View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Individuals/Households - Households
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix D3. Household Survey Income Worksheet No   Paper Only
Other-Appendix D4. Household Survey Income Worksheet - Spanish No   Paper Only
Other-Appendix D5. Household Survey Yes Yes Fillable Fileable
Other-Appendix D6. Household Survey - Spanish Yes Yes Fillable Fileable
Other-Appendix D9. Household Survey Incentives Received Form No   Paper Only
Other-Appendix D10. Household Survey Incentives Received Form - Spanish No   Paper Only
Other-Appendix D13. Household Interview No   Paper Only
Other-Appendix D14. Household Interview - Spanish No   Paper Only
Other-Appendix D15. Household Interview Incentives Received Form No   Paper Only
Other-Appendix D16. Household Interview Incentives Received Form - Spanish No   Paper Only
Other-Appendix I1. Household Survey Consent Form No   Paper Only
Other-Appendix I2. Household Survey Consent Form - Spanish No   Paper Only
Other-Appendix T5. Household Survey Recruitment Contact Guide No   Paper Only
Other-Appendix T6. Household Survey Recruitment Contact Guide - Spanish No   Paper Only
Other-Appendix T7. Household Interview Recruitment Contact Guide No   Paper Only
Other-Appendix T8. Household Interview Recruitment Contact Guide - Spanish No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

4,827 0
   
Individuals or Households
 
   99 %

  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 43,614 0 43,614 0 0 0
Annual IC Time Burden (Hours) 8,110 0 8,110 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix D1. Household Survey Appointment Reminder Letter 05/17/2017
Appendix D2. Household Survey Appointment Reminder Letter - Spanish 05/17/2017
Appendix D7. Household Survey Income Source Show Card 05/17/2017
Appendix D8. Household Survey Income Source Show Card - Spanish 05/17/2017
Appendix D11. Household Interview Appointment Reminder Letter 05/17/2017
Appendix D12. Household Interview Appointment Reminder Letter - Spanish 05/17/2017
Appendix T1. Household Survey Recruitment Letter 05/18/2017
Appendix T2. Household Survey Recruitment Letter - Spanish 05/18/2017
Appendix T3. Household Survey Brochure 05/18/2017
Appendix T4. Household Survey Brochure - Spanish 05/18/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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