Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Businesses Non-Respondents New 10 10 0 Other-NON RESPONDENT PLACE HOLDER
Businesses Respondents New 70 40 0 Other-Appendix AE. Case Study Recruitment Email from Project Team to Community Partner
Other-Appendix G. Informed Consent Script
Other-Appendix F. Community Partners Interview Guide
State and Local Government Non-Respondents New 45 11 0 Other-NON RESPONDENT PLACE HOLDER
State and Local Government Respondents New 230 123 0 Other-Appendix B. State Administrator Interview Guide
Other-Appendix C. Local Administrator Interview Guide
Other-Appendix D. State Information Technology Director or Manager Interview Guide
Other-Appendix E. Frontline Staff Interview Guide
Other-Appendix G. Informed Consent Script
Other-Appendix I. Case Study Recruitment Email from FNS or CMS to SNAP or Medicaid Director_11.8 Updates
Other-Appendix J. Case Study Recruitment Email from Project Team to SNAP Director
Other-Appendix K. Case Study Recruitment Email from Project Team to Medicaid Director
Total burden requested under this ICR: 355 184 0  
To view an IC, click on IC Title