View Information Collection (IC)

View Information Collection (IC)

IC Title:	State Agencies, Grantees and SFA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Appendix C SEBTC State Agency interview guide 3-5-14			Appendix C SEBTC State Agency interview guide 3-12-14.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	13	0	-106	0	0	119
Annual IC Time Burden (Hours)	13	0	-206	0	0	219
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A: Recruitment Advance Letter State Agencies	Attachment A Recruitment Letter Implementation Interview 3-5-14.docx	03/11/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.