Information Collection

Private Sector - Business

IC 254031 under ICR 202205-0584-003 · OMB 0584-0676.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
B4 Template_ Notification from states to sponsors_Final.docx	Other-B4 Template_ Notification from
B4 Template_ Notification from states to sponsors_Final.docx	Other-B4 Template_ Notification from
B5 Study intro letter for sponsor_Final.docx	Other-B5 Study intro letter for spon
B5 Study intro letter for sponsor_Final.docx	Other-B5 Study intro letter for spon
B6a Template_Sponsor notification of study to providers_English.docx	Other-B6a Template_Sponsor notificat
B6a Template_Sponsor notification of study to providers_English.docx	Other-B6a Template_Sponsor notificat
B6b Template_Sponsor notification of study to providers_Spanish_5.23.docx	Other-B6b Template_Sponsor notificat
B6b Template_Sponsor notification of study to providers_Spanish_5.23.docx	Other-B6b Template_Sponsor notificat
B7a Study intro letter for provider_English.docx	Other-B7a Study intro letter for pro
B7a Study intro letter for provider_English.docx	Other-B7a Study intro letter for pro
B7b Study intro letter for provider_Spanish_5.24.docx	Other-B7b Study intro letter for pro
B7b Study intro letter for provider_Spanish_5.24.docx	Other-B7b Study intro letter for pro
B11a Encouragement email from sponsors to nonresponding providers_English.docx	Other-B11a Encouragement email from
B11a Encouragement email from sponsors to nonresponding providers_English.docx	Other-B11a Encouragement email from
B11b Encouragement email from sponsors to nonresponding providers_Spanish_5.24.docx	Other-B11b Encouragement email from
B11b Encouragement email from sponsors to nonresponding providers_Spanish_5.24.docx	Other-B11b Encouragement email from
B12a Provider experience survey 2nd invitation with paper survey_English.docx	Other-B12a Provider experience surve
B12a Provider experience survey 2nd invitation with paper survey_English.docx	Other-B12a Provider experience surve
B12b Provider experience survey 2nd invitation with paper survey_Spanish_5.24.docx	Other-B12b Provider experience surve
B12b Provider experience survey 2nd invitation with paper survey_Spanish_5.24.docx	Other-B12b Provider experience surve
B14a Provider experience survey script for telephone followup_English.docx	Other-B14a Provider experience surve
B14a Provider experience survey script for telephone followup_English.docx	Other-B14a Provider experience surve
B14b Provider experience survey script for telephone followup_Spanish_5.24.docx	Other-B14b Provider experience surve
B14b Provider experience survey script for telephone followup_Spanish_5.24.docx	Other-B14b Provider experience surve
B15a Study Brochure and FAQs_English.pdf	Other-B15a Study Brochure and FAQs_E
B15a Study Brochure and FAQs_English.pdf	Other-B15a Study Brochure and FAQs_E
B15b. Study Brochure and FAQs_Spanish_5.25.docx	Other-B15b. Study Brochure and FAQs_
B15b. Study Brochure and FAQs_Spanish_5.25.docx	Other-B15b. Study Brochure and FAQs_
B16a USDA Endorsement Letter_English.docx	Other-B16a USDA Endorsement Letter_E
B16a USDA Endorsement Letter_English.docx	Other-B16a USDA Endorsement Letter_E
B16b USDA Endorsement Letter_Spanish_5.25.docx	Other-B16b USDA Endorsement Letter_S
B16b USDA Endorsement Letter_Spanish_5.25.docx	Other-B16b USDA Endorsement Letter_S
B17a CACFP organizations endorsement letter_English.docx	Other-B17a CACFP organizations endor
B17a CACFP organizations endorsement letter_English.docx	Other-B17a CACFP organizations endor
B17b CACFP organizations endorsement letter_Spanish_5.25.docx	Other-B17b CACFP organizations endor
B17b CACFP organizations endorsement letter_Spanish_5.25.docx	Other-B17b CACFP organizations endor
B18a Study website crosswalk-English.docx	Other-B18a Study website crosswalk-E
B18a Study website crosswalk-English.docx	Other-B18a Study website crosswalk-E
B18b Study website crosswalk_Spanish_5.24.docx	Other-B18b Study website crosswalk_S
B18b Study website crosswalk_Spanish_5.24.docx	Other-B18b Study website crosswalk_S
B19a Provider Experience Survey_English.docx	Other-B19a Provider Experience Surve
B19a Provider Experience Survey_English.docx	Other-B19a Provider Experience Surve
B19b. FCCH Provider Experience Survey_Spanish_5.25.docx	Other-B19b. FCCH Provider Experience
B19b. FCCH Provider Experience Survey_Spanish_5.25.docx	Other-B19b. FCCH Provider Experience
B21a Provider Experience Survey Screenshots_English.pdf	Other-B21a Provider Experience Surve
B21a Provider Experience Survey Screenshots_English.pdf	Other-B21a Provider Experience Surve
B21b Provider Experience Survey Screenshots_Spanish.pdf	Other-B21b Provider Experience Surve
B21b Provider Experience Survey Screenshots_Spanish.pdf	Other-B21b Provider Experience Surve
B8a Provider experience survey 1st reminder_English.docx B8a Provider experience survey 1st reminder_English	IC Document
B8a Provider experience survey 1st reminder_English.docx B8a Provider experience survey 1st reminder_English	IC Document
B8b Provider experience survey 1st reminder_Spanish_5.24.docx B8b Provider experience survey 1st reminder_Spanish_5.24	IC Document
B8b Provider experience survey 1st reminder_Spanish_5.24.docx B8b Provider experience survey 1st reminder_Spanish_5.24	IC Document
B9a Provider experience survey 2nd reminder_English.docx B9a Provider experience survey 2nd reminder_English	IC Document
B9a Provider experience survey 2nd reminder_English.docx B9a Provider experience survey 2nd reminder_English	IC Document
B9b Provider experience survey 2nd reminder_Spanish_5.24.docx B9b Provider experience survey 2nd reminder_Spanish_5.24	IC Document
B9b Provider experience survey 2nd reminder_Spanish_5.24.docx B9b Provider experience survey 2nd reminder_Spanish_5.24	IC Document
B10 Sponsor followup email with request to email providers_Final.docx B10 Sponsor followup email with request to email providers_Final	IC Document
B10 Sponsor followup email with request to email providers_Final.docx B10 Sponsor followup email with request to email providers_Final	IC Document
B13a Provider experience survey 3rd reminder_English.docx B13a Provider experience survey 3rd reminder_English	IC Document
B13a Provider experience survey 3rd reminder_English.docx B13a Provider experience survey 3rd reminder_English	IC Document
B13b Provider experience survey 3rd reminder_Spanish_5.24.docx B13b Provider experience survey 3rd reminder_Spanish_5.24	IC Document
B13b Provider experience survey 3rd reminder_Spanish_5.24.docx B13b Provider experience survey 3rd reminder_Spanish_5.24	IC Document
B20a Provider experience survey thank you_English.docx B20a Provider experience survey thank you_English	IC Document
B20a Provider experience survey thank you_English.docx B20a Provider experience survey thank you_English	IC Document
B20b Provider experience survey thank you_Spanish_5.25.docx B20b Provider experience survey thank you_Spanish_5.25	IC Document
B20b Provider experience survey thank you_Spanish_5.25.docx B20b Provider experience survey thank you_Spanish_5.25	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Private Sector - Business

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-B4 Template_ Notification from states to sponsors_Final	B4 Template_ Notification from states to sponsors_Final.docx	Yes	No	Printable Only
Other-B5 Study intro letter for sponsor_Final	B5 Study intro letter for sponsor_Final.docx	Yes	No	Printable Only
Other-B6a Template_Sponsor notification of study to providers_English	B6a Template_Sponsor notification of study to providers_English.docx	Yes	No	Printable Only
Other-B6b Template_Sponsor notification of study to providers_Spanish_5.23	B6b Template_Sponsor notification of study to providers_Spanish_5.23.docx	Yes	No	Printable Only
Other-B7a Study intro letter for provider_English	B7a Study intro letter for provider_English.docx	Yes	No	Printable Only
Other-B7b Study intro letter for provider_Spanish_5.24	B7b Study intro letter for provider_Spanish_5.24.docx	Yes	No	Printable Only
Other-B11a Encouragement email from sponsors to nonresponding providers_English	B11a Encouragement email from sponsors to nonresponding providers_English.docx	Yes	No	Printable Only
Other-B11b Encouragement email from sponsors to nonresponding providers_Spanish_5.24	B11b Encouragement email from sponsors to nonresponding providers_Spanish_5.24.docx	Yes	No	Printable Only
Other-B12a Provider experience survey 2nd invitation with paper survey_English	B12a Provider experience survey 2nd invitation with paper survey_English.docx	No		Paper Only
Other-B12b Provider experience survey 2nd invitation with paper survey_Spanish_5.24	B12b Provider experience survey 2nd invitation with paper survey_Spanish_5.24.docx	No		Paper Only
Other-B14a Provider experience survey script for telephone followup_English	B14a Provider experience survey script for telephone followup_English.docx	No		Paper Only
Other-B14b Provider experience survey script for telephone followup_Spanish_5.24	B14b Provider experience survey script for telephone followup_Spanish_5.24.docx	No		Paper Only
Other-B15a Study Brochure and FAQs_English	B15a Study Brochure and FAQs_English.pdf	No		Paper Only
Other-B15b. Study Brochure and FAQs_Spanish_5.25	B15b. Study Brochure and FAQs_Spanish_5.25.docx	No		Paper Only
Other-B16a USDA Endorsement Letter_English	B16a USDA Endorsement Letter_English.docx	No		Paper Only
Other-B16b USDA Endorsement Letter_Spanish_5.25	B16b USDA Endorsement Letter_Spanish_5.25.docx	No		Paper Only
Other-B17a CACFP organizations endorsement letter_English	B17a CACFP organizations endorsement letter_English.docx	No		Paper Only
Other-B17b CACFP organizations endorsement letter_Spanish_5.25	B17b CACFP organizations endorsement letter_Spanish_5.25.docx	No		Paper Only
Other-B18a Study website crosswalk-English	B18a Study website crosswalk-English.docx	Yes	Yes	Fillable Printable
Other-B18b Study website crosswalk_Spanish_5.24	B18b Study website crosswalk_Spanish_5.24.docx	Yes	Yes	Fillable Printable
Other-B19a Provider Experience Survey_English	B19a Provider Experience Survey_English.docx	Yes	Yes	Fillable Printable
Other-B19b. FCCH Provider Experience Survey_Spanish_5.25	B19b. FCCH Provider Experience Survey_Spanish_5.25.docx	Yes	Yes	Fillable Printable
Other-B21a Provider Experience Survey Screenshots_English	B21a Provider Experience Survey Screenshots_English.pdf	Yes	Yes	Fillable Printable
Other-B21b Provider Experience Survey Screenshots_Spanish	B21b Provider Experience Survey Screenshots_Spanish.pdf	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

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: 4,697

Number of Respondents for Small Entity: 92

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 79 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52,122	52,122
Annual IC Time Burden (Hours)	4,251	4,251
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
B8a Provider experience survey 1st reminder_English	B8a Provider experience survey 1st reminder_English.docx	06/03/2022
B8b Provider experience survey 1st reminder_Spanish_5.24	B8b Provider experience survey 1st reminder_Spanish_5.24.docx	06/03/2022
B9a Provider experience survey 2nd reminder_English	B9a Provider experience survey 2nd reminder_English.docx	06/03/2022
B9b Provider experience survey 2nd reminder_Spanish_5.24	B9b Provider experience survey 2nd reminder_Spanish_5.24.docx	06/03/2022
B10 Sponsor followup email with request to email providers_Final	B10 Sponsor followup email with request to email providers_Final.docx	06/03/2022
B13a Provider experience survey 3rd reminder_English	B13a Provider experience survey 3rd reminder_English.docx	06/03/2022
B13b Provider experience survey 3rd reminder_Spanish_5.24	B13b Provider experience survey 3rd reminder_Spanish_5.24.docx	06/03/2022
B20a Provider experience survey thank you_English	B20a Provider experience survey thank you_English.docx	06/03/2022
B20b Provider experience survey thank you_Spanish_5.25	B20b Provider experience survey thank you_Spanish_5.25.docx	06/03/2022

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