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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
School Wellness Policy Cooperative Agreement
Agency IC Tracking Number:
Local Wellness
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-Request for Application
LWP RFA 6-19-2014.docx
www.grants.gov
Yes
Yes
Fillable Fileable Signable
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:
10
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
21
0
21
0
0
0
Annual IC Time Burden (Hours)
430
0
430
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Terms and Conditions
Terms and Conditions - FINAL.docx
06/16/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)
AD1049-F-05-90.pdf
06/19/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)
AD1050-F-01-92.pdf
06/19/2014
Research and Related Budget _FedNonFedBudget
RR_FedNonFedBudget-V1.1.pdf
06/20/2014
R&R Sub Award Budget
RR_SubawardBudget_1_3-V1.3.pdf
06/20/2014
Application for Federal Assistance
SF424_2_1-V2.1.pdf
06/20/2014
Disclosure of Lobbying Activities
sflll.pdf
06/20/2014
Generic Clearance Justification Memo
Request to OMB to Use 0584-0512 (Local Child Nutrition Wellness Grant) 7-11-14.docx
07/11/2014
Local Wellness Program Generic Supporting Statement
0512 LWP Grant Program_Supporting Statement 6-20-14.docx
06/20/2014
SF 425 FEDERAL FINANCIAL REPORT
SF-425 screenshot July 2013.docx
07/02/2014
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
AD1047-F-01-92.PDF
07/15/2014
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions
AD1048-F-01-92.PDF
07/15/2014
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS, STATE AND STATE AGENCIES
AD-1052.pdf
07/15/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.