Information Collection

Alternatives to Face-to-Face Interviews in SNAP

IC 197846 under ICR 201203-0584-001 · OMB 0584-0512.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

Document Name Document Type
Form SF 425 Alternatives to Face-to-Face Interviews in SNAP Form and Instruction
SF 425 Federal Financial Reporting SF-425 (fillable).pdf www.fprs.fns.usda.gov Form and Instruction
SF-424.pdf SF 424 IC Document
SF-424B.pdf SF 424 B IC Document
SF-LLL.pdf SF LLL IC Document
AD1047-F-01-92[1].pdf Certification Regarding Debarment, Suspension, and Other IC Document
AD1048-F-01-92[2].pdf Certification Regarding Debarment, Suspension, Ineligibility IC Document
AD1049-F-05-90[1].pdf CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) IC Document
Cover Memo Alternatives to Face2Face Interviews 5-26-11.doc Generic Clearance Justification Memo Alternative Face to Face Interviews in SNAP IC Document
Supporting Statement (Alternatives to Face2Face) 6-6-11.doc Supporting Statement IC Document
RFA (Alternatives to F2F) 06_16_11.doc RFA (Face to Face Interviews) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Alternatives to Face-to-Face Interviews in SNAP	Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	SF 425	Federal Financial Reporting	SF-425 (fillable).pdf	www.fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

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: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1,548	1,548
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SF 424	SF-424.pdf	05/25/2011
SF 424 B	SF-424B.pdf	05/25/2011
SF LLL	SF-LLL.pdf	05/25/2011
Certification Regarding Debarment, Suspension, and Other	AD1047-F-01-92[1].pdf	05/25/2011
Certification Regarding Debarment, Suspension, Ineligibility	AD1048-F-01-92[2].pdf	05/25/2011
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)	AD1049-F-05-90[1].pdf	05/25/2011
Generic Clearance Justification Memo Alternative Face to Face Interviews in SNAP	Cover Memo Alternatives to Face2Face Interviews 5-26-11.doc	05/26/2011
Supporting Statement	Supporting Statement (Alternatives to Face2Face) 6-6-11.doc	06/06/2011
RFA (Face to Face Interviews)	RFA (Alternatives to F2F) 06_16_11.doc	06/16/2011

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