Businesses Non-Respondents

Improving Coordination Between SNAP and Medicaid in State Agencies (New)

Documents and Forms

Document Name Document Type
NON RESPONDENT PLACE HOLDER (1).docx Other-NON RESPONDENT PLACE HOLDER
NON RESPONDENT PLACE HOLDER (1).docx Other-NON RESPONDENT PLACE HOLDER

Information Collection (IC) Details

IC Title:	Businesses Non-Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-NON RESPONDENT PLACE HOLDER			NON RESPONDENT PLACE HOLDER (1).docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-10 USDA/FNS Persons Doing Business with the Food Nutrition Service	FR Citation: 65 FR 17251

Number of Respondents: 10	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 2 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.