Information Collection

State, Local or Tribal Respondents

IC 245757 under ICR 202010-0584-010 · OMB 0584-0665.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0665 can be found here:

2021-06-24 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B. Survey of SNAP E&T Case Management_Survey instrument_revision2_clean.docx https:\\[email protected]	Other-Appendix B. Survey of SNAP E&T
Appendix B. Survey of SNAP E&T Case Management_Survey instrument_revision2_clean.docx https:\\[email protected]	Other-Appendix B. Survey of SNAP E&T
Appendix C. Survey of SNAP E&T Case Management_Master Discussion Guide_revision2_clean.docx	Other-Appendix C. Survey of SNAP E&T
Appendix C. Survey of SNAP E&T Case Management_Master Discussion Guide_revision2_clean.docx	Other-Appendix C. Survey of SNAP E&T
Appendix D. Survey of SNAP E&T Case Management_Case Management Observation Guide_revision2_clean.docx	Other-Appendix D. Survey of SNAP E&T
Appendix D. Survey of SNAP E&T Case Management_Case Management Observation Guide_revision2_clean.docx	Other-Appendix D. Survey of SNAP E&T
Appendix E. Survey of SNAP E&T Case Management_Group Activity Observation Guide__revision2_clean.docx	Other-Appendix E. Survey of SNAP E&T
Appendix E. Survey of SNAP E&T Case Management_Group Activity Observation Guide__revision2_clean.docx	Other-Appendix E. Survey of SNAP E&T
Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision2.pdf https:\\[email protected]	Other-Appendix F. Survey of SNAP ET
Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision2.pdf https:\\[email protected]	Other-Appendix F. Survey of SNAP ET
Appendix W. Site visit document request_revision2_clean.docx	Other-Appendix W. Site visit documen
Appendix W. Site visit document request_revision2_clean.docx	Other-Appendix W. Site visit documen
Appendix X. Site visit aggregate data request_revision2_clean.docx	Other-Appendix X. Site visit aggrega
Appendix X. Site visit aggregate data request_revision2_clean.docx	Other-Appendix X. Site visit aggrega
Appendix K. Survey reminder email 1_revision2_clean.docx Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	IC Document
Appendix K. Survey reminder email 1_revision2_clean.docx Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	IC Document
Appendix L. Survey reminder email 2_revision2_clean.docx Appendix L. Survey reminder email 2_revision2_clean.docx	IC Document
Appendix L. Survey reminder email 2_revision2_clean.docx Appendix L. Survey reminder email 2_revision2_clean.docx	IC Document
Appendix M. Survey reminder email 3_revision2_clean.docx Appendix M. Survey reminder email 3_revision2_clean.docx	IC Document
Appendix M. Survey reminder email 3_revision2_clean.docx Appendix M. Survey reminder email 3_revision2_clean.docx	IC Document
Appendix N. Survey reminder email 4_revision2_clean.docx Appendix N. Survey reminder email 4_revision2_clean.docx	IC Document
Appendix N. Survey reminder email 4_revision2_clean.docx Appendix N. Survey reminder email 4_revision2_clean.docx	IC Document
Appendix O. Survey reminder email 5__revision2_clean.docx Appendix O. Survey reminder email 5__revision2_clean.docx	IC Document
Appendix O. Survey reminder email 5__revision2_clean.docx Appendix O. Survey reminder email 5__revision2_clean.docx	IC Document
Appendix P. Survey reminder email 6_revision2_clean.docx Appendix P. Survey reminder email 6_revision2_clean.docx	IC Document
Appendix P. Survey reminder email 6_revision2_clean.docx Appendix P. Survey reminder email 6_revision2_clean.docx	IC Document
Appendix Q. Survey reminder call scripts_revision2_clean.docx Appendix Q. Survey reminder call scripts_revision2_clean.docx	IC Document
Appendix Q. Survey reminder call scripts_revision2_clean.docx Appendix Q. Survey reminder call scripts_revision2_clean.docx	IC Document
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	IC Document
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	IC Document
Appendix S. Study team recruitment email for case studies_revision2_clean.docx Appendix S. Study team recruitment email for case studies_revision2_clean.docx	IC Document
Appendix S. Study team recruitment email for case studies_revision2_clean.docx Appendix S. Study team recruitment email for case studies_revision2_clean.docx	IC Document
Appendix T. FNS State recruitment email for survey__revision2_clean.docx Appendix T. FNS State recruitment email for survey__revision2_clean.docx	IC Document
Appendix T. FNS State recruitment email for survey__revision2_clean.docx Appendix T. FNS State recruitment email for survey__revision2_clean.docx	IC Document
Appendix U. Study team recruitment email for survey_revision2_clean.docx Appendix U. Study team recruitment email for survey_revision2_clean.docx	IC Document
Appendix U. Study team recruitment email for survey_revision2_clean.docx Appendix U. Study team recruitment email for survey_revision2_clean.docx	IC Document
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	IC Document
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local or Tribal Respondents

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B. Survey of SNAP E&T Case Management_Survey instrument_revision2_clean.docx	Appendix B. Survey of SNAP E&T Case Management_Survey instrument_revision2_clean.docx	https:\\[email protected]	Yes	Yes	Fillable Fileable Signable
Other-Appendix C. Survey of SNAP E&T Case Management_Master Discussion Guide_revision2_clean.docx	Appendix C. Survey of SNAP E&T Case Management_Master Discussion Guide_revision2_clean.docx		No		Fillable Printable
Other-Appendix D. Survey of SNAP E&T Case Management_Case Management Observation Guide_revision2_clean.docx	Appendix D. Survey of SNAP E&T Case Management_Case Management Observation Guide_revision2_clean.docx		No		Fillable Printable
Other-Appendix E. Survey of SNAP E&T Case Management_Group Activity Observation Guide__revision2_clean.docx	Appendix E. Survey of SNAP E&T Case Management_Group Activity Observation Guide__revision2_clean.docx		No		Fillable Printable
Other-Appendix F. Survey of SNAP ET Case Management_Survey example screenshots revision2 _ clean.docx	Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision2.pdf	https:\\[email protected]	Yes	Yes	Fillable Fileable Signable
Other-Appendix W. Site visit document request_revision2_clean.docx	Appendix W. Site visit document request_revision2_clean.docx		No		Fillable Fileable
Other-Appendix X. Site visit aggregate data request_revision2_clean.docx	Appendix X. Site visit aggregate data request_revision2_clean.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 8 FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 268

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	1,286	1,286
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	Appendix K. Survey reminder email 1_revision2_clean.docx	03/11/2021
Appendix L. Survey reminder email 2_revision2_clean.docx	Appendix L. Survey reminder email 2_revision2_clean.docx	03/11/2021
Appendix M. Survey reminder email 3_revision2_clean.docx	Appendix M. Survey reminder email 3_revision2_clean.docx	03/11/2021
Appendix N. Survey reminder email 4_revision2_clean.docx	Appendix N. Survey reminder email 4_revision2_clean.docx	03/11/2021
Appendix O. Survey reminder email 5__revision2_clean.docx	Appendix O. Survey reminder email 5__revision2_clean.docx	03/11/2021
Appendix P. Survey reminder email 6_revision2_clean.docx	Appendix P. Survey reminder email 6_revision2_clean.docx	03/11/2021
Appendix Q. Survey reminder call scripts_revision2_clean.docx	Appendix Q. Survey reminder call scripts_revision2_clean.docx	03/11/2021
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	03/11/2021
Appendix S. Study team recruitment email for case studies_revision2_clean.docx	Appendix S. Study team recruitment email for case studies_revision2_clean.docx	03/11/2021
Appendix T. FNS State recruitment email for survey__revision2_clean.docx	Appendix T. FNS State recruitment email for survey__revision2_clean.docx	03/11/2021
Appendix U. Study team recruitment email for survey_revision2_clean.docx	Appendix U. Study team recruitment email for survey_revision2_clean.docx	03/11/2021
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	02/22/2021

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