Information Collection

Fdpir - Food Distribution Program Nutrition Education (fdpne

IC 215349 under ICR 201209-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
0512 RFA for FDPNE15- SNAS eview GW-2-12-2015 PRAO comments 2-25-15-aw2-27 -3.docx www.grants.gov Other-Request for Application (Grant
Request to OMB to Use 0584-0512 - FDPNE 2015-letter Julie Wise-3-3-15.pdf OMB Generic Clearance Memo IC Document
0512 Generic Supporting Statement for FDPNE 3-3-15 final.docx Generic Supporting Statement -FDPNE IC Document
SF424_2_1-V2.1 (2016).pdf Application for Federal Assistance SF-424 IC Document
SF424A-V1 0.pdf SF 424A BUDGET INFORMATION - Non-Construction Programs IC Document
SF424B-V1 1.pdf SF 424B ASSURANCES - NON-CONSTRUCTION PROGRAMS IC Document
SFLLL-V1 1-Disclosure of Lobbying Activities.pdf SF LLL Disclosure of Lobbying Activities IC Document
Terms and Conditions - 1-7-2015 - FINAL.docx Terms and Conditions IC Document
SF-425 screenshot July 2013.docx SF 425 Screenshot IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FDPIR - FOOD DISTRIBUTION PROGRAM NUTRITION EDUCATION (FDPNE	Agency IC Tracking Number:

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 (Grant)			0512 RFA for FDPNE15- SNAS eview GW-2-12-2015 PRAO comments 2-25-15-aw2-27 -3.docx	www.grants.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: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	2,211	2,211
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Generic Clearance Memo	Request to OMB to Use 0584-0512 - FDPNE 2015-letter Julie Wise-3-3-15.pdf	03/03/2015
Generic Supporting Statement -FDPNE	0512 Generic Supporting Statement for FDPNE 3-3-15 final.docx	03/03/2015
Application for Federal Assistance SF-424	SF424_2_1-V2.1 (2016).pdf	02/26/2015
SF 424A BUDGET INFORMATION - Non-Construction Programs	SF424A-V1 0.pdf	02/26/2015
SF 424B ASSURANCES - NON-CONSTRUCTION PROGRAMS	SF424B-V1 1.pdf	02/26/2015
SF LLL Disclosure of Lobbying Activities	SFLLL-V1 1-Disclosure of Lobbying Activities.pdf	02/26/2015
Terms and Conditions	Terms and Conditions - 1-7-2015 - FINAL.docx	02/27/2015
SF 425 Screenshot	SF-425 screenshot July 2013.docx	03/03/2015

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