Information Collection

CACFP Characteristics - State Government

IC 213732 under ICR 201411-0584-001 · OMB 0584-0601.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0601 can be found here:

Documents and Forms

Document Name Document Type
B1 State CACFP Agency Letter.docx Other-B1 State CACFP Agency Letter
B2 Provider Sample Sponsor Letter.docx Other-B2 Provider Sample Sponsor Let

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CACFP Characteristics - State Government	Agency IC Tracking Number:

Is this a Common Form? No		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-B1 State CACFP Agency Letter			B1 State CACFP Agency Letter.docx		No		Paper Only
Other-B2 Provider Sample Sponsor Letter			B2 Provider Sample Sponsor Letter.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 196	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	196	196
Annual IC Time Burden (Hours)	392	392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.