Individuals and Households

An Assessment of the Roles and Effectiveness of Community-Based Organizations in the Supplemental Nutrition Assistance Program

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Individuals and Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.