Information Collection

SFA Directors Survey 2013

IC 205441 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⚠️ Notice: This information collection may be referencing outdated material.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 F SFA Director Survey_2012.docx www.sfanutritionsurvey.org	Other-SFA Director Survey 2013
042413 Appendix F SFA Director Survey_2012.docx www.sfanutritionsurvey.org	Other-SFA Director Survey 2013v2
Appendix D5 SFA Invitation Letter.docx Appendix D5 SFA Invitation Letter	IC Document
Appendix D6 SFA Follow-up Email.docx Appendix D6 SFA Follow-up Email	IC Document
Appendix D7 SFA Reminder Postcard.docx Appendix D7 SFA Reminder Postcard	IC Document
Appendix D8 Telephone Interviewer Script.docx Appendix D8 Telephone Interviewer Script	IC Document
Appendix D9 SFA Thank You Letter.docx Appendix D9 SFA Thank You Letter	IC Document

IC Title:

SFA Directors Survey 2013

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-SFA Director Survey 2013			Appendix F SFA Director Survey_2012.docx	http://www.sfanutritionsurvey.org	Yes	Yes	Fillable Fileable
Other-SFA Director Survey 2013v2			042413 Appendix F SFA Director Survey_2012.docx	http://www.sfanutritionsurvey.org	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: 1,507

Number of Respondents for Small Entity: 15

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	4,507	4,507
Annual IC Time Burden (Hours)	4,677	4,677
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D5 SFA Invitation Letter	Appendix D5 SFA Invitation Letter.docx	02/05/2013
Appendix D6 SFA Follow-up Email	Appendix D6 SFA Follow-up Email.docx	02/05/2013
Appendix D7 SFA Reminder Postcard	Appendix D7 SFA Reminder Postcard.docx	02/05/2013
Appendix D8 Telephone Interviewer Script	Appendix D8 Telephone Interviewer Script.docx	02/05/2013
Appendix D9 SFA Thank You Letter	Appendix D9 SFA Thank You Letter.docx	02/05/2013

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