Information Collection

251.2(c)(2) & 251.5(a) - State Agency-Eligible Recipient Agency Agreement - Recordkeeping

IC 44773 under ICR 200608-0584-007 · OMB 0584-0293.

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Information Collection (IC) Details

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IC Title:	251.2(c)(2) & 251.5(a) - State Agency-Eligible Recipient Agency Agreement - Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 251.2(c)(2) 7 CFR 251.5(a)

Information Collection Instruments:

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

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