Information Collection

State Agencies

IC 223836 under ICR 201610-0584-001 · OMB 0584-0623.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CACFP_MCS_Appendix B-2-1 Phone Script FollowUp StateAgency Final.docx	Other-Appendix B-2-1 Telephone Follo
CACFP_MCS_Appendix B-1-2 Recruitment Letter State Agency Final.docx Appendix B-1-2. Recruitment Letter to State Agency	IC Document

IC Title:

State Agencies

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B-2-1 Telephone Follow-up Script to Recruit State Agency			CACFP_MCS_Appendix B-2-1 Phone Script FollowUp StateAgency Final.docx		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 4

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	14	14
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix B-1-2. Recruitment Letter to State Agency	CACFP_MCS_Appendix B-1-2 Recruitment Letter State Agency Final.docx	10/11/2016

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