View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Individuals and Households
Agency IC Tracking Number:
Is this a Common Form?
No
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-F1. Participant Focus Group Discussion Guide
F1. Participant Focus Group Discussion Guide.docx
No
Paper Only
Other-F2.1 Participant Focus Group Recruitment Email_Text
F2.1 Participant Focus Group Recruitment Email_Text.docx
Yes
No
Printable Only
Other-F3.1. Participant FAQ
F3.1. Participant FAQ.docx
Yes
No
Printable Only
Other-G2.1 Participant IDI Recruitment Email_Text
G2.1 Participant IDI Recruitment Email_Text.docx
Yes
Yes
Printable Only
Other-E1.1 Colorado Participant Survey Specifications
E1.1 Colorado Participant Survey Specifications.docx
Yes
Yes
Printable Only
Other-E1.2 Colorado Participant Survey Specifications_Spanish
E1.2 Colorado Participant Survey Specifications_Spanish.docx
Yes
Yes
Printable Only
Other-E1.3 Colorado Participant Survey Screenshots
E1.3 Colorado Participant Survey Screenshots.docx
Yes
Yes
Fillable Fileable
Other-E1.4 Colorado Participant Survey Screenshots_Spanish
E1.4 Colorado Participant Survey Screenshots_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E2.1 Massachusetts Participant Survey Specifications
E2.1 Massachusetts Participant Survey Specifications.docx
Yes
Yes
Fillable Fileable
Other-E2.2 Massachusetts Participant Survey Specifications_Spanish
E2.2 Massachusetts Participant Survey Specifications_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E2.3 Massachusetts Participant Survey Screenshots
E2.3 Massachusetts Participant Survey Screenshots.docx
Yes
Yes
Fillable Fileable
Other-E2.4 Massachusetts Participant Survey Screenshots_Spanish
E2.4 Massachusetts Participant Survey Screenshots_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E3.1 Connecticut Participant Survey Specifications
E3.1 Connecticut Participant Survey Specifications.docx
Yes
Yes
Fillable Fileable
Other-E3.2 Connecticut Participant Survey Specifications_Spanish
E3.2 Connecticut Participant Survey Specifications_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E3.3 Connecticut Participant Survey Screenshots
E3.3 Connecticut Participant Survey Screenshots.docx
Yes
Yes
Fillable Fileable
Other-E3.4 Connecticut Participant Survey Screenshots_Spanish
E3.4 Connecticut Participant Survey Screenshots_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E4.1 Rhode Island Participant Survey_Specifications
E4.1 Rhode Island Participant Survey_Specifications.docx
Yes
Yes
Fillable Fileable
Other-E4.2 Rhode Island Participant Survey Specifications_Spanish
E4.2 Rhode Island Participant Survey Specifications_Spanish.docx
Yes
Yes
Fillable Fileable
Other-E4.3 Rhode Island Participant Survey Screenshots
E4.3 Rhode Island Participant Survey Screenshots.docx
Yes
Yes
Fillable Fileable
Other-E4.4 Rhode Island Participant Survey Screenshots_Spanish
E4.4 Rhode Island Participant Survey Screenshots_Spanish.docx
Yes
Yes
Fillable Fileable
Other-F1.1 Participant Focus Group Information Form
F1.1 Participant Focus Group Information Form.docx
Yes
Yes
Printable Only
Other-G1. Participant In-Depth Interview Discussion Guide
G1. Participant In-Depth Interview Discussion Guide.docx
Yes
No
Printable Only
Other-R. Connecticut Evaluation Consent Form
R. Connecticut Evaluation Consent Form.docx
Yes
Yes
Fillable Printable
Other-B3. Intervention Assessment Materials - OIRA_Rev
B3. Intervention Assessment Materials - OIRA_Rev.docx
Yes
Yes
Fillable Fileable
Other-B2. Intervention Outreach Materials - July 19 2023 Clean
B2. Intervention Outreach Materials - July 19 2023 Clean.docx
Yes
Yes
Fillable Fileable
Other-E5.1 Participant Survey Advance Letter_8.1.23 - Clean
E5.1 Participant Survey Advance Letter_8.1.23 - Clean.docx
Yes
Yes
Fillable Printable
Other-E5.2 Participant Survey Initial Email_Text_8.1.23 - Clean
E5.2 Participant Survey Initial Email_Text_8.1.23 - Clean.docx
Yes
Yes
Fillable Fileable
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:
52,030
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
181,319
0
0
0
0
181,319
Annual IC Time Burden (Hours)
14,537
0
0
0
0
14,537
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
E5.4 Participant Survey Reminder Letter
E5.4 Participant Survey Reminder Letter.docx
01/25/2023
G2.2 Participant IDI Confirmation and Reminder Email_Text
G2.2 Participant IDI Confirmation and Reminder Email_Text.docx
01/25/2023
F2.2 Participant Focus Group Confirmation and Reminder Email_Text
F2.2 Participant Focus Group Confirmation and Reminder Email_Text.docx
03/30/2023
E5.3 Participant Survey Reminder Email_Text_8.1.23 - Clean
E5.3 Participant Survey Reminder Email_Text_8.1.23 - Clean.docx
08/02/2023
E5.5 Participant Survey Reminder Postcard_8.1.23 - Clean
E5.5 Participant Survey Reminder Postcard_8.1.23 - Clean.docx
08/02/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.