FNS-742 Data Study (2 of 2)

Generic Clearance to Conduct Formative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - State Recruitment Letter_FINAL.docx Other- Appendix A - State Recruitmen
Appendix B - FNS-742.pdf Other-Appendix B - FNS-742
Appendix C - Interview guide.docx Other-Appendix C - Interview guide
0584-0524 OMB memo - FNS-742 Data Study_FINAL.docx 0584-0524 OMB memo - FNS-742 Data Study IC Document

Information Collection (IC) Details

IC Title:	FNS-742 Data Study (2 of 2)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix C - Interview guide	Appendix C - Interview guide.docx	No	Paper Only
Other-Appendix B - FNS-742	Appendix B - FNS-742.pdf	No	Paper Only
Other- Appendix A - State Recruitment Letter	Appendix A - State Recruitment Letter_FINAL.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: 74	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	130	130
Annual IC Time Burden (Hours)	376	376
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0584-0524 OMB memo - FNS-742 Data Study	0584-0524 OMB memo - FNS-742 Data Study_FINAL.docx	07/28/2017

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