OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Individuals/Households

IC 222025 under ICR 201606-0584-006 · OMB 0584-0618.

Documents and Forms
Document Name
Document Type
Other-Appendix B20 NAMES Recruitment
Other-Appendix B21 NAMES Recruitment
Other-Appendix C19 NAMES Survey Cons
Other-Appendix C20 NAMES Survey Cons
Other-Appendix C23 NAMES Survey Inco
Other-Appendix C24 NAMES Survey Inco
Other-Appendix C25 NAMES Survey
Other-Appendix C26 NAMES Survey - Sp
Other-Appendix C29 NAMES Survey Ince
Other-Appendix C30 NAMES Survey Ince
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Individuals/Households
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B20 NAMES Recruitment Call Script Appendix B20 NAMES Recruitment Call Script.docx Yes Yes Fillable Fileable
Other-Appendix B21 NAMES Recruitment Call Script - Spanish Appendix B21 NAMES Recruitment Call Script_Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C19 NAMES Survey Consent Form Appendix C19 NAMES Survey Consent Form.docx No   Paper Only
Other-Appendix C20 NAMES Survey Consent Form - Spanish Appendix C20 NAMES Survey Consent Form-Spanish.docx No   Paper Only
Other-Appendix C23 NAMES Survey Income Worksheet Appendix C23 NAMES Survey Income Worksheet.docx No   Paper Only
Other-Appendix C24 NAMES Survey Income Worksheet - Spanish Appendix C24 NAMES Survey Income Worksheet_Spanish.docx No   Paper Only
Other-Appendix C25 NAMES Survey Appendix C25 NAMES Survey.docx Yes Yes Fillable Fileable
Other-Appendix C26 NAMES Survey - Spanish Appendix C26 NAMES Survey_Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C29 NAMES Survey Incentive Received Form Appendix C29 NAMES Survey Incentive Received Form.doc No   Paper Only
Other-Appendix C30 NAMES Survey Incentive Received Form - Spanish Appendix C30 NAMES Survey Incentive Received Form_Spanish.doc No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

6,767 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 51,992 0 51,992 0 0 0
Annual IC Time Burden (Hours) 9,152 0 9,152 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B16 NAMES Introductory Letter Appendix B16 NAMES Introductory Letter.docx 06/21/2016
Appendix B17 NAMES Introductory Letter - Spanish Appendix B17 NAMES Introductory Letter_Spanish.docx 06/21/2016
Appendix B18 NAMES Brochure Appendix B18 NAMES Brochure.docx 06/21/2016
Appendix B19 NAMES Brochure - Spanish Appendix B19 NAMES Brochure-Spanish.docx 06/21/2016
Appendix C21 NAMES Appointment Reminder Letter Appendix C21 NAMES Appointment Reminder Letter.docx 06/22/2016
Appendix C22 NAMES Appointment Reminder Letter - Spanish Appendix C22 NAMES Appointment Reminder Letter_Spanish.docx 06/22/2016
Appendix C27 NAMES Survey Income Source Show Card Appendix C27 NAMES Survey Income Source Show Card.docx 06/22/2016
Appendix C28 NAMES Survey Income Source Show Card - Spanish Appendix C28 NAMES Survey Income Source Show Card_Spanish.docx 06/22/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.