Information Collection Request

State SNAP Agency NDNH Matching Program Performance Report

ICR 202412-0970-002 · OMB 0970-0464 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 SNAP-Agency NDNH Match Results Performance Reporting Tool Form Modified Available
Form 1 SNAP Agency Matching Program Performance Reporting Tool and Instructions Form Modified Missing upstream
0970-0464_SNAP_PO Supporting Statement.docx Supporting Statement A Uploaded 2024-12-03 Available
0970-0464_SNAP_PO Supporting Statement.docx Supporting Statement A Uploaded 2024-12-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
217786 SNAP Agency Matching Program Performance Reporting Tool and Instructions Form ModifiedSNAP-Agency NDNH Match Results Performance Reporting Tool
217786 SNAP Agency Matching Program Performance Reporting Tool and Instructions Form Modified
217786 SNAP Agency Matching Program Performance Reporting Tool and Instructions Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2028 36 Months From Approved 02/28/2025
53 0 53
44 0 44
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
SNAP Agency Matching Program Performance Reporting Tool and Instructions 1

table that charts list of burden
  Total Approved 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 53 53 0 0 0 0
Annual Time Burden (Hours) 44 44 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No