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SNAP Agency Matching Program Performance Reporting Tool and Instructions
State SNAP Agency NDNH Matching Program Performance Report
OMB: 0970-0464
IC ID: 217786
OMB.report
HHS/ACF
OMB 0970-0464
ICR 202212-0970-014
IC 217786
( )
Documents and Forms
Document Name
Document Type
Form 1
SNAP Agency Matching Program Performance Reporting Tool and Instructions
Form
0970-0464_State_SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Instructions_UPDATED_clean.docx
Instruction
0970-0464_State_SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Instructions_UPDATED_clean.docx
Instruction
1 SNAP-Agency NDNH Match Results Performance Reporting Too
0970-0464_State SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Tool.xls
Form
1 SNAP-Agency NDNH Match Results Performance Reporting Too
0970-0464_State SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Tool.xls
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SNAP Agency Matching Program Performance Reporting Tool and Instructions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
SNAP-Agency NDNH Match Results Performance Reporting Tool
0970-0464_State SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Tool.xls
Yes
Yes
Fillable Printable
Instruction
0970-0464_State_SNAP_Agency_NDNH_Matching_Program_Performance_Reporting_Instructions_UPDATED_clean.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
53
0
0
0
0
53
Annual IC Time Burden (Hours)
44
0
0
0
0
44
Annual IC Cost Burden (Dollars)
0
0
0
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.