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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State, Local, and Tribal Government
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-Appendix B. SNAP agency survey instrument and document request
Appendix B. SNAP agency survey instrument and document request.docx
Yes
Yes
Fillable Printable
Other-Appendix C. NAP agency preinterview questionnaire
Appendix C. NAP agency preinterview questionnaire.docx
Yes
Yes
Fillable Printable
Other-Appendix D. NAP agency protocol and document request
Appendix D. NAP agency protocol and document request.docx
Yes
Yes
Fillable Printable
Other-Appendix G. SNAP agency case study simulation guide
Appendix G. SNAP agency case study simulation guide.docx
No
Paper Only
Other-Appendix H. Survey screenshots
Appendix H. Survey screenshots.docx
Yes
Yes
Fillable Fileable
Other-Appendix N.1. Template for email from FNS to SNAP State agency
Appendix N.1. Template for email from FNS to SNAP State agency.docx
Yes
No
Printable Only
Other-Appendix N.2. Template for email from Mathematica to SNAP State agency
Appendix N.2. Template for email from Mathematica to SNAP State agency.docx
Yes
No
Printable Only
Other-Appendix N.3. Template for email from Mathematica to newly assigned respondents
Appendix N.3. Template for email from Mathematica to newly assigned respondents.docx
Yes
No
Printable Only
Other-Appendix O.1. Template for email from FNS to Territory NAP agency
Appendix O.1. Template for email from FNS to Territory NAP agency.docx
Yes
No
Printable Only
Other-Appendix O.2. Template for email from Mathematica to Territory NAP agency
Appendix O.2. Template for email from Mathematica to Territory NAP agency.docx
Yes
No
Printable Only
Other-Appendix O.3 Template for scheduling email to Territory NAP agency
Appendix O.3 Template for scheduling email to Territory NAP agency.docx
Yes
No
Printable Only
Other-Appendix P.1. Template for email from FNS to SNAP State agency
Appendix P.1. Template for email from FNS to SNAP State agency.docx
Yes
No
Printable Only
Other-Appendix P.2. Template for email from Mathematica to SNAP State agency
Appendix P.2. Template for email from Mathematica to SNAP State agency.docx
Yes
No
Printable Only
Other-Appendix P.4. Template for email from SNAP State agency to local SNAP agency
Appendix P.4. Template for email from SNAP State agency to local SNAP agency.docx
Yes
No
Printable Only
Other-Appendix P.5. Template for email from Mathematica to local SNAP agency
Appendix P.5. Template for email from Mathematica to local SNAP agency.docx
Yes
No
Printable Only
Other-Appendix P.6. Case study call script
Appendix P.6. Case study call script.docx
No
Paper Only
Other-Appendix F. SNAP agency case study interview protocol
Appendix F. SNAP agency case study 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:
FR Citation:
Number of Respondents:
103
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
84 %
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
765
0
765
0
0
0
Annual IC Time Burden (Hours)
257
0
257
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix E. NAP agency protocol definitions
Appendix E. NAP agency protocol definitions.docx
01/09/2023
Appendix N.4. Template for document reminder email
Appendix N.4. Template for document reminder email.docx
01/09/2023
Appendix N.5. Template for biweekly reminder email for SNAP administrators
Appendix N.5. Template for biweekly reminder email for SNAP administrators.docx
01/09/2023
Appendix N.6. Template for biweekly reminder email for respondents
Appendix N.6. Template for biweekly reminder email for respondents.docx
01/09/2023
Appendix N.7. Urgent reminder email for SNAP administrators
Appendix N.7. Urgent reminder email for SNAP administrators.docx
01/09/2023
Appendix N.8. Urgent reminder email for respondents
Appendix N.8. Urgent reminder email for respondents.docx
01/09/2023
Appendix N.9. Reminder call script
Appendix N.9. Reminder call script.docx
01/09/2023
Appendix O.4. Template for reminder email to Territory NAP agency
Appendix O.4. Template for reminder email to Territory NAP agency.docx
01/09/2023
Appendix O.5. Template for document reminder email to Territory NAP agency
Appendix O.5. Template for document reminder email to Territory NAP agency.docx
01/09/2023
Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency
Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency.docx
01/09/2023
Appendix Q. Study description
Appendix Q. Study description.docx
01/09/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.