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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Evaluation of the E-STAR Training Grant Program
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-Appendix B_SNM Interview Protocol Year 1
Appendix B_SNM Interview Protocol Year 1.docx
No
Paper Only
Other-Appendix C_SNM Interview Protocol Year 2
Appendix C_SNM Interview Protocol Year 2.docx
No
Paper Only
Other-Appendix D_Mentor Interview Protocol Year 1
Appendix D_Mentor Interview Protocol Year 1.docx
No
Paper Only
Other-Appendix E_Mentor Interview Protocol Year 2
Appendix E_Mentor Interview Protocol Year 2.docx
No
Paper Only
Other-Appendix F_SNM Consent Form
Appendix F_SNM Consent Form.docx
Yes
Yes
Fillable Fileable Signable
Other-Appendix G_SNM Interview Recruitment Materials
Appendix G_SNM Interview Recruitment Materials.docx
Yes
No
Printable Only
Other-Appendix H_Mentor Interview Recruitment Materials
Appendix H_Mentor Interview Recruitment Materials.docx
Yes
No
Printable Only
Other-Appendix I_SNM Interview Phone Scripts
Appendix I_SNM Interview Phone Scripts.docx
No
Paper Only
Other-Appendix J_Mentor Consent Form
Appendix J_Mentor Consent Form.docx
Yes
Yes
Fillable Fileable Signable
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:
90
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
440
0
0
0
0
440
Annual IC Time Burden (Hours)
127
0
0
0
0
127
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
RevESTAR Evaluation_Generic ICR_20210112
RevESTAR Evaluation_Generic ICR_20210112.docx
01/13/2021
Appendix A_ESTAR Evaluation Burden Table_011221
Appendix A_ESTAR Evaluation Burden Table_011221.xlsx
01/13/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.