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Summer Food Pilot
 
New
 
Voluntary
 
42 CFR 42 USC 1766

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD 1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92[1].pdf No   Fillable Printable
Form and Instruction AD 1048 Certification Regarding Debarment, Suspension, Ineligibility AD1048-F-01-92[2].pdf No   Fillable Printable
Form and Instruction AD 1052 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS AD-1052.pdf No   Fillable Printable

Income Security Food and Nutrition Assistance

 

14 2
   
State, Local, and Tribal Governments
 
   90 %

  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 56 0 56 0 0 0
Annual IC Time Burden (Hours) 2,625 0 2,625 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Memo Cover memo Summer Pilotsdoc.doc 07/20/2010
Supporting Statement Summer Pilots OMB Justification 7-20-10.doc 07/20/2010
RFA - SNAP SEBTC SNAP Model RFA July 19.docx 07/20/2010
RFA - WIC SEBTC WIC Model RFA July 19.docx 07/20/2010
SF 424 SF424_2012.pdf 07/20/2010
SF 424A sf424a-7-2010.pdf 07/20/2010
SF 424 B SF_424B-_7-2010.pdf 07/20/2010
SF LLL sflll.pdf 07/20/2010
SF 425 SF-425_(fillable).pdf 07/20/2010
SF 425 A SF 425 A.pdf 07/20/2010
RFA - SNAP (revised) SEBTC SNAP Model RFA (8-3-2010) track changes (4).docx 08/03/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.