Information Collection

State and Local Government

IC 255982 under ICR 202209-0584-005 · OMB 0584-0677.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B_SFA Survey II on School Food Supply Chain Disruption and Student Participation.docx	Other-Appendix B_SFA Survey II on Sc
Appendix B_SFA Survey II on School Food Supply Chain Disruption and Student Participation.docx	Other-Appendix B_SFA Survey II on Sc
Appendix C_Survey Support Email.docx	Other-Appendix C_Survey Support Emai
Appendix C_Survey Support Email.docx	Other-Appendix C_Survey Support Emai
Appendix D_Reminder Email.docx Appendix D_Reminder Email	IC Document
Appendix D_Reminder Email.docx Appendix D_Reminder Email	IC Document
Appendix E_Thank You Email.docx Appendix E_Thank You Email	IC Document
Appendix E_Thank You Email.docx Appendix E_Thank You Email	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 B_SFA Survey II on School Food Supply Chain Disruption and Student Participation			Appendix B_SFA Survey II on School Food Supply Chain Disruption and Student Participation.docx		Yes	Yes	Fillable Printable
Other-Appendix C_Survey Support Email			Appendix C_Survey Support Email.docx		Yes	Yes	Fillable Printable

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: 74

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	78,310	78,310
Annual IC Time Burden (Hours)	7,265	7,265
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D_Reminder Email	Appendix D_Reminder Email.docx	09/16/2022
Appendix E_Thank You Email	Appendix E_Thank You Email.docx	09/16/2022

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