View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Individual/Households Respondents
Agency IC Tracking Number:
Is this a Common Form?
No
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
Other-C.1_Registration Document_English
C 1_Registration Document_English102915.docx
No
Paper Only
Other-C.2_Registration Document_Spanish
C 2_Registration Document_Spanish102915.docx
No
Paper Only
Other-C.3_Registration Document Screenshots
C.3_Registration Document Screenshots.docx
www.notyetcreated.com
Yes
Yes
Fillable Fileable Signable
Other-D.1_Study Consent Document_English
D.1_Study Consent Document_English.docx
No
Paper Only
Other-D.2_Study Consent Document_Spanish
D.2_Study Consent Document_Spanish.docx
No
Paper Only
Other-D.3_Study Consent Document_Mandatory_English
D.3_Study Consent Document_Mandatory_English.docx
No
Paper Only
Other-D.4_Study Consent Document_Mandatory_Spanish
D.4_Study Consent Document_Mandatory_Spanish.docx
No
Paper Only
Other-i.1 Interview Guide for Clients
I.1_Interview Guide for Clients.docx
No
Paper Only
Other-J.1_Focus Group Moderator Guide for Clients-English
J.1_Focus Group Moderator Guide for Clients-English.docx
No
Paper Only
Other-J.2_Focus Group Moderator Guide for Clients-Spanish
J.2_Focus Group Moderator Guide for Clients-Spanish.docx
No
Paper Only
Other-K.1_Focus Group Recruitment Guide - English
K.1_Focus Group Recruitment Guide - English.docx
No
Paper Only
Other-K.2_Focus Group Recruitment Guide - Spanish
K.2_Focus Group Recruitment Guide - Spanish.docx
No
Paper Only
Other-M.1_Participant Information Survey - English
M.1_Participant Information Survey - English.docx
No
Paper Only
Other-M.2_Participant Information Survey - Spanish
M.2_Participant Information Survey - Spanish.docx
No
Paper Only
Other-O.1_SNAP E&T Pilots 12-Month FollowUp Survey_English
O.1_SNAP E&T Pilots 12-Month FollowUp Survey_English.pdf
No
Paper Only
Other-O.2_SNAP E&T Pilots 12-Month FollowUp Survey_Spanish
O.2_SNAP E&T Pilots 12-Month FollowUp Survey_Spanish.pdf
No
Paper Only
Other-O.3_Screenshot 12-month FU Survey
O.3_Screenshot 12-month FU Survey.docx
No
Paper Only
Other-O.4_SNAP E&T Pilots 36-Month FollowUp Survey_English
O.4_SNAP E&T Pilots 36-Month FollowUp Survey_English.pdf
No
Paper Only
Other-O.5_SNAP E&T Pilots 36-Month FollowUp Survey_Spanish
O.5_SNAP E&T Pilots 36-Month FollowUp Survey_Spanish.pdf
No
Paper Only
Other-O.6_Screenshot 36-month FU Survey
O.6_Screenshot 36-month FU Survey.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:
FNS-8 USDA FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
53,851
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
137,303
0
137,303
0
0
0
Annual IC Time Burden (Hours)
29,478
0
29,478
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
E.1_WelcomePacketLetter_English
E.1_WelcomePacketLetter_English.docx
11/09/2015
E.2_WelcomePacketLetter_Spanish
E.2_WelcomePacketLetter_Spanish.docx
11/09/2015
F.1_Study Brochure
F.1_Study Brochure.docx
11/09/2015
F.2_Study Brochure_Spanish
F.2_Study Brochure_Spanish.docx
11/09/2015
G 1_Seasonal Postcard_English
G 1_Seasonal Postcard_English.docx
11/09/2015
G.2_Seasonal Postcard_Spanish
G.2_Seasonal Postcard_Spanish.docx
11/09/2015
L.1_Focus Group Confirmation Letter - English_gr
L.1_Focus Group Confirmation Letter - English_gr.docx
11/09/2015
L.2_Focus Group Confirmation Letter - Spanish
L.2_Focus Group Confirmation Letter - Spanish.docx
11/09/2015
P.1_Survey Advance Letter_English
P.1_Survey Advance Letter_English.docx
11/09/2015
P.2_Survey Advance Letter_Spanish
P.2_Survey Advance Letter_Spanish.docx
11/09/2015
Q.1_Survey Reminder Letter_English
Q.1_Survey Reminder Letter_English.docx
11/09/2015
Q.2_Survey Reminder Letter_Spanish
Q.2_Survey Reminder Letter_Spanish.docx
11/09/2015
R.1_Survey Reminder Postcard_English
R.1_Survey Reminder Postcard_English.docx
11/09/2015
R.2_Survey Reminder Postcard_Spanish
R.2_Survey Reminder Postcard_Spanish.docx
11/09/2015
S.1_RefusalLetter_English
S.1_RefusalLetter_English.docx
11/09/2015
S.2_RefusalLetter_Spanish
S.2_RefusalLetter_Spanish.docx
11/09/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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