Information Collection

CN Directors, SFAs, and Local Government Survey Activities (SLT)

IC 228199 under ICR 201709-0584-001 · OMB 0584-0638.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
10. Verification data request.docx	Other-Appendix 10 Verification Data
11. District Interview.docx	Other-Appendix 11 District Interview
13. Reapplication data request.docx	Other-Appendix 13 Reapplication Data
16. District recruitment call script.docx	Other-Appendix 16 District Recruitme
18. Verification data request template.xlsx	Other-Appendix 18 Verification Data
19. District interview inviation email.docx	Other-Appendix 19 District Interview
24. Reapplication data request template.xlsx	Other-Appendix 24 Reapplication Data
35. Verification data request pre visit telephone protocol.docx	Other-Appendix 35 Verification Data
39. State recruitment letter.docx	Other-Appendix 39 State Recruitement
14. District recruitment letter.docx Appendix 14 District Recruitement Letter	IC Document
15. District frequently asked questions.docx Appendix 15 District Frequently Asked Questions	IC Document
17. Verification data request advance email.docx Appendix 17 Verification Data Request Advance Email	IC Document
23. Reapplication data request advance email.docx Appendix 23 Reapplication Data Request Advance Email	IC Document
34. Verification data request thank you email.docx Appendix 34 Verification Data Request Thank You Email	IC Document
36. Verification data request confirmation email.docx Appendix 36 Verification Data Request Confirmation Email	IC Document
38. Reapplication data request thank you email.docx Appendix 38 Reapplication Data Request Thank You Email	IC Document
41a. Police letter (English).docx Appendix 41.a Police Letter - English	IC Document
41b. Police letter (Spanish).docx Appendix 41.b Police Letter - Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CN Directors, SFAs, and Local Government Survey Activities (SLT)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 210.18 7 CFR 245.6a

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix 10 Verification Data Request	Yes	Yes	Fillable Fileable
Other-Appendix 11 District Interview	No		Paper Only
Other-Appendix 13 Reapplication Data Request	Yes	Yes	Fillable Fileable
Other-Appendix 16 District Recruitment Call Script	No		Paper Only
Other-Appendix 18 Verification Data Request Template	Yes	Yes	Fillable Fileable
Other-Appendix 19 District Interview Invitation Email	Yes	No	Paper Only
Other-Appendix 24 Reapplication Data Request Template	Yes	Yes	Fillable Fileable
Other-Appendix 35 Verification Data Request Pre-Visit Telephone Protocol	No		Paper Only
Other-Appendix 39 State Recruitement Letter	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: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 59 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	310	310
Annual IC Time Burden (Hours)	148	148
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix 14 District Recruitement Letter		09/15/2017
Appendix 15 District Frequently Asked Questions		09/15/2017
Appendix 17 Verification Data Request Advance Email		09/15/2017
Appendix 23 Reapplication Data Request Advance Email		09/15/2017
Appendix 34 Verification Data Request Thank You Email		09/15/2017
Appendix 36 Verification Data Request Confirmation Email		09/15/2017
Appendix 38 Reapplication Data Request Thank You Email		09/15/2017
Appendix 41.a Police Letter - English		09/15/2017
Appendix 41.b Police Letter - Spanish		09/15/2017

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

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