Process Evaluation

Models of SNAP-Education (ED)and Evaluation Study

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0554 can be found here:

Documents and Forms

Document Name Document Type
APPENDIX B Data Collection Instruments for Process Evaluation-SNAP-Ed I 1_12_09.doc Other-Questionnaire
APPENDIX C. Assessment of IA-Led Evaluation Review Form-SNAP-Ed I.doc Other-Evaluation Review Form
APPENDIX I. Cover Letters Recruitment Letters and Other Study Materials for Process Evaluation-SNAP-Ed I.doc Cover Letters Recruitment Letters and Other Study Materials for Process Evaluation- IC Document

Information Collection (IC) Details

IC Title:	Process Evaluation	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-Evaluation Review Form			APPENDIX C. Assessment of IA-Led Evaluation Review Form-SNAP-Ed I.doc		Yes	Yes	Fillable Printable
Other-Questionnaire			APPENDIX B Data Collection Instruments for Process Evaluation-SNAP-Ed I 1_12_09.doc		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 104	Number of Respondents for Small Entity: 12

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	143	143
Annual IC Time Burden (Hours)	69	69
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Letters Recruitment Letters and Other Study Materials for Process Evaluation-	APPENDIX I. Cover Letters Recruitment Letters and Other Study Materials for Process Evaluation-SNAP-Ed I.doc	10/05/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.