State Child Nutrition Agency (State Director and Key Staff)

Assessing the Child Nutrition State Administrative Expense Allocation Formula

Documents and Forms

Document Name Document Type
APPENDIX B-3. CONTACT GUIDE SCHEDULING PREVISIT TELEPHONE INTERVIEWS.docx Other-Appendix B-3 Contact Guide: Sc
APPENDIX B-4. EMAIL TO STATE DIRECTORS SCHEDULING SITE VISITS.docx Other-Appendix B-4 Email to State Di
APPENDIX B-5. EMAIL TO KEY STAFF SCHEDULING SITE VISITS.docx Other-Appendix B-5 Email to Key Staf
APPENDIX B-6. EMAIL TO STATE DIRECTORS OR KEY STAFF FOLLOW-UP.docx Other-Appendix B-6 Email to State Di
APPENDIX C-1. PREVISIT TELEPHONE INTERVIEW GUIDE.docx Other-Appendix C-1 Previsit Telephon
APPENDIX C-2. SITE VISIT INTERVIEW GUIDE.docx Other-Appendix C-2 Site Visit Interv
APPENDIX C-3. PRETEST PREVISIT TELEPHONE INTERVIEW GUIDE.docx Other-Appendix C-3 Pretest: Previsit
APPENDIX C-4. PRETEST SITE VISIT INTERVIEW GUIDE.docx Other-Appendix C-4 Pretest: Site Vis
APPENDIX B-2. STATE SELECTION NOTIFICATION E-LETTER FROM FNS TO STATE DIRECTORS IN 12 SELECTED STATES.docx Appendix B-2 State Selection Notification E-Letter from FNS to State Directors in 12 Selected States IC Document
APPENDIX B-7. EMAIL TO STATE DIRECTORS OR KEY STAFF THANK YOU.docx Appendix B-7 Email to State Directors/Key Staff: Thank you IC Document

Information Collection (IC) Details

IC Title:	State Child Nutrition Agency (State Director and Key Staff)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 235.4

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B-3 Contact Guide: Scheduling Previsit Telephone Interviews	APPENDIX B-3. CONTACT GUIDE SCHEDULING PREVISIT TELEPHONE INTERVIEWS.docx	No		Paper Only
Other-Appendix B-4 Email to State Directors: Scheduling Site Visits	APPENDIX B-4. EMAIL TO STATE DIRECTORS SCHEDULING SITE VISITS.docx	Yes	No	Paper Only
Other-Appendix B-5 Email to Key Staff: Scheduling Site Visits	APPENDIX B-5. EMAIL TO KEY STAFF SCHEDULING SITE VISITS.docx	Yes	No	Paper Only
Other-Appendix B-6 Email to State Directors/Key Staff: Follow-up	APPENDIX B-6. EMAIL TO STATE DIRECTORS OR KEY STAFF FOLLOW-UP.docx	Yes	No	Paper Only
Other-Appendix C-1 Previsit Telephone Interview Guide	APPENDIX C-1. PREVISIT TELEPHONE INTERVIEW GUIDE.docx	No		Paper Only
Other-Appendix C-2 Site Visit Interview Guide	APPENDIX C-2. SITE VISIT INTERVIEW GUIDE.docx	No		Paper Only
Other-Appendix C-3 Pretest: Previsit Telephone Interview Guide	APPENDIX C-3. PRETEST PREVISIT TELEPHONE INTERVIEW GUIDE.docx	No		Paper Only
Other-Appendix C-4 Pretest: Site Visit Interview Guide	APPENDIX C-4. PRETEST SITE VISIT INTERVIEW GUIDE.docx	No		Paper 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: 88	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	366	366
Annual IC Time Burden (Hours)	228	228
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix B-2 State Selection Notification E-Letter from FNS to State Directors in 12 Selected States	APPENDIX B-2. STATE SELECTION NOTIFICATION E-LETTER FROM FNS TO STATE DIRECTORS IN 12 SELECTED STATES.docx	09/27/2017
Appendix B-7 Email to State Directors/Key Staff: Thank you	APPENDIX B-7. EMAIL TO STATE DIRECTORS OR KEY STAFF THANK YOU.docx	09/27/2017

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