Information Collection

2018 Farm to School Grant Program (Business)

IC 228088 under ICR 201601-0584-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
FINAL FY2018_FarmToSchoolGrant_RFA_OSECReviewed8-30-17.docx www.grants.gov Other-FINAL FY2018_FarmToSchoolGrant
0512 Farm to School Grant Program Application Coversheet_August 16 2017 FSGP-V1.2.pdf www.grants.gov Other-0512 Farm to School Grant Prog
Grant Program Accounting System Financial Capability Questionnaire+OMBstatementPRAO.docx www.qualtrics.org Other-Grant Program Accounting Syste
Grantee_Resource_Baseline_Survey_Planning+ImplementationPRAO6-15-17.docx www.qualtrics.org Other-Grantee_Resource_Baseline_Surv
Final_Program_Report_Planning+ImplementationPRAO recommendations6-15-2017.docx www.qualtrics.org Other-Final_Program_Report_Planning+
Final_Program_Report_TrainingPRAO recommendations 6-15-2017.docx www.qualtrics.org Other-Final_Program_Report_TrainingP
QualtricsScreenshot+ReportingMockUp1.pdf www.qualtrics.org Other-QualtricsScreenshot+ReportingM
Quarterly Progress Report PRAO6-15-17.docx www.qualtrics.org Other-Quarterly Progress Report PRAO
Request to OMB to Use 0584-0512 (Farm to School Project Grants) Final-7-26-17.docx Request to OMB to Use 0584-0512 (Farm to School Project Grants) Final-7-26-17.docx IC Document
F2S Grant Program_Supporting Statement PRAO+8-16-17Final.docx F2S Grant Program_Supporting Statement PRAO+8-16-17Final.docx IC Document
Terms and Conditions FINAL.DOCX Terms and Conditions FINAL.DOCX IC Document
SF424_2_1-V2.1.pdf SF424_2_1-V2.1.pdf IC Document
SF424A-V1.0.pdf SF424A-V1.0.pdf IC Document
SF424B-V1.1.pdf SF424B-V1.1.pdf IC Document
SF-425 Screenshots.pdf SF-425 Screenshots.pdf IC Document
SF425-V1.0 expires 2019.pdf SF425-V1.0 Instructional Purposes expires 2019.pdf IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf 0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf IC Document
SFLLL_1_2-V1.2.pdf SFLLL_1_2-V1.2.pdf IC Document
SF-PPR_Cover Sheet (2).pdf SF-PPR_Cover Sheet (2).pdf IC Document
AD_3030_1_1-V1.1.pdf AD_3030_1_1-V1.1.pdf IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2018 Farm to School Grant Program (Business)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FINAL FY2018_FarmToSchoolGrant_RFA_OSECReviewed8-30-17.docx	FINAL FY2018_FarmToSchoolGrant_RFA_OSECReviewed8-30-17.docx	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Other-0512 Farm to School Grant Program Application Coversheet_August 16 2017 FSGP-V1.2.pdf	0512 Farm to School Grant Program Application Coversheet_August 16 2017 FSGP-V1.2.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable
Other-Grant Program Accounting System Financial Capability Questionnaire+OMBstatementPRAO.docx	Grant Program Accounting System Financial Capability Questionnaire+OMBstatementPRAO.docx	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable
Other-Grantee_Resource_Baseline_Survey_Planning+ImplementationPRAO6-15-17.docx	Grantee_Resource_Baseline_Survey_Planning+ImplementationPRAO6-15-17.docx	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable
Other-Final_Program_Report_Planning+ImplementationPRAO recommendations6-15-2017.docx	Final_Program_Report_Planning+ImplementationPRAO recommendations6-15-2017.docx	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable
Other-Final_Program_Report_TrainingPRAO recommendations 6-15-2017.docx	Final_Program_Report_TrainingPRAO recommendations 6-15-2017.docx	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable
Other-QualtricsScreenshot+ReportingMockUp1.pdf	QualtricsScreenshot+ReportingMockUp1.pdf	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable
Other-Quarterly Progress Report PRAO6-15-17.docx	Quarterly Progress Report PRAO6-15-17.docx	www.qualtrics.org	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,860	1,860
Annual IC Time Burden (Hours)	28,800	28,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request to OMB to Use 0584-0512 (Farm to School Project Grants) Final-7-26-17.docx	Request to OMB to Use 0584-0512 (Farm to School Project Grants) Final-7-26-17.docx	08/31/2017
F2S Grant Program_Supporting Statement PRAO+8-16-17Final.docx	F2S Grant Program_Supporting Statement PRAO+8-16-17Final.docx	08/31/2017
Terms and Conditions FINAL.DOCX	Terms and Conditions FINAL.DOCX	08/31/2017
SF424_2_1-V2.1.pdf	SF424_2_1-V2.1.pdf	08/31/2017
SF424A-V1.0.pdf	SF424A-V1.0.pdf	08/31/2017
SF424B-V1.1.pdf	SF424B-V1.1.pdf	08/31/2017
SF-425 Screenshots.pdf	SF-425 Screenshots.pdf	08/31/2017
SF425-V1.0 Instructional Purposes expires 2019.pdf	SF425-V1.0 expires 2019.pdf	08/31/2017
0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf	0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf	08/31/2017
SFLLL_1_2-V1.2.pdf	SFLLL_1_2-V1.2.pdf	08/31/2017
SF-PPR_Cover Sheet (2).pdf	SF-PPR_Cover Sheet (2).pdf	08/31/2017
AD_3030_1_1-V1.1.pdf	AD_3030_1_1-V1.1.pdf	08/31/2017

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