Information Collection

Process Evaluation

IC 190556 under ICR 201201-0584-004 · OMB 0584-0554.

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	541	541
Annual IC Time Burden (Hours)	339	339
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.