Information Collection

FDPIR Directors, Staff and Key Stakeholders

IC 225621 under ICR 201606-0584-003 · OMB 0584-0628.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	Available Electronically?	Electronic Capability
Other-Appendix C1. ITO Director Interview Guide	No	Paper Only
Other-Appendix C2. FDPIR Staff Interview Guide	No	Paper Only
Other-Appendix C3. Stakeholder Interview Guide	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 %

table that charts list of burden
	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

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

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

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