Information Collection

State Director Survey 2013

IC 196904 under ICR 201304-0584-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Appendix E State Director Survey_2012.docx	Other-State Director Survey 2013
Appendix D1 CN Invitation Letter.docx Appendix D1 CN Invitation Letter	IC Document
Appendix D2 State CN Follow-up Email.docx Appendix D2 State CN Follow-up Email	IC Document
Appendix D3 State CN Telephone Interviewer Script.docx Appendix D3 State CN Telephone Interviewer Script	IC Document
Appendix D4 CN Thank you Postcard.docx Appendix D4 CN Thank you Postcard	IC Document

IC Title:

State Director Survey 2013

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-State Director Survey 2013			Appendix E State Director Survey_2012.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: 53

Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D1 CN Invitation Letter	Appendix D1 CN Invitation Letter.docx	02/05/2013
Appendix D2 State CN Follow-up Email	Appendix D2 State CN Follow-up Email.docx	02/05/2013
Appendix D3 State CN Telephone Interviewer Script	Appendix D3 State CN Telephone Interviewer Script.docx	02/05/2013
Appendix D4 CN Thank you Postcard	Appendix D4 CN Thank you Postcard.docx	02/05/2013

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