Information Collection

State Child Nutrition Agency (State Director and Key Staff)

IC 228475 under ICR 201709-0584-003 · OMB 0584-0636.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.