Information Collection

Process Evaluation

IC 190556 under ICR 200908-0584-004 · OMB 0584-0554.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.