Information Collection

State Government Responsive

IC 244098 under ICR 202010-0584-001 · OMB 0584-0666.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B.1 Paper Survey.docx	Other-Appendix B.1 Paper Survey
Appendix B.2 Online Survey.docx	Other-Appendix B.2 Online Survey
Appendix B.4 FAQs.docx	Other-Appendix B.4 FAQs
Appendix B.5 Survey Notifications.docx	Other-Appendix B.5 Survey Notificati
Appendix B.7 Telephone Reminder Script.docx	Other-Appendix B.7 Telephone Reminde
Appendix B.8 Survey Reminder 2.docx	Other-Appendix B.8 Survey Reminder 2
Appendix B.9 Survey Reminder 3.docx	Other-Appendix B.9 Survey Reminder 3
Appendix B.10 Survey Reminders 4-8.docx	Other-Appendix B.10 Survey Reminders
Appendix B.12 Post Survey Clarification Telephone.docx	Other-Appendix B.12 Post Survey Clar
Appendix B.13 Post Survey Thanks.docx	Other-Appendix B.13 Post Survey Than
Appendix C.1 SA Leaders Interview Protocol.docx	Other-Appendix C.1 SA Leaders Interv
Appendix C.2 FAQs.docx	Other-Appendix C.2 FAQs
Appendix C.4 Interview Notification.docx	Other-Appendix C.4 Interview Notific
Appendix C.5 Interview Reminder.docx	Other-Appendix C.5 Interview Reminde
Appendix C.6 Interview Reminder & Scheduler.docx	Other-Appendix C.6 Interview Reminde
Appendix C.7 Interview Confirmation.docx	Other-Appendix C.7 Interview Confirm
Appendix C.8 Thank You.docx	Other-Appendix C.8 Thank You
Appendix B.3 FNS Letter to SAs.docx	Other-Appendix B.3 FNS Letter to SAs
Appendix B.6 Survey Reminder Email 1.docx	Other-Appendix B.6 Survey Reminder E
Appendix B.11 Post Survey Clarification Email.docx	Other-Appendix B.11 Post Survey Clar
Appendix C.3 Letter from FNS to SAs.docx	Other-Appendix C.3 Letter from FNS t

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Government Responsive

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B.1 Paper Survey	Appendix B.1 Paper Survey.docx	No		Paper Only
Other-Appendix B.2 Online Survey	Appendix B.2 Online Survey.docx	Yes	Yes	Fillable Fileable
Other-Appendix B.4 FAQs	Appendix B.4 FAQs.docx	Yes	Yes	Printable Only
Other-Appendix B.5 Survey Notifications	Appendix B.5 Survey Notifications.docx	Yes	No	Printable Only
Other-Appendix B.7 Telephone Reminder Script	Appendix B.7 Telephone Reminder Script.docx	Yes	No	Printable Only
Other-Appendix B.8 Survey Reminder 2	Appendix B.8 Survey Reminder 2.docx	Yes	No	Printable Only
Other-Appendix B.9 Survey Reminder 3	Appendix B.9 Survey Reminder 3.docx	Yes	No	Printable Only
Other-Appendix B.10 Survey Reminders 4-8	Appendix B.10 Survey Reminders 4-8.docx	Yes	No	Printable Only
Other-Appendix B.12 Post Survey Clarification Telephone	Appendix B.12 Post Survey Clarification Telephone.docx	Yes	No	Printable Only
Other-Appendix B.13 Post Survey Thanks	Appendix B.13 Post Survey Thanks.docx	Yes	No	Printable Only
Other-Appendix C.1 SA Leaders Interview Protocol	Appendix C.1 SA Leaders Interview Protocol.docx	Yes	Yes	Printable Only
Other-Appendix C.2 FAQs	Appendix C.2 FAQs.docx	Yes	No	Printable Only
Other-Appendix C.4 Interview Notification	Appendix C.4 Interview Notification.docx	Yes	No	Printable Only
Other-Appendix C.5 Interview Reminder	Appendix C.5 Interview Reminder.docx	Yes	No	Printable Only
Other-Appendix C.6 Interview Reminder & Scheduler	Appendix C.6 Interview Reminder & Scheduler.docx	Yes	No	Printable Only
Other-Appendix C.7 Interview Confirmation	Appendix C.7 Interview Confirmation.docx	Yes	No	Printable Only
Other-Appendix C.8 Thank You	Appendix C.8 Thank You.docx	Yes	No	Printable Only
Other-Appendix B.3 FNS Letter to SAs	Appendix B.3 FNS Letter to SAs.docx	Yes	Yes	Fillable Fileable
Other-Appendix B.6 Survey Reminder Email 1	Appendix B.6 Survey Reminder Email 1.docx	Yes	No	Printable Only
Other-Appendix B.11 Post Survey Clarification Email	Appendix B.11 Post Survey Clarification Email.docx	Yes	No	Printable Only
Other-Appendix C.3 Letter from FNS to SAs	Appendix C.3 Letter from FNS to SAs.docx	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

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: 174

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	408	408
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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