Grantees and Administrators (SLT Gov) Respondents

Evaluation of Food Insecurity Nutrition Incentives (FINI)

OMB: 0584-0616

IC ID: 219870

Documents and Forms
Document Name
Document Type
Other-Appendix AD.1. Quarterly Core
Other-Appendix AE.2. Annual Core Pro
Other-Appendix X.2. Outlet character
Other-Appendix Y.1. Grantee Administ
Other-Appendix Y.2 Grantee Administr
Other-Appendix AP. Pretest protocol
Other-Appendix AQ.3 State Agency Dis
Other- AD.2 Quarterly Core Program D
Other-Appendix AE.1 Annual Core Prog
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Grantees and Administrators (SLT Gov) Respondents
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- AD.2 Quarterly Core Program Data Web Form Screenshots – English only Appendix AD.2. Quarterly Core Program Data Web Form Screenshots - English only.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Appendix AE.1 Annual Core Program Data Form - English only Appendix AE.1 Annual Core Program Data Form - English only.docx No   Paper Only
Other-Appendix AD.1. Quarterly Core Program Data Form - English only Appendix AD.1. Quarterly Core Program Data Form - English only.docx No   Paper Only
Other-Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Appendix X.2. Outlet characteristics form Appendix X.2. Outlet characteristics form.xlsx No   Paper Only
Other-Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only.docx No   Paper Only
Other-Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only.docx No   Paper Only
Other-Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16 Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16.docx No   Paper Only
Other-Appendix AQ.3 State Agency Discussion Guide Appendix AQ.3 State Agency Discussion Guide.docx No   Paper Only

Income Security Food and Nutrition Assistance

USDA/FNS-10 Person Doing Business with FNS   65 FR 17251

60 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 273 0 66 0 0 207
Annual IC Time Burden (Hours) 54 0 16 0 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only.docx 03/02/2016
Appendix AB. Quarterly Core Program Data Form Email - English only Appendix AB. Quarterly Core Program Data Form Email - English only.docx 03/02/2016
Appendix AC. Annual Core Program Data Form Email - English only Appendix AC. Annual Core Program Data Form Email - English only.docx 03/02/2016
Appendix AI. Outlet Survey Email to Grantees - English only Appendix AI. Outlet Survey Email to Grantees - English only.docx 03/02/2016
Appendix AQ.1. Email to State Agencies to schedule discussion for SNAP administative files Appendix AQ.1. Email to State Agencies to schedule discussion for SNAP administative files.docx 03/02/2016
Appendix AQ.2. State Agency Telephone Discussion Schedule Confirmation Email Appendix AQ.2. State Agency Telephone Discussion Schedule Confirmation Email.docx 03/02/2016
Appendix AQ.4 Email to State Agency - Variables and Timeline to secure SNAP Administrative Data File Appendix AQ.4 Email to State Agency - Variables and Timeline to secure SNAP Administrative Data File.docx 03/02/2016
Appendix X.1 Email to FINI grantees with outlet characteristic form Appendix X.1 Email to FINI grantees with outlet characteristic form.docx 03/02/2016
Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only.docx 03/02/2016
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