Information Collection

SNAP Agency Matching Program Performance Reporting Tool and Instructions

IC 217786 under ICR 202412-0970-002 · OMB 0970-0464.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SNAP Agency Matching Program Performance Reporting Tool and Instructions	Form
Form 1 SNAP-Agency NDNH Match Results Performance Reporting Tool SNAP Agency Matching Program Performance Reporting Tool and Instructions	Form
0970-0464_State_SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Instructions_111924_Final.docx	Instruction
0970-0464_State_SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Instructions_111924_Final.docx	Instruction
1 SNAP-Agency NDNH Match Results Performance Reporting Too 0970-0464_State SNAP_Agency_NDNH_Matching_Program_Performance_Report_Instrument.xlsx	Form
1 SNAP-Agency NDNH Match Results Performance Reporting Too 0970-0464_State SNAP_Agency_NDNH_Matching_Program_Performance_Report_Instrument.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form	1				Yes	Yes	Fillable Printable
Instruction					Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

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	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].