FDPIR Directors, Staff and Key Stakeholders

Food Distribution Program on Indian Reservations (FDPIR) Paraprofessional Nutrition Training Assessment for Indian and Tribal Organizations (ITOs )Assessment

Documents and Forms

Document Name Document Type
Appendix C1. ITO Director Interview Guide_clean.docx Other-Appendix C1. ITO Director Inte
Appendix C2. FDPIR Staff Interview Guide_clean.docx Other-Appendix C2. FDPIR Staff Inter
Appendix C3. Stakeholder Interview Guide_clean.docx Other-Appendix C3. Stakeholder Inter
Appendix A3. Introduction and Statement of Confidentiality_clean.docx Appendix A3. Introduction and Statement of Confidentiality IC Document
Appendix B1. Email Invitiation to Participants 02.08.17.docx Appendix B1. Email Invitiation to Participants 02.08.17 IC Document
Appendix B2 Pre-Interview Call Phone Script 01.18.2017.docx Appendix B2 Pre-Interview Call Phone Script 01.18.2017 IC Document
Appendix B3. Participant Confirmation Email 02.08.17.docx Appendix B3. Participant Confirmation Email 02.08.17 IC Document
Appendix B4. Thank You Email For Study Participation 2.8.17.docx Appendix B4. Thank You Email For Study Participation 2.8.17 IC Document

Information Collection (IC) Details

IC Title:	FDPIR Directors, Staff and Key Stakeholders	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix C1. ITO Director Interview Guide	Appendix C1. ITO Director Interview Guide_clean.docx	No	Paper Only
Other-Appendix C2. FDPIR Staff Interview Guide	Appendix C2. FDPIR Staff Interview Guide_clean.docx	No	Paper Only
Other-Appendix C3. Stakeholder Interview Guide	Appendix C3. Stakeholder Interview Guide_clean.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 99	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	502	502
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix A3. Introduction and Statement of Confidentiality	Appendix A3. Introduction and Statement of Confidentiality_clean.docx	03/15/2017
Appendix B1. Email Invitiation to Participants 02.08.17	Appendix B1. Email Invitiation to Participants 02.08.17.docx	02/08/2017
Appendix B2 Pre-Interview Call Phone Script 01.18.2017	Appendix B2 Pre-Interview Call Phone Script 01.18.2017.docx	02/08/2017
Appendix B3. Participant Confirmation Email 02.08.17	Appendix B3. Participant Confirmation Email 02.08.17.docx	02/08/2017
Appendix B4. Thank You Email For Study Participation 2.8.17	Appendix B4. Thank You Email For Study Participation 2.8.17.docx	02/08/2017

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