State Agency - Faith Based

Data Collection Related to Institutions and Organizations

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	State Agency - Faith Based	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 251.10(i)(1) and 251.10(i)(2) 7 CFR 226.25(g)(1) and 226.25(g)(2) 7 CFR 210.23(d)(1) and 210.23(d)(2) 7 CFR 225.18(i)(1) 7 CFR 246.26(h)(1) and 246.26(h)(2) 7 CFR 247.29(d)(1) and 247.29(d)(2)

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: 57	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	66,256	66,256
Annual IC Time Burden (Hours)	115,421	115,421
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.