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 Respondents
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-D1. Client Experience Survey
D1. Client Experience Survey.docx
Yes
Yes
Fillable Fileable
Other-D2. Survey of Nonadopters
D2. Survey of Nonadopters.docx
Yes
Yes
Fillable Fileable
Other-E1. Focus Group Discussion Guide
E1. Focus Group Discussion Guide.docx
No
Paper Only
Other-J1. Client Experience Survey Screenshots (English)
J1. Client Experience Survey Screenshots (English).docx
Yes
Yes
Fillable Fileable
Other-J2. Client Experience Survey Screenshots (Spanish)
J2. Client Experience Survey Screenshots (Spanish).docx
Yes
Yes
Fillable Fileable
Other-K1. Survey of Non-Adopters Screenshots (English)
K1. Survey of Non-Adopters Screenshots (English).docx
Yes
Yes
Fillable Fileable
Other-K2. Survey of Non-Adopters Screenshots (Spanish)
K2. Survey of Non-Adopters Screenshots (Spanish).docx
Yes
Yes
Fillable Fileable
Other-L1. Survey Invitation Letter
L1. Survey Invitation Letter.docx
Yes
No
Printable Only
Other-L2.1. Survey Email
L2.1. Survey Email.docx
Yes
No
Printable Only
Other-L2.2. Survey Text
L2.2. Survey Text.docx
Yes
Yes
Fillable Fileable
Other-M1.1. Focus Group Recruitment Email
M1.1. Focus Group Recruitment Email.docx
Yes
No
Printable Only
Other-M1.2. Focus Group Recruitment Text
M1.2. Focus Group Recruitment Text.docx
Yes
No
Fillable Fileable
Other-M3. Focus Group Screener
M3. Focus Group Screener.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:
20,396
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
167,377
0
167,377
0
0
0
Annual IC Time Burden (Hours)
4,380
0
4,380
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
L3. Survey Reminder Letter
L3. Survey Reminder Letter.docx
11/17/2023
M2. Participant FAQ
M2. Participant FAQ.docx
11/17/2023
M4.1. Focus Group Reminder Email
M4.1. Focus Group Reminder Email.docx
11/17/2023
M4.2. Focus Group Reminder Text
M4.2. Focus Group Reminder Text.docx
11/17/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.