OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State and Local Government Respondents

IC 3068 under ICR 202011-0584-005 · OMB 0584-0471.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A5. Letters of Support.docx Other-Appendix A5. Letters of Suppor
Appendix A5. Letters of Support.docx Other-Appendix A5. Letters of Suppor
Appendix A6. Request to SDAs to Submit USDA Foods Data.docx Other-Appendix A6. Request to SDAs t
Appendix A6. Request to SDAs to Submit USDA Foods Data.docx Other-Appendix A6. Request to SDAs t
Appendix A7. Overview of USDA Foods Data.docx Other-Appendix A7. Overview of USDA
Appendix A7. Overview of USDA Foods Data.docx Other-Appendix A7. Overview of USDA
Appendix A8. Reminder Email.docx Other-Appendix A8. Reminder Email
Appendix A8. Reminder Email.docx Other-Appendix A8. Reminder Email
Appendix A9. Telephone Script to Collect USDA Foods Data.docx Other-Appendix A9. Telephone Script
Appendix A9. Telephone Script to Collect USDA Foods Data.docx Other-Appendix A9. Telephone Script
Appendix B1. FedEx Letter to Sampled SFAs.docx Other-Appendix B1. FedEx Letter to S
Appendix B1. FedEx Letter to Sampled SFAs.docx Other-Appendix B1. FedEx Letter to S
Appendix B2. FAQs.docx Other-Appendix B2. FAQs
Appendix B2. FAQs.docx Other-Appendix B2. FAQs
Appendix B3. Study Overview Webinar invitation.docx Other-Appendix B3. Study Overview We
Appendix B3. Study Overview Webinar invitation.docx Other-Appendix B3. Study Overview We
Appendix B4. Study Overview Webinar.pptx Other-Appendix B4. Study Overview We
Appendix B4. Study Overview Webinar.pptx Other-Appendix B4. Study Overview We
Appendix B5. Email with Link to Survey.docx Other-Appendix B5. Email with Link t
Appendix B5. Email with Link to Survey.docx Other-Appendix B5. Email with Link t
Appendix B6. Telephone Script to Complete Survey.docx Other-Appendix B6. Telephone Script
Appendix B6. Telephone Script to Complete Survey.docx Other-Appendix B6. Telephone Script
Appendix B8. Purchase Data Webinar Invitation.docx Other-Appendix B8. Purchase Data Web
Appendix B8. Purchase Data Webinar Invitation.docx Other-Appendix B8. Purchase Data Web
Appendix B10. Email to Submit Quarterly Data.docx Other-Appendix B10. Email to Submit
Appendix B10. Email to Submit Quarterly Data.docx Other-Appendix B10. Email to Submit
Appendix B11. Food Purchase Data Checklist.docx Other-Appendix B11. Food Purchase Da
Appendix B11. Food Purchase Data Checklist.docx Other-Appendix B11. Food Purchase Da
Appendix B12. Telephone Script to Collect Quarterly Data.docx Other-Appendix B12. Telephone Script
Appendix B12. Telephone Script to Collect Quarterly Data.docx Other-Appendix B12. Telephone Script
Appendix B13. Clarification and Confirmation Email.docx Other-Appendix B13. Clarification an
Appendix B13. Clarification and Confirmation Email.docx Other-Appendix B13. Clarification an
Appendix B14. Telephone Script for Quarterly Data Clarifications and Confirmation.docx Other-Appendix B14. Telephone Script
Appendix B14. Telephone Script for Quarterly Data Clarifications and Confirmation.docx Other-Appendix B14. Telephone Script
Appendix B15. Quarterly Program Data.docx Other-Appendix B15. Quarterly Progra
Appendix B15. Quarterly Program Data.docx Other-Appendix B15. Quarterly Progra
Appendix A1. FNS Notification to State Directors.docx Other-Appendix A1. FNS Notification
Appendix A1. FNS Notification to State Directors.docx Other-Appendix A1. FNS Notification
Appendix A2. Notification to States of Sampled SFAs.docx Other-Appendix A2. Notification to S
Appendix A2. Notification to States of Sampled SFAs.docx Other-Appendix A2. Notification to S
Appendix A3. Study Brochure.pdf Other-Appendix A3. Study Brochure
Appendix A3. Study Brochure.pdf Other-Appendix A3. Study Brochure
Appendix A4. State Email to Sampled SFAs.docx Other-Appendix A4. State Email to Sa
Appendix A4. State Email to Sampled SFAs.docx Other-Appendix A4. State Email to Sa
Appendix D5. Study Website (Screenshot).pdf Other-Appendix D5. Study Website (Sc
Appendix D5. Study Website (Screenshot).pdf Other-Appendix D5. Study Website (Sc
Appendix B7. Survey of Food Purchase Practices.docx Other-Appendix B7. Survey of Food Pu
Appendix B7. Survey of Food Purchase Practices.docx Other-Appendix B7. Survey of Food Pu
Appendix B9. Purchase Data Webinar.pptx Other-Appendix B9. Purchase Data Web
Appendix B9. Purchase Data Webinar.pptx Other-Appendix B9. Purchase Data Web

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Appendix A5. Letters of Support Appendix A5. Letters of Support.docx Yes Yes Fillable Fileable
Other-Appendix A6. Request to SDAs to Submit USDA Foods Data Appendix A6. Request to SDAs to Submit USDA Foods Data.docx Yes Yes Fillable Fileable
Other-Appendix A7. Overview of USDA Foods Data Appendix A7. Overview of USDA Foods Data.docx Yes Yes Fillable Fileable
Other-Appendix A8. Reminder Email Appendix A8. Reminder Email.docx Yes Yes Fillable Fileable
Other-Appendix A9. Telephone Script to Collect USDA Foods Data Appendix A9. Telephone Script to Collect USDA Foods Data.docx No   Paper Only
Other-Appendix B1. FedEx Letter to Sampled SFAs Appendix B1. FedEx Letter to Sampled SFAs.docx No   Paper Only
Other-Appendix B2. FAQs Appendix B2. FAQs.docx No   Paper Only
Other-Appendix B3. Study Overview Webinar invitation Appendix B3. Study Overview Webinar invitation.docx Yes No Printable Only
Other-Appendix B4. Study Overview Webinar Appendix B4. Study Overview Webinar.pptx Yes No Printable Only
Other-Appendix B5. Email with Link to Survey Appendix B5. Email with Link to Survey.docx Yes No Fillable Fileable
Other-Appendix B6. Telephone Script to Complete Survey Appendix B6. Telephone Script to Complete Survey.docx No   Paper Only
Other-Appendix B8. Purchase Data Webinar Invitation Appendix B8. Purchase Data Webinar Invitation.docx Yes No Printable Only
Other-Appendix B10. Email to Submit Quarterly Data Appendix B10. Email to Submit Quarterly Data.docx Yes Yes Fillable Fileable
Other-Appendix B11. Food Purchase Data Checklist Appendix B11. Food Purchase Data Checklist.docx Yes Yes Fillable Fileable
Other-Appendix B12. Telephone Script to Collect Quarterly Data Appendix B12. Telephone Script to Collect Quarterly Data.docx No   Paper Only
Other-Appendix B13. Clarification and Confirmation Email Appendix B13. Clarification and Confirmation Email.docx Yes Yes Printable Only
Other-Appendix B14. Telephone Script for Quarterly Data Clarifications and Confirmation Appendix B14. Telephone Script for Quarterly Data Clarifications and Confirmation.docx No   Paper Only
Other-Appendix B15. Quarterly Program Data Appendix B15. Quarterly Program Data.docx Yes Yes Fillable Fileable
Other-Appendix A1. FNS Notification to State Directors Appendix A1. FNS Notification to State Directors.docx No   Printable Only
Other-Appendix A2. Notification to States of Sampled SFAs Appendix A2. Notification to States of Sampled SFAs.docx Yes No Printable Only
Other-Appendix A3. Study Brochure Appendix A3. Study Brochure.pdf No   Paper Only
Other-Appendix A4. State Email to Sampled SFAs Appendix A4. State Email to Sampled SFAs.docx Yes Yes Fillable Fileable
Other-Appendix D5. Study Website (Screenshot) Appendix D5. Study Website (Screenshot).pdf Yes No Printable Only
Other-Appendix B7. Survey of Food Purchase Practices Appendix B7. Survey of Food Purchase Practices.docx Yes Yes Fillable Fileable
Other-Appendix B9. Purchase Data Webinar Appendix B9. Purchase Data Webinar.pptx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 17,792 0 17,792 0 0 0
Annual IC Time Burden (Hours) 4,927 0 4,927 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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.