Information Collection

State, Local, and Tribal Government

IC 257831 under ICR 202210-0584-002 · OMB 0584-0681.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B. SNAP agency survey instrument and document request.docx	Other-Appendix B. SNAP agency survey
Appendix B. SNAP agency survey instrument and document request.docx	Other-Appendix B. SNAP agency survey
Appendix C. NAP agency preinterview questionnaire.docx	Other-Appendix C. NAP agency preinte
Appendix C. NAP agency preinterview questionnaire.docx	Other-Appendix C. NAP agency preinte
Appendix D. NAP agency protocol and document request.docx	Other-Appendix D. NAP agency protoco
Appendix D. NAP agency protocol and document request.docx	Other-Appendix D. NAP agency protoco
Appendix G. SNAP agency case study simulation guide.docx	Other-Appendix G. SNAP agency case s
Appendix G. SNAP agency case study simulation guide.docx	Other-Appendix G. SNAP agency case s
Appendix H. Survey screenshots.docx	Other-Appendix H. Survey screenshots
Appendix H. Survey screenshots.docx	Other-Appendix H. Survey screenshots
Appendix N.1. Template for email from FNS to SNAP State agency.docx	Other-Appendix N.1. Template for ema
Appendix N.1. Template for email from FNS to SNAP State agency.docx	Other-Appendix N.1. Template for ema
Appendix N.2. Template for email from Mathematica to SNAP State agency.docx	Other-Appendix N.2. Template for ema
Appendix N.2. Template for email from Mathematica to SNAP State agency.docx	Other-Appendix N.2. Template for ema
Appendix N.3. Template for email from Mathematica to newly assigned respondents.docx	Other-Appendix N.3. Template for ema
Appendix N.3. Template for email from Mathematica to newly assigned respondents.docx	Other-Appendix N.3. Template for ema
Appendix O.1. Template for email from FNS to Territory NAP agency.docx	Other-Appendix O.1. Template for ema
Appendix O.1. Template for email from FNS to Territory NAP agency.docx	Other-Appendix O.1. Template for ema
Appendix O.2. Template for email from Mathematica to Territory NAP agency.docx	Other-Appendix O.2. Template for ema
Appendix O.2. Template for email from Mathematica to Territory NAP agency.docx	Other-Appendix O.2. Template for ema
Appendix O.3 Template for scheduling email to Territory NAP agency.docx	Other-Appendix O.3 Template for sche
Appendix O.3 Template for scheduling email to Territory NAP agency.docx	Other-Appendix O.3 Template for sche
Appendix P.1. Template for email from FNS to SNAP State agency.docx	Other-Appendix P.1. Template for ema
Appendix P.1. Template for email from FNS to SNAP State agency.docx	Other-Appendix P.1. Template for ema
Appendix P.2. Template for email from Mathematica to SNAP State agency.docx	Other-Appendix P.2. Template for ema
Appendix P.2. Template for email from Mathematica to SNAP State agency.docx	Other-Appendix P.2. Template for ema
Appendix P.4. Template for email from SNAP State agency to local SNAP agency.docx	Other-Appendix P.4. Template for ema
Appendix P.4. Template for email from SNAP State agency to local SNAP agency.docx	Other-Appendix P.4. Template for ema
Appendix P.5. Template for email from Mathematica to local SNAP agency.docx	Other-Appendix P.5. Template for ema
Appendix P.5. Template for email from Mathematica to local SNAP agency.docx	Other-Appendix P.5. Template for ema
Appendix P.6. Case study call script.docx	Other-Appendix P.6. Case study call
Appendix P.6. Case study call script.docx	Other-Appendix P.6. Case study call
Appendix F. SNAP agency case study interview protocol.docx	Other-Appendix F. SNAP agency case s
Appendix F. SNAP agency case study interview protocol.docx	Other-Appendix F. SNAP agency case s
Appendix E. NAP agency protocol definitions.docx Appendix E. NAP agency protocol definitions	IC Document
Appendix E. NAP agency protocol definitions.docx Appendix E. NAP agency protocol definitions	IC Document
Appendix N.4. Template for document reminder email.docx Appendix N.4. Template for document reminder email	IC Document
Appendix N.4. Template for document reminder email.docx Appendix N.4. Template for document reminder email	IC Document
Appendix N.5. Template for biweekly reminder email for SNAP administrators.docx Appendix N.5. Template for biweekly reminder email for SNAP administrators	IC Document
Appendix N.5. Template for biweekly reminder email for SNAP administrators.docx Appendix N.5. Template for biweekly reminder email for SNAP administrators	IC Document
Appendix N.6. Template for biweekly reminder email for respondents.docx Appendix N.6. Template for biweekly reminder email for respondents	IC Document
Appendix N.6. Template for biweekly reminder email for respondents.docx Appendix N.6. Template for biweekly reminder email for respondents	IC Document
Appendix N.7. Urgent reminder email for SNAP administrators.docx Appendix N.7. Urgent reminder email for SNAP administrators	IC Document
Appendix N.7. Urgent reminder email for SNAP administrators.docx Appendix N.7. Urgent reminder email for SNAP administrators	IC Document
Appendix N.8. Urgent reminder email for respondents.docx Appendix N.8. Urgent reminder email for respondents	IC Document
Appendix N.8. Urgent reminder email for respondents.docx Appendix N.8. Urgent reminder email for respondents	IC Document
Appendix N.9. Reminder call script.docx Appendix N.9. Reminder call script	IC Document
Appendix N.9. Reminder call script.docx Appendix N.9. Reminder call script	IC Document
Appendix O.4. Template for reminder email to Territory NAP agency.docx Appendix O.4. Template for reminder email to Territory NAP agency	IC Document
Appendix O.4. Template for reminder email to Territory NAP agency.docx Appendix O.4. Template for reminder email to Territory NAP agency	IC Document
Appendix O.5. Template for document reminder email to Territory NAP agency.docx Appendix O.5. Template for document reminder email to Territory NAP agency	IC Document
Appendix O.5. Template for document reminder email to Territory NAP agency.docx Appendix O.5. Template for document reminder email to Territory NAP agency	IC Document
Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency.docx Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency	IC Document
Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency.docx Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency	IC Document
Appendix Q. Study description.docx Appendix Q. Study description	IC Document
Appendix Q. Study description.docx Appendix Q. Study description	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local, and Tribal Government

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-Appendix B. SNAP agency survey instrument and document request	Appendix B. SNAP agency survey instrument and document request.docx	Yes	Yes	Fillable Printable
Other-Appendix C. NAP agency preinterview questionnaire	Appendix C. NAP agency preinterview questionnaire.docx	Yes	Yes	Fillable Printable
Other-Appendix D. NAP agency protocol and document request	Appendix D. NAP agency protocol and document request.docx	Yes	Yes	Fillable Printable
Other-Appendix G. SNAP agency case study simulation guide	Appendix G. SNAP agency case study simulation guide.docx	No		Paper Only
Other-Appendix H. Survey screenshots	Appendix H. Survey screenshots.docx	Yes	Yes	Fillable Fileable
Other-Appendix N.1. Template for email from FNS to SNAP State agency	Appendix N.1. Template for email from FNS to SNAP State agency.docx	Yes	No	Printable Only
Other-Appendix N.2. Template for email from Mathematica to SNAP State agency	Appendix N.2. Template for email from Mathematica to SNAP State agency.docx	Yes	No	Printable Only
Other-Appendix N.3. Template for email from Mathematica to newly assigned respondents	Appendix N.3. Template for email from Mathematica to newly assigned respondents.docx	Yes	No	Printable Only
Other-Appendix O.1. Template for email from FNS to Territory NAP agency	Appendix O.1. Template for email from FNS to Territory NAP agency.docx	Yes	No	Printable Only
Other-Appendix O.2. Template for email from Mathematica to Territory NAP agency	Appendix O.2. Template for email from Mathematica to Territory NAP agency.docx	Yes	No	Printable Only
Other-Appendix O.3 Template for scheduling email to Territory NAP agency	Appendix O.3 Template for scheduling email to Territory NAP agency.docx	Yes	No	Printable Only
Other-Appendix P.1. Template for email from FNS to SNAP State agency	Appendix P.1. Template for email from FNS to SNAP State agency.docx	Yes	No	Printable Only
Other-Appendix P.2. Template for email from Mathematica to SNAP State agency	Appendix P.2. Template for email from Mathematica to SNAP State agency.docx	Yes	No	Printable Only
Other-Appendix P.4. Template for email from SNAP State agency to local SNAP agency	Appendix P.4. Template for email from SNAP State agency to local SNAP agency.docx	Yes	No	Printable Only
Other-Appendix P.5. Template for email from Mathematica to local SNAP agency	Appendix P.5. Template for email from Mathematica to local SNAP agency.docx	Yes	No	Printable Only
Other-Appendix P.6. Case study call script	Appendix P.6. Case study call script.docx	No		Paper Only
Other-Appendix F. SNAP agency case study interview protocol	Appendix F. SNAP agency case study interview protocol.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 103

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 84 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	765	765
Annual IC Time Burden (Hours)	257	257
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E. NAP agency protocol definitions	Appendix E. NAP agency protocol definitions.docx	01/09/2023
Appendix N.4. Template for document reminder email	Appendix N.4. Template for document reminder email.docx	01/09/2023
Appendix N.5. Template for biweekly reminder email for SNAP administrators	Appendix N.5. Template for biweekly reminder email for SNAP administrators.docx	01/09/2023
Appendix N.6. Template for biweekly reminder email for respondents	Appendix N.6. Template for biweekly reminder email for respondents.docx	01/09/2023
Appendix N.7. Urgent reminder email for SNAP administrators	Appendix N.7. Urgent reminder email for SNAP administrators.docx	01/09/2023
Appendix N.8. Urgent reminder email for respondents	Appendix N.8. Urgent reminder email for respondents.docx	01/09/2023
Appendix N.9. Reminder call script	Appendix N.9. Reminder call script.docx	01/09/2023
Appendix O.4. Template for reminder email to Territory NAP agency	Appendix O.4. Template for reminder email to Territory NAP agency.docx	01/09/2023
Appendix O.5. Template for document reminder email to Territory NAP agency	Appendix O.5. Template for document reminder email to Territory NAP agency.docx	01/09/2023
Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency	Appendix P.3. Template for scheduling reminder email from Mathematica to SNAP State agency.docx	01/09/2023
Appendix Q. Study description	Appendix Q. Study description.docx	01/09/2023

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