Information Collection

Individuals/Households

IC 246111 under ICR 202103-0584-001 · OMB 0584-0671.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0671 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E Individuals-Households in-depth interview guide_6_24_2021.docx	Other-Appendix E Individuals-Househo
Appendix F1 Invitation call script_post IRB_6_24_2021.docx Appendix F1 Invitation call script for Individuals/Households or Caretakers	IC Document
Appendix F2 Confirmation letter.docx Appendix F2 Confirmation letter for Individuals/Households or Caretakers	IC Document
Appendix F3 Reminder script.docx Appendix F3 Reminder script for Individuals/Households or Caretakers	IC Document
Appendix M Consent form for SNAP client in-depth interviews_6_24_2021.docx Appendix M Consent form for individuals-households in-depth interviews	IC Document

IC Title:

Individuals/Households

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix E Individuals-Households in-depth interview guide			Appendix E Individuals-Households in-depth interview guide_6_24_2021.docx		No		Paper Only

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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	474	474
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix F1 Invitation call script for Individuals/Households or Caretakers	Appendix F1 Invitation call script_post IRB_6_24_2021.docx	07/26/2021
Appendix F2 Confirmation letter for Individuals/Households or Caretakers	Appendix F2 Confirmation letter.docx	05/25/2021
Appendix F3 Reminder script for Individuals/Households or Caretakers	Appendix F3 Reminder script.docx	05/25/2021
Appendix M Consent form for individuals-households in-depth interviews	Appendix M Consent form for SNAP client in-depth interviews_6_24_2021.docx	07/26/2021

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