Information Collection

State Agencies (CN Directors)

IC 219293 under ICR 202101-0584-001 · OMB 0584-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0607 can be found here:

Documents and Forms

Document Name Document Type
Appendix C.1 State Child Nutrition Director Survey 2020-2021.docx Other-Appendix C.1 State Child Nutri
Appendix C.1 State Child Nutrition Director Survey 2020-2021.docx Other-Appendix C.1 State Child Nutri
Appendix C.2 Screenshots of Programmed State CN Director Survey 2020-2021.docx Other-Appendix C.2 Screenshots of Pr
Appendix C.2 Screenshots of Programmed State CN Director Survey 2020-2021.docx Other-Appendix C.2 Screenshots of Pr
Appendix D.1 FNS-10 Administrative Data Request.docx Other-Appendix D.1 FNS-10 Administra
Appendix D.1 FNS-10 Administrative Data Request.docx Other-Appendix D.1 FNS-10 Administra
Appendix D.2 FNS-418 Administrative Data Request.docx Other-Appendix D.2 FNS-418 Administr
Appendix D.2 FNS-418 Administrative Data Request.docx Other-Appendix D.2 FNS-418 Administr
Appendix D.3 FNS-44 Administrative Data Request.docx Other-Appendix D.3 FNS-44 Administra
Appendix D.3 FNS-44 Administrative Data Request.docx Other-Appendix D.3 FNS-44 Administra
Appendix D.4 Telephone Meeting Agenda.docx Other-Appendix D.4 Telephone Meeting
Appendix D.4 Telephone Meeting Agenda.docx Other-Appendix D.4 Telephone Meeting
Appendix E.1 Study Support Email from FNS Regional Office to State Agencies.docx Appendix E.1 Study Support Email from FNS Regional Office to State Agencies IC Document
Appendix E.1 Study Support Email from FNS Regional Office to State Agencies.docx Appendix E.1 Study Support Email from FNS Regional Office to State Agencies IC Document
Appendix E.2 State Agency Child Nutrition Director Advance Email.docx Appendix E.2 State Agency Child Nutrition Director Advance Email IC Document
Appendix E.2 State Agency Child Nutrition Director Advance Email.docx Appendix E.2 State Agency Child Nutrition Director Advance Email IC Document
Appendix E.3 Study Brochure.pdf Appendix E.3 Study Brochure IC Document
Appendix E.3 Study Brochure.pdf Appendix E.3 Study Brochure IC Document
Appendix E.4 State Agency Invitation Email.docx Appendix E.4 State Agency Invitation Email IC Document
Appendix E.4 State Agency Invitation Email.docx Appendix E.4 State Agency Invitation Email IC Document
Appendix E.5 Reminder Email.docx Appendix E.5 Reminder Email IC Document
Appendix E.5 Reminder Email.docx Appendix E.5 Reminder Email IC Document
Appendix E.6 Reminder Call Script.docx Appendix E.6 Reminder Call Script IC Document
Appendix E.6 Reminder Call Script.docx Appendix E.6 Reminder Call Script IC Document
Appendix E.7 State Agency Last Chance Post Card.pdf Appendix E.7 State Agency Last Chance Post Card IC Document
Appendix E.7 State Agency Last Chance Post Card.pdf Appendix E.7 State Agency Last Chance Post Card IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agencies (CN Directors)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C.1 State Child Nutrition Director Survey 2020-2021	Appendix C.1 State Child Nutrition Director Survey 2020-2021.docx	Yes	Yes	Fillable Fileable
Other-Appendix C.2 Screenshots of Programmed State CN Director Survey 2020-2021	Appendix C.2 Screenshots of Programmed State CN Director Survey 2020-2021.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.1 FNS-10 Administrative Data Request	Appendix D.1 FNS-10 Administrative Data Request.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.2 FNS-418 Administrative Data Request	Appendix D.2 FNS-418 Administrative Data Request.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.3 FNS-44 Administrative Data Request	Appendix D.3 FNS-44 Administrative Data Request.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.4 Telephone Meeting Agenda	Appendix D.4 Telephone Meeting Agenda.docx	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: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	714	-4,763	5,477
Annual IC Time Burden (Hours)	1,173	-2,649	3,822
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E.1 Study Support Email from FNS Regional Office to State Agencies	Appendix E.1 Study Support Email from FNS Regional Office to State Agencies.docx	01/14/2021
Appendix E.2 State Agency Child Nutrition Director Advance Email	Appendix E.2 State Agency Child Nutrition Director Advance Email.docx	01/14/2021
Appendix E.3 Study Brochure	Appendix E.3 Study Brochure.pdf	01/14/2021
Appendix E.4 State Agency Invitation Email	Appendix E.4 State Agency Invitation Email.docx	01/14/2021
Appendix E.5 Reminder Email	Appendix E.5 Reminder Email.docx	01/14/2021
Appendix E.6 Reminder Call Script	Appendix E.6 Reminder Call Script.docx	01/14/2021
Appendix E.7 State Agency Last Chance Post Card	Appendix E.7 State Agency Last Chance Post Card.pdf	01/14/2021

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