Information Collection

EDECH Individuals & Households

IC 216369 under ICR 201504-0584-003 · OMB 0584-0603.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
B3a_EDECH revised FG discussion guide 2015.2.6.docx	Other-B3a_EDECH revised FG discussio
B3b_EDECH revised FG discussion guide-Spanish.docx	Other-B3b_EDECH revised FG discussio
B4a_EDECH revised IDI topic guide 2015.2.6.docx	Other-B4a_EDECH revised IDI topic gu
B4b_EDECH revised IDI topic guide Spanish.docx	Other-B4b_EDECH revised IDI topic gu
B6a_EDECH final 12-month follow-up HH survey 2015.08.17.docx	Other-B6a_EDECH final 12-month follo
B6b_EDECH final 12-month follow-up HH survey-Spanish 2015.08.17.docx	Other-B6b_EDECH final 12-month follo
B7a_EDECH final 18-month follow-up HH survey 2015.08.17.docx	Other-B7a_EDECH final 18-month follo
B7b_EDECH final 18-month follow-up HH survey-Spanish 2015.08.17.docx	Other-B7b_EDECH final 18-month follo
B5a_EDECH final baseline HH survey 2015.08.17.docx	Other-B5a_EDECH final baseline HH su
B5b_EDECH final baseline HH survey-Spanish 2015.08.17.docx	Other-B5b_EDECH final baseline HH su
C1a_EDECH final FG screener 2015.3.13.docx C1a_EDECH final FG screener 2015.3.13	IC Document
C1b_EDECH final FG screener 2015.3.13_Spanish.docx C1b_EDECH final FG screener 2015.3.13_Spanish	IC Document
C2a_EDECH final FG FAQs 2015.3.13.docx C2a_EDECH final FG FAQs 2015.3.13	IC Document
C2b_EDECH final FG FAQs 2015 3 13_Spanish.docx C2b_EDECH final FG FAQs 2015 3 13_Spanish	IC Document
C3a_EDECH FG confirmation letter 2015.1.9.docx C3a_EDECH FG confirmation letter 2015.1.9	IC Document
C3b_EDECH FG confirmation letter 2015.1.9_Spanish.docx C3b_EDECH FG confirmation letter 2015.1.9_Spanish	IC Document
C4a_EDECH FG reminder call script 2015.1.9.docx C4a_EDECH FG reminder call script 2015.1.9	IC Document
C4b_EDECH FG reminder call script 2015.1.9_Spanish.docx C4b_EDECH FG reminder call script 2015.1.9_Spanish	IC Document
C5a_EDECH final IDI recruitment script 2015.3.13.docx C5a_EDECH final IDI recruitment script 2015.3.13	IC Document
C5b_EDECH final IDI recruitment script 2015 03 11_sp.docx C5b_EDECH final IDI recruitment script 2015 03 11_sp	IC Document
C6a_EDECH IDI confirmation letter 2015.1.9.docx C6a_EDECH IDI confirmation letter 2015.1.9	IC Document
C6b_EDECH IDI confirmation letter 2015.1.9_Spanish.docx C6b_EDECH IDI confirmation letter 2015.1.9_Spanish	IC Document
C7a_EDECH IDI reminder script 2015.1.9.docx C7a_EDECH IDI reminder script 2015.1.9	IC Document
C7b_EDECH IDI reminder script 2015.1.9_Spanish.docx C7b_EDECH IDI reminder script 2015.1.9_Spanish	IC Document
C8b_EDECH brochure_SPANISH_081715.pdf C8b_EDECH brochure_SPANISH_081715	IC Document
C9a_EDECH final advance letter 2015.08.17.docx C9a_EDECH final advance letter 2015.08.17	IC Document
C9b_EDECH final advance letter_2015.08.17_Spanish.docx C9b_EDECH final advance letter_2015.08.17_Spanish	IC Document
C10a_EDECH final follow-up advance letter 2015.8.17.docx C10a_EDECH final follow-up advance letter 2015.8.17	IC Document
C10b_EDECH final follow-up advance letter 2015.8.17 sp.docx C10b_EDECH final follow-up advance letter 2015.8.17 sp	IC Document
C11a_EDECH final reminder letter 2015.3.13.docx C11a_EDECH final reminder letter 2015.3.13	IC Document
C11b_EDECH final reminder letter 2015.3.27_Spanish.docx C11b_EDECH final reminder letter 2015.3.13_Spanish	IC Document
C12a_EDECH final refusal letter 2015.3.13.docx C12a_EDECH final refusal letter 2015.3.13	IC Document
C12b_EDECH final refusal letter 2015.3.27_Spanish.docx C12b_EDECH final refusal letter 2015.3.13.15_Spanish	IC Document
C13a_EDECH_Field Locating Letter.docx C13a_EDECH_Field Locating Letter	IC Document
C13b_EDECH_Field Locating Letter_Spanish.docx C13b_EDECH_Field Locating Letter_Spanish	IC Document
D1a_EDECH final FG consent form 2015.3.13.docx D1a_EDECH final FG consent form 2015.3.13	IC Document
D1b_EDECH final FG consent form 2015.3.13_Spanish.docx D1b_EDECH final FG consent form 2015.3.13_Spanish	IC Document
D2a_EDECH final IDI consent form_2015.3.13.doc D2a_EDECH final IDI consent form_2015.3.13	IC Document
D2b_EDECH final IDI consent form_2015.3.13_Spanish.doc D2b_EDECH final IDI consent form_2015.3.13_Spanish	IC Document
D3a_EDECH final active consent letter 2015.8.17.docx D3a_EDECH final active consent letter 2015.8.17	IC Document
D3b_EDECH final active consent letter-generic_Spanish_8-17-15.docx D3b_EDECH final active consent letter-generic_Spanish_8-17-15	IC Document
D4a_EDECH final passive consent letter 2015.8.17.docx D4a_EDECH final passive consent letter 2015.8.17	IC Document
D4b_EDECH final passive consent letter_Spanish_8-17-15.docx D4b_EDECH final passive consent letter_Spanish_8-17-15	IC Document
C8a_EDECH brochure_081715.pdf C8a_EDECH brochure_081715	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

EDECH Individuals & Households

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-B5a_EDECH final baseline HH survey 2015.08.17	B5a_EDECH final baseline HH survey 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B5b_EDECH final baseline HH survey-Spanish 2015.08.17	B5b_EDECH final baseline HH survey-Spanish 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B6a_EDECH final 12-month follow-up HH survey 2015.05.11	B6a_EDECH final 12-month follow-up HH survey 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B6b_EDECH final 12-month follow-up HH survey-Spanish 2015.08.17	B6b_EDECH final 12-month follow-up HH survey-Spanish 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B7a_EDECH final 18-month follow-up HH survey 2015.08.17	B7a_EDECH final 18-month follow-up HH survey 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B7b_EDECH final 18-month follow-up HH survey-Spanish 2015.08.17	B7b_EDECH final 18-month follow-up HH survey-Spanish 2015.08.17.docx	Yes	No	Fillable Fileable
Other-B4a_EDECH revised IDI topic guide 2015.2.6	B4a_EDECH revised IDI topic guide 2015.2.6.docx	No		Paper Only
Other-B4b_EDECH revised IDI topic guide Spanish	B4b_EDECH revised IDI topic guide Spanish.docx	No		Paper Only
Other-B3a_EDECH revised FG discussion guide 2015.2.6	B3a_EDECH revised FG discussion guide 2015.2.6.docx	No		Paper Only
Other-B3b_EDECH revised FG discussion guide-Spanish	B3b_EDECH revised FG discussion guide-Spanish.docx	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: 26,508

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	144,782	144,782
Annual IC Time Burden (Hours)	28,871	28,871
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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