View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	State Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.14 and 273.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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: 106	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	212	0	53	106	0	53
Annual IC Time Burden (Hours)	119	0	9	53	0	57
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 10 - 4032 Policy Memo Final		07/02/2019
Attachment 11 - 0584-0605 Annual State Report on Verificaion of SNAP Email Remind		07/02/2019
Attachment 11A- Annual Email from FNS Reg Direct to State SNAP w-Implement Memo of Sec 4032		07/02/2019

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

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