Information Collection

Individuals/Households Respondents

IC 245759 under ICR 202106-0584-006 · OMB 0584-0665.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
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

IC Title:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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

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: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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