Information Collection

FoodAPS Field Test - Non respondents

IC 251683 under ICR 202206-0536-003 · OMB 0536-0077.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NON-Response Place Holder.pdf	Other-NON-Response Place Holder
Attachment C2 - First nonresponse letter 09082021.docx Attachment C2 - First nonresponse letter	IC Document
Attachment C3 - Postcard nonresponse 10292021.docx Attachment C3 - Postcard nonresponse	IC Document
Attachment D1a - In-person Advance Letter for NR 02152022.docx Attachment D1a - In-person Advance Letter for NR	IC Document
Attachment D4 - Refusal Conversion Letter 10292021.docx Attachment D4 - Refusal Conversion Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-NON-Response Place Holder			NON-Response Place Holder.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,695

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	3,695	3,695
Annual IC Time Burden (Hours)	493	493
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment C2 - First nonresponse letter	Attachment C2 - First nonresponse letter 09082021.docx	02/18/2022
Attachment C3 - Postcard nonresponse	Attachment C3 - Postcard nonresponse 10292021.docx	02/18/2022
Attachment D1a - In-person Advance Letter for NR	Attachment D1a - In-person Advance Letter for NR 02152022.docx	02/18/2022
Attachment D4 - Refusal Conversion Letter	Attachment D4 - Refusal Conversion Letter 10292021.docx	02/18/2022

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