Information Collection

Business

IC 262149 under ICR 202309-0584-002 · OMB 0584-0689.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0689 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B_2023 .docx	Other-Appendix B_2023 Pulse Survey O
Appendix B_2023 .docx	Other-Appendix B_2023 Pulse Survey O
Appendix C_Sample Survey Support Email (2).docx	Other-Appendix C_Sample Survey Suppo
Appendix C_Sample Survey Support Email (2).docx	Other-Appendix C_Sample Survey Suppo
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails	IC Document
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails	IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_Sample Reminder Emails	IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_Sample Reminder Emails	IC Document

IC Title:

Business

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_2023 Pulse Survey Operational Challenges in Child Nutrition Programs			Appendix B_2023 .docx		Yes	Yes	Fillable Fileable
Other-Appendix C_Sample Survey Support Email (2)			Appendix C_Sample Survey Support Email (2).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: 3,401

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	17,005	17,005
Annual IC Time Burden (Hours)	1,575	1,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E_Sample Thank You Emails	Appendix E_Sample Thank You Emails.docx	09/12/2023
Appendix D_Sample Reminder Emails	Appendix D_Corrected Sample Reminder Emails.docx	09/13/2023

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