View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Zero Income (I/H)
Agency IC Tracking Number:
IC Status:
Unchanged
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
Other-Attachment A1 - Interview Guide - English
Attachment A1 - Interview Guide - English.docx
No
Paper Only
Other-Attachment A2 - SPANISH INTERVIEW PROTOCOL FOR ZERO INCOME STUDY
Attachment A2 - SPANISH INTERVIEW PROTOCOL FOR ZERO INCOME STUDY.docx
No
Paper Only
Other-Attachment B - Participant Consent Form - 1-23-12
Attachment B - Participant Consent Form - 1-23-12.docx
No
Paper Only
Other-Attachment B1 - Zero Income Participant Interview Consent Form Spanish - 1-26-12
Attachment B1 - Zero Income Participant Interview Consent Form Spanish - 1-26-12.docx
No
Paper Only
Other-Attachment E - recruitment - telelphone script for SNAP participant2 - 1-26-12
Attachment E - recruitment - telelphone script for SNAP participant2 - 1-26-12.docx
No
Paper Only
Other-Attachment E1 - recruitment - telelphone script for SNAP participant2 - spanish - 1-26-12
Attachment E1 - recruitment - telelphone script for SNAP participant2 - spanish - 1-26-12.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
USDA/FNS-8 Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
250
0
0
0
0
250
Annual IC Time Burden (Hours)
60
0
0
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Zero Income Generic Clearance 11-21-11 PRA comments
Zero Income Generic Clearance 11-21-11 PRA comments.docx
01/26/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.