Information Collection

Individual/Households

IC 202644 under ICR 201206-0584-002 · OMB 0584-0582.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0582 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ap D1 - Client Survey.docx	Other-Appendix D1 - Client Survey
Ap D2_Client Survey_Spanish.docx	Other-Appendix D2 - Client Survey-Sp
Ap F2_Focus Groups with Procedural Denials Guide_Spanish.docx	Other-Ap F2_Focus Groups with Proced
Ap F1 - Focus Groups with Procedural Denials Guide-English.docx	Other-Ap F1-Focus Groups with Proced
Ap E1 - Client Survey Correspondence-Advance Letter.docx Appendix E1 - Client Survey Correspondence-Advance Letter (Revised)	IC Document
Ap E2 - Client Survey Correspondence-Client Survey FAQs.docx Appendix E2 - Client Survey Correspondence-Client Survey FAQs (Revised).docx	IC Document
Ap G1 - Focus Group Advance Letter.docx Appendix G1 - Focus Group Advance Letter	IC Document
Ap G2 - Focus Group Correspondence-Recruitment Script.docx Appendix G2 - Focus Group Correspondence-Recruitment Script (Revised)	IC Document
Ap G3 - Focus Group FAQs.docx Appendix G3 - Focus Group FAQ (Revised)	IC Document
Ap G4_Focus Group Reminder Script.docx Appendix G4 - Focus Group Reminder Script.	IC Document
Ap G5_Focus Group Participant Consent Form.docx Appendix G5 - Focus Group Participant Consent Form (Revised).	IC Document
Ap E1.2 - Client Survey Correspondence-SPANISH Advance Letter.docx Appendix E1.2- Client Survey Correspondence-Advance Letter Spanish	IC Document
Ap E2.2 - Client Survey Correspondence-SPANISH Client Survey FAQs.docx Appendix E2.2- Client Survey Correspondence-Client Survey FAQs Spanish	IC Document
Ap G1.2 - Focus Group Advance Letter SPANISH.docx Appendix G1.2-Focus Group Advance Letter Spanish	IC Document
Ap G2.2 - Focus Group Correspondence-Recruitment Script SPANISH.docx Appendix G2.2- Focus Group Correspondence-Recruitment Script Spanish	IC Document
Ap G3.2 Focus Group FAQs SPANISH.docx Appendix G3.2-Focus Group FAQ Spanish	IC Document
Ap G4.2_Focus Group Reminder Script SPANISH.docx Appendix G4.2- Focus Group Reminder Script Spanish	IC Document
Ap G5.2_Focus Group Participant Consent Form-SPANISH.docx Appendix G5.2- Focus Group Participant Consent Form Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Individual/Households

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	Available Electronically?	Electronic Capability
Other-Appendix D1 - Client Survey	No	Paper Only
Other-Appendix D2 - Client Survey-Spanish (Revised)	No	Paper Only
Other-Ap F2_Focus Groups with Procedural Denials Guide_(Revised 062112)_Spanish	No	Paper Only
Other-Ap F1-Focus Groups with Procedural Denials	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 65 FR 17251

Number of Respondents: 3,776

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,776	3,776
Annual IC Time Burden (Hours)	736	736
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E1 - Client Survey Correspondence-Advance Letter (Revised)		08/20/2012
Appendix E2 - Client Survey Correspondence-Client Survey FAQs (Revised).docx		08/20/2012
Appendix G1 - Focus Group Advance Letter		08/20/2012
Appendix G2 - Focus Group Correspondence-Recruitment Script (Revised)		08/20/2012
Appendix G3 - Focus Group FAQ (Revised)		08/20/2012
Appendix G4 - Focus Group Reminder Script.		08/20/2012
Appendix G5 - Focus Group Participant Consent Form (Revised).		08/20/2012
Appendix E1.2- Client Survey Correspondence-Advance Letter Spanish		08/20/2012
Appendix E2.2- Client Survey Correspondence-Client Survey FAQs Spanish		08/20/2012
Appendix G1.2-Focus Group Advance Letter Spanish		08/20/2012
Appendix G2.2- Focus Group Correspondence-Recruitment Script Spanish		08/20/2012
Appendix G3.2-Focus Group FAQ Spanish		08/20/2012
Appendix G4.2- Focus Group Reminder Script Spanish		08/20/2012
Appendix G5.2- Focus Group Participant Consent Form Spanish		08/20/2012

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

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