Information Collection Request

Uniform Grant Application for Non-Entitlement Discretionary Grants (COMPETITIVE; NON-COMPETITIVE and State Plans)

ICR 202309-0584-001 · OMB 0584-0512 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Updated Change Justification Memo 0584-0512 September 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-09-12 Repair queued
Appendix D-5 SFLLL_2_0-V2.0.pdf Supplementary Document Uploaded 2022-06-27 Missing upstream
Append C_ GMOB SS SORNS.pdf Supplementary Document Uploaded 2022-06-16 Repair queued
OMB# 0584-0512 Supporting Statement GMOB Final 07262022_OMB (Final draft reviewed 7-26-2022).docx Supporting Statement A Uploaded 2022-07-26 Missing upstream
AD-1050 DrugFreeCert-Alt2 - 4-2022.pdf Supplementary Document Uploaded 2022-06-27 Missing upstream
AD-1049 DrugFreeCert-Alt1 4-2022.pdf Supplementary Document Uploaded 2022-06-27 Missing upstream
AD-1048 DebarmentCert-LowerTierCovered 4-2022.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
AD-1047 DebarmentCert-PrimaryCovered 4-2022.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix D-4 sf425_2_0-v2.0_fill-sign.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix 4a SF-425 Screenshots.pdf Supplementary Document Uploaded 2022-06-27 Missing upstream
Appendix D-3 SF424D-V1.1.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix D-2 SF424C_2_0-V2.0 (1).pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix D-1 SF424B-V1.1.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix D SF424A-V1.0.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
Appendix D-7 SF424_4_0-V4.0.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
AD_3030_2_0-V2.0.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
AD Burden Hours for 0584-0512 April 2019.xlsx Supplementary Document Uploaded 2019-05-02 Missing upstream
Appendix D-9 FNS-529.pdf Supplementary Document Uploaded 2022-06-27 Repair queued
FPRS Public Burden Statement expired 7-2023 home page.pdf Supplementary Document Uploaded 2022-06-27 Missing upstream
Grant App BurdenTbl_PRAOGMOB 315 -6_16.xlsx Supplementary Document Uploaded 2022-06-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256857 Application and Reporting Forms Specific to TEFAP Reach & Resiliency – Round 2 Grants Other-APPENDIX A to Supporting Statement - Justification for Add Unchanged
254042 State, Local, Tribal Non-Competitive Other-Appendix 38 Food Distribution Program on Indian Reservatio Unchanged
254041 State, Local, Tribal Competitive Other-Appendix 6 Food Distribution Program Nutrition Education ( Unchanged
254040 Business Non-Competitive Other-Appendix A58 FY22 WIC Online Shopping TA and Subgrantees G Unchanged
254039 Business Competitive Other-Appendix 49 Supplemental Nutrition Assistance Program (SNA Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2025 07/31/2025
472,071 472,071
1,500,000 1,500,000
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 472,071 472,071 0 0 0 0
Annual Time Burden (Hours) 1,500,000 1,500,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No