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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.