Individuals/Households

Evaluation of Child Support Enforcement Cooperation Requirements

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.