Information Collection

Sample Frames (State Agencies)

IC 231519 under ICR 201710-0584-003 · OMB 0584-0613.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0613 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B Emails from FNS Contractor to SA SNP Director.docx	Other-Appendix B: Emails from FNS Co
Appendix C Spreadsheet Template.xlsx	Other-Appendix C: Spreadsheet Templa
Appendix A Burden Table.xlsx Appendix A: Estimated Burden for Data Collection and Nonresponse for SNP QRS Sample Frames	IC Document
Sample Frame Memo for OMB Final 07242018.pdf Sample Frame Memo for OMB Final 07242018	IC Document

IC Title:

Sample Frames (State Agencies)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B: Emails from FNS Contractor to SA SNP Director			Appendix B Emails from FNS Contractor to SA SNP Director.docx		Yes	No	Fillable Printable
Other-Appendix C: Spreadsheet Template			Appendix C Spreadsheet Template.xlsx		Yes	No	Fillable Printable

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 19080

Number of Respondents: 625

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	833	833
Annual IC Time Burden (Hours)	533	533
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A: Estimated Burden for Data Collection and Nonresponse for SNP QRS Sample Frames	Appendix A Burden Table.xlsx	07/24/2018
Sample Frame Memo for OMB Final 07242018	Sample Frame Memo for OMB Final 07242018.pdf	07/24/2018

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