Information Collection

Individual/Households

IC 202644 under ICR 201401-0584-001 · OMB 0584-0582.

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 F1 - Telephone Guide with Procedural Denials Guide.docx	Other-Ap F3 - Telephone Guide with P
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: Modified

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
Other-Ap F3 - Telephone Guide with Procedural Denials Guide	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: 56 FR 19078

Number of Respondents: 2,901

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,901	0	2,901
Annual IC Time Burden (Hours)	616	-47	663
Annual IC Cost Burden (Dollars)	0	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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