Information Collection

State Agencies and SFAs (local government) - SLT

IC 258424 under ICR 202302-0584-003 · OMB 0584-0679.

Documents and Forms

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Document Name	Document Type

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IC Title:

State Agencies and SFAs (local government) - SLT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.21(d)(5) 7 CFR 210.21(d)(3) 7 CFR 220.16(d)(3) 7 CFR 210.30(b)(1)(iv) 7 CFR 210.10(c)(3) 7 CFR 210.16(d) 7 CFR 220.8(c)(3)

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:

FR Citation:

Number of Respondents: 19,075

Number of Respondents for Small Entity: 19,019

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	213,328	213,328
Annual IC Time Burden (Hours)	429,669	429,669
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.