View Information Collection (IC)

View Information Collection (IC)

CPS Food Security Supplement
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Protocol and Questionnaire Attachment II CPS_FSS_Protocol_Questionnaire.doc No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

30 0
   
Individuals or Households
 
   0 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo CPS FSS OMB Memo.docx 05/14/2019
Recruitment Ads Attachment I CPS Combo Ad_BOC Email and Craigslist.docx 05/14/2019
Consent Form Attachment III Consent Form.doc 05/14/2019
Additional Screener Questions Attachment IV Recruitment Eligibility Screeners.docx 05/14/2019
Recruitment Flier Attachment V CPS Flyer 2019 flyer.pdf 05/14/2019
Voucher Form Attachment VI voucherform.doc 05/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.