Information Collection

State Agency (NAC On-going)

IC 251937 under ICR 202201-0584-005 · OMB 0584-0684.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0684 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency (NAC On-going)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.18(c )(3); 272.18(c)(2) 7 CFR 272.18(c)(3), 273.2(f)(1)(2) 7 CFR 272.18(c)(5),273.12(c)(3)(iv) 7 CFR 272.18(c)(3)(iii) 7 CFR 272.18(c)(5) 7 CFR 273.13(a)(2) 7 CFR 273.12(c)(3)(iv)(A 7 CFR 272.18(b)(1), 272.18(b)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: Under Development	FR Citation: 88 FR 36

Number of Respondents: 53	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	19,120,749	19,120,749
Annual IC Time Burden (Hours)	387,011	387,011
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.