Information Collection

State Agency Reporting - Major System Changes

IC 206224 under ICR 202304-0584-001 · OMB 0584-0579.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0579 can be found here:

Documents and Forms

Document Name Document Type
Appendix C - Major_Changes_Notification_Template.docx Other-Appendix C - Major_Changes_Not
Appendix C - Major_Changes_Notification_Template.docx Other-Appendix C - Major_Changes_Not
Appendix D - Major Changes Quarterly Reporting Template.xlsx Other-Appendix D - Major Changes Qua
Appendix D - Major Changes Quarterly Reporting Template.xlsx Other-Appendix D - Major Changes Qua
Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications.xlsx Other-Appendix E - Major Changes Qua
Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications.xlsx Other-Appendix E - Major Changes Qua

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency Reporting - Major System Changes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.15(a)(3) 7 CFR 272.15(b)(1)-(3) 7 CFR 272.15(b)(4)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix C - Major_Changes_Notification_Template	Appendix C - Major_Changes_Notification_Template.docx	No	Printable Only
Other-Appendix D - Major Changes Quarterly Reporting Template	Appendix D - Major Changes Quarterly Reporting Template.xlsx	No	Printable Only
Other-Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications	Appendix E - Major Changes Quarterly Reporting Template for Call Center Modifications.xlsx	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	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	Previously Approved
Annual Number of Responses for this IC	85	20	65
Annual IC Time Burden (Hours)	8,860	5,356	3,504
Annual IC Cost Burden (Dollars)	0	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.