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Federal forms, ICRs, and supporting documents

Information Collection

State/Local: D - SFA Reimbursement Claims Data

IC 203781 under ICR 201208-0584-008 · OMB 0584-0530.

Documents and Forms
Document Name
Document Type
Other-Attachment D.1-SFA Reimburseme
Other-Attachment D.2-SFA Reimburseme
Other-Attachment D.3 - Optional SFA
Information Collection (IC) Details

View Information Collection (IC)

State/Local: D - SFA Reimbursement Claims Data
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment D.1-SFA Reimbursement Claim Verif - Month rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc No   Paper Only
Other-Attachment D.2-SFA Reimbursement Claim Verif - Week rev062112 Attachment D.2-SFA Reimbursement Claim Verif Form-Week.doc No   Paper Only
Other-Attachment D.3 - Optional SFA Reimbursement Claim Verif Form-For All Schools rev062112 Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools.doc No   Paper Only

Income Security Food and Nutrition Assistance

 

139 14
   
State, Local, and Tribal Governments
 
   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 139 0 139 0 0 0
Annual IC Time Burden (Hours) 139 0 139 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.