Information Collection

Feasibility Study - Responsive

IC 214846 under ICR 201501-0584-002 · OMB 0584-0600.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B Survey Instrument 2015 02 02.docx	Other-Attachment B Survey Instrument
Attachment B 4 - Survey Screenshots 2015 02 02.docx	Other-Attachment B 4 - Survey Screen
Attachment C Site Visit Interview Guide 2015 02 02.docx	Other-Attachment C Site Visit Interv
Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02.docx Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02	IC Document
Attachment B 2 Survey Invitation 2015 02 02.docx Attachment B 2 Survey Invitation 2015 02 02	IC Document
Attachment B 3 Survey Follow-Up 2015 02 02.docx Attachment B 3 Survey Follow-Up 2015 02 02	IC Document

IC Title:

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?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment B Survey Instrument 2015 02 02	No		Paper Only
Other-Attachment B 4 - Survey Screenshots 2015 02 02	Yes	Yes	Fillable Fileable
Other-Attachment C Site Visit Interview Guide 2015 02 02	No		Paper Only

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: 322

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	789	789
Annual IC Time Burden (Hours)	459	459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02		02/02/2015
Attachment B 2 Survey Invitation 2015 02 02		02/02/2015
Attachment B 3 Survey Follow-Up 2015 02 02		02/02/2015

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

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