Information Collection

State & SFA Director Survey

IC 196904 under ICR 201103-0584-002 · OMB 0584-0562.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0562 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C -SFA Questionnaire 3-15-2011.docx	Other-Appendix C: School Food Author
Appendix D - state survey - 3-15-2011.docx	Other-Appendix D: State Director Sur
Appendix B1 Invitation Ltr to SFA Directors 3-15-2011.docx Appendix B1 Invitation Ltr to SFA Directors	IC Document
Appendix B2 Follow up Email to SFA Directors 3-15-2011.docx Appendix B2 Follow up Email to SFA Directors	IC Document
Appendix B3 Follow up Postcard Reminder to SFA Director 3-15-2011.docx Appendix B3 Follow up Postcard Reminder to SFA Director	IC Document
Appendix B4 3-15-2011.docx Appendix B4: TELEPHONE INTERVIEWER SCRIPT	IC Document
Appendix B5 Thanks SFA Director 3-15-2011.docx Appendix B5 Thanks SFA Director	IC Document
Appendix B6 Invitation Ltr SA CN Director 3-15-2011.docx Appendix B6 Invitation Ltr SA CN Director	IC Document
Appendix B7 Thanks SA CN Director 3-15-2011.docx Appendix B7 Thanks SA CN Directors	IC Document

IC Title:

State & SFA Director Survey

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-Appendix C: School Food Authority (SFA) Director Survey 2011			Appendix C -SFA Questionnaire 3-15-2011.docx		No		Paper Only
Other-Appendix D: State Director Survey			Appendix D - state survey - 3-15-2011.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,563

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,563	1,563
Annual IC Time Burden (Hours)	2,743	2,743
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix B1 Invitation Ltr to SFA Directors	Appendix B1 Invitation Ltr to SFA Directors 3-15-2011.docx	03/16/2011
Appendix B2 Follow up Email to SFA Directors	Appendix B2 Follow up Email to SFA Directors 3-15-2011.docx	03/16/2011
Appendix B3 Follow up Postcard Reminder to SFA Director	Appendix B3 Follow up Postcard Reminder to SFA Director 3-15-2011.docx	03/16/2011
Appendix B4: TELEPHONE INTERVIEWER SCRIPT	Appendix B4 3-15-2011.docx	03/16/2011
Appendix B5 Thanks SFA Director	Appendix B5 Thanks SFA Director 3-15-2011.docx	03/16/2011
Appendix B6 Invitation Ltr SA CN Director	Appendix B6 Invitation Ltr SA CN Director 3-15-2011.docx	03/16/2011
Appendix B7 Thanks SA CN Directors	Appendix B7 Thanks SA CN Director 3-15-2011.docx	03/16/2011

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