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:
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-D. Study Brochure (English-Spanish)
D. Study Brochure (English-Spanish).pdf
Yes
No
Printable Only
Other-E1. Endorsement Letter (English)
E1. Endorsement Letter (English).docx
No
Paper Only
Other-E2. Endorsement Letter (Spanish)
E2. Endorsement Letter (Spanish).docx
No
Paper Only
Other-H. Survey Door Hanger (English-Spanish)
H. Survey Door Hanger (English-Spanish).pdf
No
Paper Only
Other-J1. Survey Refusal Letter (English)
J1. Survey Refusal Letter (English).docx
No
Paper Only
Other- J2. Survey Refusal Letter (Spanish)
J2. Survey Refusal Letter (Spanish).docx
No
Paper Only
Other-O1. IDI Consent Form (English)
O1. IDI Consent Form (English).docx
Yes
No
Printable Only
Other-O2. IDI Consent Form (Spanish)
O2. IDI Consent Form (Spanish).docx
Yes
No
Printable Only
Other-P1. IDI Interview Guide (English)
P1. IDI Interview Guide (English).docx
No
Paper Only
Other-P2. IDI Interview Guide (Spanish)
P2. IDI Interview Guide (Spanish).docx
No
Paper Only
Other-C1. Survey Invitation (English)
C1. Survey Invitation (English).docx
Yes
Yes
Printable Only
Other-C2. Survey Invitation (Spanish)
C2. Survey Invitation (Spanish).docx
Yes
Yes
Printable Only
Other-L1. IDI Invitation Call Script (English)
L1. IDI Invitation Call Script (English).docx
No
Paper Only
Other-L2. IDI Invitation Call Script (Spanish)
L2. IDI Invitation Call Script (Spanish).docx
No
Paper Only
Other-M1. IDI Confirmation Letter-Email (English)
M1. IDI Confirmation Letter-Email (English).docx
Yes
No
Printable Only
Other-M2. IDI Confirmation Letter-Email (Spanish)
M2. IDI Confirmation Letter-Email (Spanish).docx
Yes
No
Printable Only
Other-S1. Household Survey (English-Spanish)
S1. Household Survey (English-Spanish).docx
Yes
Yes
Fillable Printable
Other-S2. Screenshots of Web Survey (English)
S2. Screenshots of Web Survey (English).docx
Yes
Yes
Fillable Printable
Other-S3. Screenshots of Web Survey (Spanish)
S3. Screenshots of Web Survey (Spanish).docx
Yes
Yes
Fillable Printable
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:
16,121
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
86,466
0
86,466
0
0
0
Annual IC Time Burden (Hours)
6,666
0
6,666
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
F1. First Survey Reminder Letter (English)
F1. First Survey Reminder Letter (English).docx
01/27/2023
F2. First Survey Reminder Letter (Spanish)
F2. First Survey Reminder Letter (Spanish).docx
01/27/2023
G1. Second Survey Reminder Letter (English)
G1. Second Survey Reminder Letter (English).docx
01/27/2023
G2. Second Survey Reminder Letter (Spanish)
G2. Second Survey Reminder Letter (Spanish).docx
01/27/2023
K1. Thank You Letter (English)
K1. Thank You Letter (English).docx
01/27/2023
K2. Thank You Letter (Spanish)
K2. Thank You Letter (Spanish).docx
01/27/2023
N1. IDI Reminder Call Script (English)
N1. IDI Reminder Call Script (English).docx
04/14/2023
N2. IDI Reminder Call Script (Spanish)
N2. IDI Reminder Call Script (Spanish).docx
04/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.