Information Collection

SNAP E&T Program Participants (Individuals/Households) Respondents

IC 233044 under ICR 201903-0584-001 · OMB 0584-0645.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I. Observation Checklist.docx	Other-I. Observation Checklist.docx
J. Client Consent Form for Observations.docx J. Client Consent Form for Observations	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-I. Observation Checklist.docx			I. Observation Checklist.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
J. Client Consent Form for Observations	J. Client Consent Form for Observations.docx	09/17/2018

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