State Agency (aka Key Informants)

Evaluation of the Summer Food Service Program Enhancement Demonstrations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0560 can be found here:

Documents and Forms

Document Name Document Type
I1. Cost Instrument - Short.docx Other-State Agency Cost Quest.
J._Key_informant_interview_guides_7-20-11.docx Other-State Agency Interview Guides

Information Collection (IC) Details

IC Title:	State Agency (aka Key Informants)	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-State Agency Cost Quest.			I1. Cost Instrument - Short.docx		No		Paper Only
Other-State Agency Interview Guides			J._Key_informant_interview_guides_7-20-11.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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