State Agencies

Child and Adult Care Food Program (CACFP) Family Day Care Homes Meal Claims Feasibility Study

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.