Information Collection

State and Local Government Respondents

IC 247756 under ICR 202105-0584-001 · OMB 0584-0669.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0669 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
C2_Regional Office Email Notification to States.docx	Other-C2_Regional Office Email Notif
C2_Regional Office Email Notification to States.docx	Other-C2_Regional Office Email Notif
C4_State Agency Recruitment Call Script.docx	Other-C4_State Agency Recruitment Ca
C4_State Agency Recruitment Call Script.docx	Other-C4_State Agency Recruitment Ca
D1_Recruitment Website_6.11.21.pdf	Other-D1_Recruitment Website
D1_Recruitment Website_6.11.21.pdf	Other-D1_Recruitment Website
D2_Recruitment Website - Spanish_6.11.21.pdf	Other-D2_Recruitment Website - Spani
D2_Recruitment Website - Spanish_6.11.21.pdf	Other-D2_Recruitment Website - Spani
C3_State Agency Recruitment Email_6.11.21.docx	Other-C3_State Agency Recruitment Em
C3_State Agency Recruitment Email_6.11.21.docx	Other-C3_State Agency Recruitment Em
C1_FNS Email Notification to Regional Offices_7.20.21.docx	Other-C1_FNS Email Notification to R
C1_FNS Email Notification to Regional Offices_7.20.21.docx	Other-C1_FNS Email Notification to R
C1_FNS Email Notification to Regional Offices_7.20.21.docx C1_FNS Email Notification to Regional Offices_7.20.21	IC Document
C1_FNS Email Notification to Regional Offices_7.20.21.docx C1_FNS Email Notification to Regional Offices_7.20.21	IC Document

IC Title:

State and Local Government 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-C2_Regional Office Email Notification to States	C2_Regional Office Email Notification to States.docx	Yes	No	Printable Only
Other-C4_State Agency Recruitment Call Script	C4_State Agency Recruitment Call Script.docx	No		Paper Only
Other-D1_Recruitment Website	D1_Recruitment Website_6.11.21.pdf	Yes	Yes	Fillable Printable
Other-D2_Recruitment Website - Spanish_6.11.21	D2_Recruitment Website - Spanish_6.11.21.pdf	Yes	Yes	Fillable Printable
Other-C3_State Agency Recruitment Email_6.11.21	C3_State Agency Recruitment Email_6.11.21.docx	Yes	No	Printable Only
Other-C1_FNS Email Notification to Regional Offices_7.20.21	C1_FNS Email Notification to Regional Offices_7.20.21.docx	Yes	Yes	Printable Only

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: 25

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	25	25
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
C1_FNS Email Notification to Regional Offices_7.20.21	C1_FNS Email Notification to Regional Offices_7.20.21.docx	07/20/2021

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