Information Collection

State Agencies - CACFP Administrating Agency

IC 218962 under ICR 201511-0584-005 · OMB 0584-0615.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C1 State Agency Recruitment Letters Scripts_Final 3.10.16.docx	Other-Appendix C1 State Agency Recru
Appendix C2 Study Fact Sheet.docx Appendix C2 Study Fact Sheet	IC Document
Appendix C3 Study Endorsement Letter from USDA Final 10.30.15.pdf Appendix C3 Study Endorsement Letter from USDA	IC Document
Appendix C4 Study Endorsement Letter.pdf Appendix C4 Study Endorsement Letter from the President of the CACFP Forum	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-Appendix C1 State Agency Recruitment Letters and Call Scripts			Appendix C1 State Agency Recruitment Letters Scripts_Final 3.10.16.docx		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: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix C2 Study Fact Sheet	Appendix C2 Study Fact Sheet.docx	11/15/2015
Appendix C3 Study Endorsement Letter from USDA	Appendix C3 Study Endorsement Letter from USDA Final 10.30.15.pdf	11/15/2015
Appendix C4 Study Endorsement Letter from the President of the CACFP Forum	Appendix C4 Study Endorsement Letter.pdf	11/15/2015

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