Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business Non-respondents Removed 0 0 0 Other-Non Respondent Placeholder
Business Respondents Modified 8600 9174 0 Other-H_Master Site Visit Protocol.docx
Other-I.2_Interview Guide for Providers.docx
Other-J.3_Focus Group Moderator Guide for Employers.docx
Other-M.3_Participant Information Survey - Employer.docx
Other-V.1_Time Use Survey.docx
Other-V.2_Time-Use Survey_ScreenShots.docx
Individual/Households Respondents Modified 46002 6759 0 Other-C.1_Registration Document_English.docx
Other-C.2_Registration Document_Spanish.docx
Other-C.3_Registration Document Screenshots.docx
Other-D.1_Study Consent Document_English.docx
Other-D.2_Study Consent Document_Spanish.docx
Other-D.3_Study Consent Document_Mandatory_English.docx
Other-D.4_Study Consent Document_Mandatory_Spanish.docx
Other-I.1_Interview Guide for Clients.docx
Other-J.1_Focus Group Moderator Guide for Clients-English.docx
Other-J.2_Focus Group Moderator Guide for Clients-Spanish.docx
Other-K.1_Focus Group Recruitment Guide - English.docx
Other-K.2_Focus Group Recruitment Guide - Spanish.docx
Other-M.1_Participant Information Survey - English.docx
Other-M.2_Participant Information Survey - Spanish.docx
Other-O.1_SNAP E&T Pilots 12-Month FollowUp Survey_English.pdf
Other-O.2_SNAP E&T Pilots 12-Month FollowUp Survey_Spanish.pdf
Other-O.3_Screenshot 12-month FU Survey.docx
Other-O.4_SNAP E&T Pilots 36-Month FollowUp Survey_English.pdf
Other-O.5_SNAP E&T Pilots 36-Month FollowUp Survey_Spanish.pdf
Other-O.6_Screenshot 36-month FU Survey.docx
Individuals/Households Non-respondents Modified 29694 1485 0 Other-Non Respondent Placeholder
State Agency Respondents Modified 620 1105 0 Other-H_Master Site Visit Protocol.docx
Other-I.1_Interview Guide for providers.docx
Other-J.3_Focus Group Moderator Guide for Employers.docx
Other-M.3_Participant Information Survey - Employer.docx
Other-V.1_Time Use Survey.docx
Other-V.2_Time-Use Survey_ScreenShots.docx
Total burden requested under this ICR: 84916 18523 0  
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