State and Local Government

SFA Survey on School Food Supply Chain Disruption

Documents and Forms

Document Name Document Type
Appendix D. Survey support email.docx Other-Appendix D. Survey support ema
Appendix D. Survey support email.docx Other-Appendix D. Survey support ema
Appendix B. SFA Survey on Supply Chain Disruption.docx Other-Appendix B. SFA Survey on Supp
Appendix C. SFA Contact Information Request.docx Other-Appendix C. SFA Contact Inform
Appendix C. SFA Contact Information Request.docx Other-Appendix C. SFA Contact Inform
Appendix B. SFA Survey on Supply Chain Disruption FINAL.docx Other-Appendix B. SFA Survey on Supp
Appendix E. Reminder Email.docx Appendix E. Reminder Email IC Document
Appendix E. Reminder Email.docx Appendix E. Reminder Email IC Document
Appendix F. Thank you email.docx Appendix F. Thank you email IC Document
Appendix F. Thank you email.docx Appendix F. Thank you email IC Document

Information Collection (IC) Details

IC Title:	State and Local Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix D. Survey support email	Appendix D. Survey support email.docx	Yes	Yes	Fillable Fileable
Other-Appendix C. SFA Contact Information Request	Appendix C. SFA Contact Information Request.docx	Yes	Yes	Fillable Fileable
Other-Appendix B. SFA Survey on Supply Chain Disruption FINAL	Appendix B. SFA Survey on Supply Chain Disruption FINAL.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,705	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	78,366	78,366
Annual IC Time Burden (Hours)	7,293	7,293
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E. Reminder Email	Appendix E. Reminder Email.docx	10/15/2021
Appendix F. Thank you email	Appendix F. Thank you email.docx	10/20/2021

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