templates v1 02192021.xlsx	Other-Appendix D: FDP State Agency F
Appendix E WIC Gateway mockup of planned content.docx	Other-Appendix E: WIC Gateway Mockup
Appendix E WIC Gateway mockup of planned content.docx	Other-Appendix E: WIC Gateway Mockup
Appendix I FDP Transition Information for State Agencies.pdf Appendix I: FDP Transition Information for State Agencies	IC Document
Appendix I FDP Transition Information for State Agencies.pdf Appendix I: FDP Transition Information for State Agencies	IC Document

IC Title:

Food Delivery Portal (FDP) Data Collection (State Program Staff) - SLT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.26(e) 7 CFR 246.12(j)(5)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C: FDP Screenshots	Appendix C FDP Screenshots.docx	Yes	Yes	Fillable Fileable
Other-Appendix D: FDP State Agency File Upload Templates v1 02192021	Appendix D FDP State agency File Upload Templates v1 02192021.xlsx	Yes	Yes	Fillable Fileable
Other-Appendix E: WIC Gateway Mockup of Planned Content	Appendix E WIC Gateway mockup of planned content.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: 194

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 Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	707	-582	-2,141	3,430
Annual IC Time Burden (Hours)	1,189	158	-52	1,083
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix I: FDP Transition Information for State Agencies	Appendix I FDP Transition Information for State Agencies.pdf	09/30/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.