OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Impact Evaluation Instruments - Households

IC 190543 under ICR 201201-0584-004 · OMB 0584-0554.

Documents and Forms
Document Name
Document Type
Other-Questionnaire - Michigan
Other-Questionnaire - KY
Other-Questionnaire - PA
Other-Survey Instruments for the Iow
Other-Survey: Instruments for the Io
Other-Survey: Instruments for the Io
Other-Survey: Instruments for the Io
Other-Survey: Instruments for the Io
Other-NEW Postcard
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Impact Evaluation Instruments - Households
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-NEW Postcard Postcard_NewYear2012.pdf No   Paper Only
Other-Questionnaire - Michigan Appendix A Impact Evaluation Data Collecting Instrument MSUE 3 16 11.doc No   Paper Only
Other-Questionnaire - KY Appendix A. Impact Evaluation Data Collecting Instrument UKCES 3.16.11.doc No   Paper Only
Other-Questionnaire - PA Appendix A. Impact Evaluation Data Collecting Instruments INN 3.16.11.doc No   Paper Only
Other-Survey Instruments for the Iowa Nutrition Network Impact Evaluation�Spanish Version APPENDIX A. Data Collection Instruments for Impact Evaluation INN Spanish Part 1.docx No   Paper Only
Other-Survey: Instruments for the Iowa Nutrition Network Impact Evaluation�Spanish Version APPENDIX A. Data Collection Instruments for Impact Evaluation INN Spanish Part 2.docx No   Paper Only
Other-Survey: Instruments for the Iowa Nutrition Network Impact Evaluation�Spanish Version APPENDIX A. Data Collection Instruments for Impact Evaluation INN English Part 3 1-3-2011 PRAB comments.docx No   Paper Only
Other-Survey: Instruments for the Iowa Nutrition Network Impact Evaluation�Spanish Version APPENDIX A. Data Collection Instruments for Impact Evaluation INN Spanish Part 4.docx No   Paper Only
Other-Survey: Instruments for the Iowa Nutrition Network Impact Evaluation�Spanish Version APPENDIX A. Data Collection Instruments for Impact Evaluation INN Spanish Part 5.docx No   Paper Only

Income Security Food and Nutrition Assistance

 

1,928 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,752 0 -739 0 0 7,491
Annual IC Time Burden (Hours) 1,640 0 86 0 0 1,554
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
APPENDIX H. Households Cover Letters, Recruitment Letters and other APPENDIX H. Cover Letters, Recruitment Letters and other St SLO 2.1.11.docx 03/02/2011
APPENDIX E. Statistical Methods for Impact Evaluation APPENDIX E. Statistical Methods for Impact Evaluation_final.docx 03/03/2011
APPENDIX F. Data Collection Methods for Impact Evaluation APPENDIX F. Data Collection Methods for Impact Evaluation_f.docx 03/03/2011
Appendix H - Cover Letters, Recruitment Letters and other APPENDIX H. Cover Letters, Recruitment Letters and other St SLO 2.1.11.docx 06/09/2011
APPENDIX E. Statistical Methods for Impact Evaluation APPENDIX E. Statistical Methods for Impact Evaluation_final.docx 06/09/2011
APPENDIX F. Data Collection Methods for Impact Evaluation APPENDIX F. Data Collection Methods for Impact Evaluation_f.docx 06/09/2011
Change Justification Memo OMB_Memo_PostCard (2) revised dec 2011 (2).doc 01/13/2012
Revised Burden Estimate Table 0554 SNAP Edu Wave II burden estimate table revised 2-1-12.xlsx 02/07/2012
Non Respondent Burden 0554 Non-responses for SNAP Edu Wave II burden estimate table revised 2-1-12.xlsx 02/07/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.