Information Collection

SFA Directors Survey 2013

IC 205441 under ICR 201312-0584-003 · OMB 0584-0562.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix F SFA Director Survey Year 3.docx	Other-SFA Director Survey Year 3
Appendix D5 CN Thank you Letter Year 3.docx Appendix D5 CN Thank you Letter Year 3	IC Document
Appendix D6 Notification to CN Directors of Start of SFA Survey Year 3.docx Appendix D6 Notification to CN Directors of Start of SFA Survey Year 3	IC Document
Appendix D7 SFA Invitation Letter Year 3.docx Appendix D7 SFA Invitation Letter Year 3	IC Document
Appendix D9 SFA Thank you Letter Year 3.docx Appendix D9 SFA Thank you Letter Year 3	IC Document
Appendix D8-1 SFA Follow-up Email Year 3.docx Appendix D8-1 SFA Follow-up Email Year 3	IC Document
Appendix D8-2 SFA Reminder Email Year 3.docx Appendix D8-2 SFA Reminder Email Year 3	IC Document

IC Title:

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 Year 3			Appendix F SFA Director Survey Year 3.docx		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: 1,510

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,070	563	4,507
Annual IC Time Burden (Hours)	3,195	-1,482	4,677
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D5 CN Thank you Letter Year 3	Appendix D5 CN Thank you Letter Year 3.docx	02/07/2014
Appendix D6 Notification to CN Directors of Start of SFA Survey Year 3	Appendix D6 Notification to CN Directors of Start of SFA Survey Year 3.docx	02/07/2014
Appendix D7 SFA Invitation Letter Year 3	Appendix D7 SFA Invitation Letter Year 3.docx	02/07/2014
Appendix D9 SFA Thank you Letter Year 3	Appendix D9 SFA Thank you Letter Year 3.docx	02/07/2014
Appendix D8-1 SFA Follow-up Email Year 3	Appendix D8-1 SFA Follow-up Email Year 3.docx	02/07/2014
Appendix D8-2 SFA Reminder Email Year 3	Appendix D8-2 SFA Reminder Email Year 3.docx	02/07/2014

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