Information Collection

State, Local or Tribal Respondents

IC 245757 under ICR 202106-0584-006 · OMB 0584-0665.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B. Survey of SNAP ET Case Management_Survey instrument_revision3_06232021.docx https:\\[email protected]	Other-Appendix B. Survey of SNAP ET
Appendix B. Survey of SNAP ET Case Management_Survey instrument_revision3_06232021.docx https:\\[email protected]	Other-Appendix B. Survey of SNAP ET
Appendix C. Survey of SNAP ET Case Management_Master Discussion Guide_revision3_06232021 (002).docx	Other-Appendix C. Survey of SNAP E&T
Appendix C. Survey of SNAP ET Case Management_Master Discussion Guide_revision3_06232021 (002).docx	Other-Appendix C. Survey of SNAP E&T
Appendix D. Survey of SNAP ET Case Management_Case Management Observation Guide_revision3_06232021.docx	Other-Appendix D. Survey of SNAP ET
Appendix D. Survey of SNAP ET Case Management_Case Management Observation Guide_revision3_06232021.docx	Other-Appendix D. Survey of SNAP ET
Appendix E. Survey of SNAP ET Case Management_Group Activity Observation Guide_revision3_06232021.docx	Other-Appendix E. Survey of SNAP ET
Appendix E. Survey of SNAP ET Case Management_Group Activity Observation Guide_revision3_06232021.docx	Other-Appendix E. Survey of SNAP ET
Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision3_06232021.docx https:\\[email protected]	Other-Appendix F. Survey of SNAP ET
Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision3_06232021.docx https:\\[email protected]	Other-Appendix F. Survey of SNAP ET
Appendix W. Site visit document request_revision2_clean.docx	Other-Appendix W. Site visit documen
Appendix W. Site visit document request_revision2_clean.docx	Other-Appendix W. Site visit documen
Appendix X. Site visit aggregate data request_revision2_clean.docx	Other-Appendix X. Site visit aggrega
Appendix X. Site visit aggregate data request_revision2_clean.docx	Other-Appendix X. Site visit aggrega
Appendix K. Survey reminder email 1_revision2_clean.docx Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	IC Document
Appendix K. Survey reminder email 1_revision2_clean.docx Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	IC Document
Appendix L. Survey reminder email 2_revision2_clean.docx Appendix L. Survey reminder email 2_revision2_clean.docx	IC Document
Appendix L. Survey reminder email 2_revision2_clean.docx Appendix L. Survey reminder email 2_revision2_clean.docx	IC Document
Appendix M. Survey reminder email 3_revision2_clean.docx Appendix M. Survey reminder email 3_revision2_clean.docx	IC Document
Appendix M. Survey reminder email 3_revision2_clean.docx Appendix M. Survey reminder email 3_revision2_clean.docx	IC Document
Appendix N. Survey reminder email 4_revision2_clean.docx Appendix N. Survey reminder email 4_revision2_clean.docx	IC Document
Appendix N. Survey reminder email 4_revision2_clean.docx Appendix N. Survey reminder email 4_revision2_clean.docx	IC Document
Appendix O. Survey reminder email 5__revision2_clean.docx Appendix O. Survey reminder email 5__revision2_clean.docx	IC Document
Appendix O. Survey reminder email 5__revision2_clean.docx Appendix O. Survey reminder email 5__revision2_clean.docx	IC Document
Appendix P. Survey reminder email 6_revision2_clean.docx Appendix P. Survey reminder email 6_revision2_clean.docx	IC Document
Appendix P. Survey reminder email 6_revision2_clean.docx Appendix P. Survey reminder email 6_revision2_clean.docx	IC Document
Appendix Q. Survey reminder call scripts_revision2_clean.docx Appendix Q. Survey reminder call scripts_revision2_clean.docx	IC Document
Appendix Q. Survey reminder call scripts_revision2_clean.docx Appendix Q. Survey reminder call scripts_revision2_clean.docx	IC Document
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	IC Document
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	IC Document
Appendix S. Study team recruitment email for case studies_revision2_clean.docx Appendix S. Study team recruitment email for case studies_revision2_clean.docx	IC Document
Appendix S. Study team recruitment email for case studies_revision2_clean.docx Appendix S. Study team recruitment email for case studies_revision2_clean.docx	IC Document
Appendix T. FNS State recruitment email for survey__revision2_clean.docx Appendix T. FNS State recruitment email for survey__revision2_clean.docx	IC Document
Appendix T. FNS State recruitment email for survey__revision2_clean.docx Appendix T. FNS State recruitment email for survey__revision2_clean.docx	IC Document
Appendix U. Study team recruitment email for survey_revision2_clean.docx Appendix U. Study team recruitment email for survey_revision2_clean.docx	IC Document
Appendix U. Study team recruitment email for survey_revision2_clean.docx Appendix U. Study team recruitment email for survey_revision2_clean.docx	IC Document
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	IC Document
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local or Tribal Respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B. Survey of SNAP ET Case Management_Survey instrument_revision3_06232021.docx	Appendix B. Survey of SNAP ET Case Management_Survey instrument_revision3_06232021.docx	https:\\[email protected]	Yes	Yes	Fillable Fileable Signable
Other-Appendix C. Survey of SNAP E&T Case Management_Master Discussion Guide_revision3 -6-23-2021	Appendix C. Survey of SNAP ET Case Management_Master Discussion Guide_revision3_06232021 (002).docx		No		Fillable Printable
Other-Appendix D. Survey of SNAP ET Case Management_Case Management Observation Guide_revision3_06232021.docx	Appendix D. Survey of SNAP ET Case Management_Case Management Observation Guide_revision3_06232021.docx		No		Fillable Printable
Other-Appendix E. Survey of SNAP ET Case Management_Group Activity Observation Guide_revision3_06232021.docx	Appendix E. Survey of SNAP ET Case Management_Group Activity Observation Guide_revision3_06232021.docx		No		Fillable Printable
Other-Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision3_06232021.docx	Appendix F. Survey of SNAP ET Case Management_Survey example screenshots_revision3_06232021.docx	https:\\[email protected]	Yes	Yes	Fillable Fileable Signable
Other-Appendix W. Site visit document request_revision2_clean.docx	Appendix W. Site visit document request_revision2_clean.docx		No		Fillable Fileable
Other-Appendix X. Site visit aggregate data request_revision2_clean.docx	Appendix X. Site visit aggregate data request_revision2_clean.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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: 268

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	Previously Approved
Annual Number of Responses for this IC	1,286	1,286
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix K. Survey reminder email 1_revision2_clean.docxean.docx	Appendix K. Survey reminder email 1_revision2_clean.docx	03/11/2021
Appendix L. Survey reminder email 2_revision2_clean.docx	Appendix L. Survey reminder email 2_revision2_clean.docx	03/11/2021
Appendix M. Survey reminder email 3_revision2_clean.docx	Appendix M. Survey reminder email 3_revision2_clean.docx	03/11/2021
Appendix N. Survey reminder email 4_revision2_clean.docx	Appendix N. Survey reminder email 4_revision2_clean.docx	03/11/2021
Appendix O. Survey reminder email 5__revision2_clean.docx	Appendix O. Survey reminder email 5__revision2_clean.docx	03/11/2021
Appendix P. Survey reminder email 6_revision2_clean.docx	Appendix P. Survey reminder email 6_revision2_clean.docx	03/11/2021
Appendix Q. Survey reminder call scripts_revision2_clean.docx	Appendix Q. Survey reminder call scripts_revision2_clean.docx	03/11/2021
Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	Appendix R. FNS State recruitment email for case studies_revision2_clean.docx	03/11/2021
Appendix S. Study team recruitment email for case studies_revision2_clean.docx	Appendix S. Study team recruitment email for case studies_revision2_clean.docx	03/11/2021
Appendix T. FNS State recruitment email for survey__revision2_clean.docx	Appendix T. FNS State recruitment email for survey__revision2_clean.docx	03/11/2021
Appendix U. Study team recruitment email for survey_revision2_clean.docx	Appendix U. Study team recruitment email for survey_revision2_clean.docx	03/11/2021
Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	Appendix V. Survey of SNAP E&T Case Management Study Description_revision1_clean.docx	02/22/2021

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