Information Collection

Grantees and Administrators (SLT Gov) Respondents

IC 219870 under ICR 201811-0584-001 · OMB 0584-0616.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix AD.1. Quarterly Core Program Data Form - English only.docx	Other-Appendix AD.1. Quarterly Core
Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only.docx	Other-Appendix AE.2. Annual Core Pro
Appendix X.2. Outlet characteristics form.xlsx	Other-Appendix X.2. Outlet character
Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only.docx	Other-Appendix Y.1. Grantee Administ
Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only.docx	Other-Appendix Y.2 Grantee Administr
Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16.docx	Other-Appendix AP. Pretest protocol
Appendix AQ.3 State Agency Discussion Guide.docx	Other-Appendix AQ.3 State Agency Dis
Appendix AD.2. Quarterly Core Program Data Web Form Screenshots - English only.docx	Other- AD.2 Quarterly Core Program D
Appendix AE.1 Annual Core Program Data Form - English only.docx	Other-Appendix AE.1 Annual Core Prog
Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only.docx Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only	IC Document
Appendix AB. Quarterly Core Program Data Form Email - English only.docx Appendix AB. Quarterly Core Program Data Form Email - English only	IC Document
Appendix AC. Annual Core Program Data Form Email - English only.docx Appendix AC. Annual Core Program Data Form Email - English only	IC Document
Appendix AI. Outlet Survey Email to Grantees - English only.docx Appendix AI. Outlet Survey Email to Grantees - English only	IC Document
Appendix AQ.1. Email to State Agencies to schedule discussion for SNAP administative files.docx Appendix AQ.1. Email to State Agencies to schedule discussion for SNAP administative files	IC Document
Appendix AQ.2. State Agency Telephone Discussion Schedule Confirmation Email.docx Appendix AQ.2. State Agency Telephone Discussion Schedule Confirmation Email	IC Document
Appendix AQ.4 Email to State Agency - Variables and Timeline to secure SNAP Administrative Data File.docx Appendix AQ.4 Email to State Agency - Variables and Timeline to secure SNAP Administrative Data File	IC Document
Appendix X.1 Email to FINI grantees with outlet characteristic form.docx Appendix X.1 Email to FINI grantees with outlet characteristic form	IC Document
Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only.docx Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Grantees and Administrators (SLT Gov) Respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix AD.1. Quarterly Core Program Data Form - English only		No		Paper Only
Other-Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix X.2. Outlet characteristics form		No		Paper Only
Other-Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only		No		Paper Only
Other-Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only		No		Paper Only
Other-Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16		No		Paper Only
Other-Appendix AQ.3 State Agency Discussion Guide		No		Paper Only
Other- AD.2 Quarterly Core Program Data Web Form Screenshots â English only	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix AE.1 Annual Core Program Data Form - English only		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: USDA/FNS-10 Person Doing Business with FNS

FR Citation: 65 FR 17251

Number of Respondents: 60

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	Previously Approved
Annual Number of Responses for this IC	273	66	207
Annual IC Time Burden (Hours)	54	16	38
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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

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