Information Collection

FNS-742 Data Study (2 of 2)

IC 227316 under ICR 201606-0584-008 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.