Information Collection

Individuals and Households

IC 205074 under ICR 201602-0584-004 · OMB 0584-0578.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CPI - Appendix C - Client Satisfaction Survey (Spanish) 5-31-16.docx	Other-CPI - Appendix C - Client Sati
CPI - Appendix B - Client Satisfaction Survey (English) 5-31-16.docx	Other-CPI - Appendix B - Client Sati

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-CPI - Appendix C - Client Satisfaction Survey (Spanish) (3-24-16)			CPI - Appendix C - Client Satisfaction Survey (Spanish) 5-31-16.docx		No		Paper Only
Other-CPI - Appendix B - Client Satisfaction Survey (English) 5-31-16			CPI - Appendix B - Client Satisfaction Survey (English) 5-31-16.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: 3,389

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	3,389	-7,659	11,048
Annual IC Time Burden (Hours)	277	-589	866
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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