Information Collection

State Agencies and SFAs (local government) - SLT

IC 258424 under ICR 202302-0584-003 · OMB 0584-0679.

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Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 210.21(d)(5) 7 CFR 210.21(d)(3) 7 CFR 220.16(d)(3) 7 CFR 210.30(b)(1)(iv) 7 CFR 210.10(c)(3) 7 CFR 210.16(d) 7 CFR 220.8(c)(3)

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: 19,075	Number of Respondents for Small Entity: 19,019

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 98 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	213,328	213,328
Annual IC Time Burden (Hours)	429,669	429,669
Annual IC Cost Burden (Dollars)	0	0

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