View Information Collection (IC)

View Information Collection (IC)

IC Title:	FNS ABAWD message testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Protocol and Testing Materials	Enclosure 3 - Protocol and Materials.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	18	0	18	0	0	0
Annual IC Time Burden (Hours)	22	0	22	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	Pennsylvania ABAWD Testing OMB Memo.docx	06/23/2022
Recruitment materials	Enclosure 1 - Recruitment materials.docx	06/23/2022
Additional Screening Qs	Enclosure 2- Additional Screening Qs.docx	06/23/2022
Consent Form	Enclosure 4 - Consent Form revised (2).docx	06/23/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.