Information Collection

Zero Income (I/H)

IC 200916 under ICR 201008-0584-001 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A1 - Interview Guide - English.docx	Other-Attachment A1 - Interview Guid
Attachment A2 - SPANISH INTERVIEW PROTOCOL FOR ZERO INCOME STUDY.docx	Other-Attachment A2 - SPANISH INTERV
Attachment B - Participant Consent Form - 1-23-12.docx	Other-Attachment B - Participant Con
Attachment B1 - Zero Income Participant Interview Consent Form Spanish - 1-26-12.docx	Other-Attachment B1 - Zero Income Pa
Attachment E - recruitment - telelphone script for SNAP participant2 - 1-26-12.docx	Other-Attachment E - recruitment - t
Attachment E1 - recruitment - telelphone script for SNAP participant2 - spanish - 1-26-12.docx	Other-Attachment E1 - recruitment -
Zero Income Generic Clearance 11-21-11 PRA comments.docx Zero Income Generic Clearance 11-21-11 PRA comments	IC Document

IC Title:

Zero Income (I/H)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment A1 - Interview Guide - English	Attachment A1 - Interview Guide - English.docx	No	Paper Only
Other-Attachment A2 - SPANISH INTERVIEW PROTOCOL FOR ZERO INCOME STUDY	Attachment A2 - SPANISH INTERVIEW PROTOCOL FOR ZERO INCOME STUDY.docx	No	Paper Only
Other-Attachment B - Participant Consent Form - 1-23-12	Attachment B - Participant Consent Form - 1-23-12.docx	No	Paper Only
Other-Attachment B1 - Zero Income Participant Interview Consent Form Spanish - 1-26-12	Attachment B1 - Zero Income Participant Interview Consent Form Spanish - 1-26-12.docx	No	Paper Only
Other-Attachment E - recruitment - telelphone script for SNAP participant2 - 1-26-12	Attachment E - recruitment - telelphone script for SNAP participant2 - 1-26-12.docx	No	Paper Only
Other-Attachment E1 - recruitment - telelphone script for SNAP participant2 - spanish - 1-26-12	Attachment E1 - recruitment - telelphone script for SNAP participant2 - spanish - 1-26-12.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS-8 Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Zero Income Generic Clearance 11-21-11 PRA comments	Zero Income Generic Clearance 11-21-11 PRA comments.docx	01/26/2012

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