Information Collection

Businesses

IC 268906 under ICR 202406-0584-003 · OMB 0584-0699.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0699 can be found here:

Documents and Forms

Document Name Document Type
Attachment F. SNAP E&T Provider Interview Protocol.docx Other-Attachment F. SNAP E&T Provide
Attachment F. SNAP E&T Provider Interview Protocol.docx Other-Attachment F. SNAP E&T Provide
Attachment G Interested Parties Interview Protocol .docx Other-Attachment G Interested Partie
Attachment G Interested Parties Interview Protocol .docx Other-Attachment G Interested Partie
Attachment H.13. Interview Scheduling Email 06142024.docx Other-Attachment H.13. Interview Sch
Attachment H.13. Interview Scheduling Email 06142024.docx Other-Attachment H.13. Interview Sch
Attachment H.14. Interview Consent Form 06142024.docx Other-Attachment H.14. Interview Con
Attachment H.14. Interview Consent Form 06142024.docx Other-Attachment H.14. Interview Con

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Businesses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment F. SNAP E&T Provider Interview Protocol	Attachment F. SNAP E&T Provider Interview Protocol.docx	No		Paper Only
Other-Attachment G Interested Parties Interview Protocol	Attachment G Interested Parties Interview Protocol .docx	No		Paper Only
Other-Attachment H.13. Interview Scheduling Email 06142024	Attachment H.13. Interview Scheduling Email 06142024.docx	Yes	No	Printable Only
Other-Attachment H.14. Interview Consent Form 06142024	Attachment H.14. Interview Consent Form 06142024.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44	Number of Respondents for Small Entity: 14

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	128	128
Annual IC Time Burden (Hours)	48	48
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.