Information Collection

State, Local and Tribal Agencies (Directors, SFA & Schools)

IC 226801 under ICR 201703-0584-007 · OMB 0584-0632.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
B-10. Contact Guide_previsit State CN.docx	Other-B-10. Contact Guide_previsit S
B-11. Contact Guide_onsite interviews.docx	Other-B-11. Contact Guide_onsite int
C-1. State CN Dir Pre-Visit Pre-Test Protocol.docx	Other-C-1. State CN Dir Pre-Visit Pr
C-2. State CN Director Pre-Test Protocol-1.docx	Other-C-2. State CN Director Pre-Tes
C-3. State Child Nutrition Key staff Pre-Test Protocol.docx	Other-C-3. State Child Nutrition Key
C-4. State SNAP Director Pre-Test Protocol.docx	Other-C-4. State SNAP Director Pre-T
C-5. SFA Pre-Test Protocol.docx	Other-C-5. SFA Pre-Test Protocol.doc
C-6. School Pre-Test Protocol.docx	Other-C-6. School Pre-Test Protocol.
C-7. State_CN_Dir_Pre-Visit_Guide.docx	Other-C-7. State_CN_Dir_Pre-Visit_Gu
C-8. State_CN_Director_Guide.docx	Other-C-8. State_CN_Director_Guide.d
C-9. SNAP_Dir_Guide.docx	Other-C-9. SNAP_Dir_Guide.docx
C-10. State_Key_Staff_Guide_FNS 10.docx	Other-C-10. State_Key_Staff_Guide_FN
C-11. State_Key_Staff_Guide_FNS 742 & 834.docx	Other-C-11. State_Key_Staff_Guide_FN
C-12. SFA_Guide.docx	Other-C-12. SFA Guide.docx
C-13. School_Guide.docx	Other-C-13. School_Guide.docx
A-5. FNS10Screenshots.pdf A-5. FNS10Screenshots.pdf	IC Document
A-6. FNS742.pdf A-6. FNS742.pdf	IC Document
A-7. FNS834.pdf A-7. FNS834.pdf	IC Document
B-1. Initial Study Notification E-Letter to all FNS Regional CN Directors.docx B-1. Initial Study Notification E-Letter to all FNS Regional CN Directors.docx	IC Document
B-2. Initial Study Notification E-Letter to all FNS Regional SNAP Directors.docx B-2. Initial Study Notification E-Letter to all FNS Regional SNAP Directors.docx	IC Document
B-3. Initial Study Notification E-Letter to all State CN Directors.docx B-3. Initial Study Notification E-Letter to all State CN Directors.docx	IC Document
B-4. Initial Study Notification Letter to all State SNAP Directors.docx B-4. Initial Study Notification Letter to all State SNAP Directors.docx	IC Document
B-5. State Selection Notification E-Letter From FNS to FNS Regional Directors.docx B-5. State Selection Notification E-Letter From FNS to FNS Regional Directors.docx	IC Document
B-6. State Selection Notification E-Letter From FNS to 4 Selected CN State Directors.docx B-6. State Selection Notification E-Letter From FNS to 4 Selected CN State Directors.docx	IC Document
B-7. State Selection Notification E-Letter from FNS to 4 Selected SNAP State Directors.docx B-7. State Selection Notification E-Letter from FNS to 4 Selected SNAP State Directors.docx	IC Document
B-8. SFA Study Notification E-Letter.docx B-8. SFA Study Notification E-Letter.docx	IC Document
B-9. School Study Notification E-Letter.docx B-9. School Study Notification E-Letter.docx	IC Document
B-12. Study FAQs.docx B-12. Study FAQs.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local and Tribal Agencies (Directors, SFA & Schools)

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	Instrument File	Available Electronically?	Electronic Capability
Other-B-10. Contact Guide_previsit State CN.docx	B-10. Contact Guide_previsit State CN.docx	No	Paper Only
Other-B-11. Contact Guide_onsite interviews.docx	B-11. Contact Guide_onsite interviews.docx	No	Paper Only
Other-C-1. State CN Dir Pre-Visit Pre-Test Protocol.docx	C-1. State CN Dir Pre-Visit Pre-Test Protocol.docx	No	Paper Only
Other-C-2. State CN Director Pre-Test Protocol-2.docx	C-2. State CN Director Pre-Test Protocol-1.docx	No	Paper Only
Other-C-3. State Child Nutrition Key staff Pre-Test Protocol.docx	C-3. State Child Nutrition Key staff Pre-Test Protocol.docx	No	Paper Only
Other-C-4. State SNAP Director Pre-Test Protocol.docx	C-4. State SNAP Director Pre-Test Protocol.docx	No	Paper Only
Other-C-5. SFA Pre-Test Protocol.docx	C-5. SFA Pre-Test Protocol.docx	No	Paper Only
Other-C-6. School Pre-Test Protocol.docx	C-6. School Pre-Test Protocol.docx	No	Paper Only
Other-C-7. State_CN_Dir_Pre-Visit_Guide.docx	C-7. State_CN_Dir_Pre-Visit_Guide.docx	No	Paper Only
Other-C-8. State_CN_Director_Guide.docx	C-8. State_CN_Director_Guide.docx	No	Paper Only
Other-C-9. SNAP_Dir_Guide.docx	C-9. SNAP_Dir_Guide.docx	No	Paper Only
Other-C-10. State_Key_Staff_Guide_FNS 10.docx	C-10. State_Key_Staff_Guide_FNS 10.docx	No	Paper Only
Other-C-11. State_Key_Staff_Guide_FNS 742 & 834.docx	C-11. State_Key_Staff_Guide_FNS 742 & 834.docx	No	Paper Only
Other-C-12. SFA Guide.docx	C-12. SFA_Guide.docx	No	Paper Only
Other-C-13. School_Guide.docx	C-13. School_Guide.docx	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 289

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	716	716
Annual IC Time Burden (Hours)	301	301
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A-5. FNS10Screenshots.pdf	A-5. FNS10Screenshots.pdf	05/23/2017
A-6. FNS742.pdf	A-6. FNS742.pdf	05/23/2017
A-7. FNS834.pdf	A-7. FNS834.pdf	05/23/2017
B-1. Initial Study Notification E-Letter to all FNS Regional CN Directors.docx	B-1. Initial Study Notification E-Letter to all FNS Regional CN Directors.docx	05/23/2017
B-2. Initial Study Notification E-Letter to all FNS Regional SNAP Directors.docx	B-2. Initial Study Notification E-Letter to all FNS Regional SNAP Directors.docx	05/23/2017
B-3. Initial Study Notification E-Letter to all State CN Directors.docx	B-3. Initial Study Notification E-Letter to all State CN Directors.docx	05/23/2017
B-4. Initial Study Notification Letter to all State SNAP Directors.docx	B-4. Initial Study Notification Letter to all State SNAP Directors.docx	05/23/2017
B-5. State Selection Notification E-Letter From FNS to FNS Regional Directors.docx	B-5. State Selection Notification E-Letter From FNS to FNS Regional Directors.docx	05/23/2017
B-6. State Selection Notification E-Letter From FNS to 4 Selected CN State Directors.docx	B-6. State Selection Notification E-Letter From FNS to 4 Selected CN State Directors.docx	05/23/2017
B-7. State Selection Notification E-Letter from FNS to 4 Selected SNAP State Directors.docx	B-7. State Selection Notification E-Letter from FNS to 4 Selected SNAP State Directors.docx	05/23/2017
B-8. SFA Study Notification E-Letter.docx	B-8. SFA Study Notification E-Letter.docx	05/23/2017
B-9. School Study Notification E-Letter.docx	B-9. School Study Notification E-Letter.docx	05/23/2017
B-12. Study FAQs.docx	B-12. Study FAQs.docx	05/23/2017

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