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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - State and Tribal Grantees and SFAs (1 of 3))
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 B.1 Grantee Interview Protocol
Attachment B.1 Grantee Interview Protocol.docx
No
Paper Only
Other-Attachment D SFA Interview Protocol
Attachment D SFA Interview Protocol.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 FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
12
Number of Respondents for Small Entity:
5
Affected Public:
State, Local, and Tribal Governments
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
51
0
0
0
0
51
Annual IC Time Burden (Hours)
72
0
0
0
0
72
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment C.1 Study Team Introductory Email to Grantees
Attachment C.1 Study Team Introductory Email to Grantees.docx
06/18/2020
Attachment C.2 Inteview Confirmation Email Template for Grantees
Attachment C.2 Interview Confirmation Email Template for Grantees.docx
06/18/2020
Attachment E.1 Grantee Introductory Email to SFAs
Attachment E.1 Grantee Introductory Email to SFAs.docx
06/18/2020
Attachment E.2 Study Team Introductory Email to SFAs
Attachment E.2 Study Team Introductory Email to SFAs.docx
06/18/2020
Attachment E.3 Recruitment FAQ Sheet for SFAs
Attachment E.3 Recruitment FAQ Sheet for SFAs.docx
06/18/2020
Attachment E.4 Study Overview Sheet for SFAs
Attachment E.4 Study Overview Sheet for SFAs.docx
06/18/2020
Attachment E.5 Telephone Script for SFA Recruitment
Attachment E.5 Telephone Script for SFA Recruitment.docx
06/18/2020
Attachment E.6 Interview Confirmation Email Template for SFAs
Attachment E.6 Interview Confirmation Email Template for SFAs.docx
06/18/2020
Attachment A Burden Table
Attachment A Burden table 6.17.20.xlsx
06/18/2020
Attachment J IRB Approval
Attachment J IRB Approval.pdf
06/18/2020
2019 Summer EBT Generic Submission 25 Jun 2020 Memo
2019 Summer EBT Generic Submission 25 Jun 2020 Memo.docx
06/26/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.