Process Evaluation

Eval of SNAP Nutrition Edu Practices Study - Wave II

⚠️ Notice: This information collection may be referencing outdated material.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 Evalua SLO 3.1.11.docx Other-Questionnaire
APPENDIX C. Assessment of IA-Led Evaluation Review Form-SNAP-Ed I.doc Other-Evaluation Review Form
APPENDIX_I._Advance Letters_for_Process_Evaluation_012011_SLO_2.2.11[1].docx Appendix I: Advance Letters IC Document

Information Collection (IC) Details

IC Title:	Process Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Questionnaire			APPENDIX B. Data Collection Instruments for Process Evalua SLO 3.1.11.docx		Yes	Yes	Fillable Printable
Other-Evaluation Review Form			APPENDIX C. Assessment of IA-Led Evaluation Review Form-SNAP-Ed I.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: 247	Number of Respondents for Small Entity: 6

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	541	398	143
Annual IC Time Burden (Hours)	339	270	69
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix I: Advance Letters	APPENDIX_I._Advance Letters_for_Process_Evaluation_012011_SLO_2.2.11[1].docx	03/02/2011

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