Information Collection

State/Local/Tribal: SNAP Process and Technology Improvement Grants

IC 215954 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⚠️ Notice: This information collection may be referencing outdated material.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
RFA - FY2015 PTIG - 3-31-2015 - FINAL PRAO recommendations 4-3-15 - 9 April 2015.docx www.grants.gov Other-Request for Application (Grant
Request to OMB to Use 0584-0512-PTI - 2015 April 16.docx OMB Generic Clearance Memo IC Document
SNAP PTIGs Grant Supporting Statement - OMB - March 2015 PRAO 16 April 2015.docx SNAP PTIGs Supporting Statement IC Document
SF424_2_1-V2.1.pdf SF 424 IC Document
SF424A-V1.0.pdf SF 424 A IC Document
SF424B-V1.1.pdf SF 424 B IC Document
SF-LLL Lobbying Form.pdf SF LLL IC Document
SF 425 Attachment for FPRS Public Burden Statement used for Disc Grants IC during June 2015-June 2017.pdf SF 425 IC Document
Terms and Conditions - 3-17-2015 -FINAL.docx Terms and Conditions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State/Local/Tribal: SNAP Process and Technology Improvement Grants	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)			RFA - FY2015 PTIG - 3-31-2015 - FINAL PRAO recommendations 4-3-15 - 9 April 2015.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: USDA e-Authentication Service	FR Citation: 71 FR 42346

Number of Respondents: 15	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	141	141
Annual IC Time Burden (Hours)	807	807
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-PTI - 2015 April 16.docx	04/17/2015
SNAP PTIGs Supporting Statement	SNAP PTIGs Grant Supporting Statement - OMB - March 2015 PRAO 16 April 2015.docx	04/17/2015
SF 424	SF424_2_1-V2.1.pdf	04/08/2015
SF 424 A	SF424A-V1.0.pdf	04/08/2015
SF 424 B	SF424B-V1.1.pdf	04/08/2015
SF LLL	SF-LLL Lobbying Form.pdf	04/08/2015
SF 425	SF 425 Attachment for FPRS Public Burden Statement used for Disc Grants IC during June 2015-June 2017.pdf	04/17/2015
Terms and Conditions	Terms and Conditions - 3-17-2015 -FINAL.docx	04/17/2015

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