Information Collection

State Agencies and SFAs (SLT)

IC 204551 under ICR 202207-0584-002 · OMB 0584-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0005 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	State Agencies and SFAs (SLT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 215.11(c)(1) 7 CFR 215.7 7 CFR 215.11(b) 7 CFR 215.13(a) 7 CFR 215.12 7 CFR 215.14(a) 7 CFR 215.5(a) 7 CFR 215.7(c)

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:	FR Citation:

Number of Respondents: 3,209	Number of Respondents for Small Entity: 3,081

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85,217	-3,190	88,407
Annual IC Time Burden (Hours)	12,673	-652	13,325
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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