Information Collection

State, Local and Tribal Governments

IC 262260 under ICR 202309-0584-004 · OMB 0584-0688.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment E.1_Recruitment Materials_Letter of Introduction from FNS_10.25.23.docx	Other-Attachment E.1_Recruitment Mat
Attachment E.1_Recruitment Materials_Letter of Introduction from FNS_10.25.23.docx	Other-Attachment E.1_Recruitment Mat
Attachment E.2_Recruitment Materials_Initial Email to States_10.25.23.docx	Other-Attachment E.2_Recruitment Mat
Attachment E.2_Recruitment Materials_Initial Email to States_10.25.23.docx	Other-Attachment E.2_Recruitment Mat
Attachment E.3_Recruitment Materials_Study Description_10.25.23.docx	Other-Attachment E.3_Recruitment Mat
Attachment E.3_Recruitment Materials_Study Description_10.25.23.docx	Other-Attachment E.3_Recruitment Mat
Attachment E.4_Recruitment Materials_State Recruitment Call Script_10.25.23.docx	Other-Attachment E.4_Recruitment Mat
Attachment E.4_Recruitment Materials_State Recruitment Call Script_10.25.23.docx	Other-Attachment E.4_Recruitment Mat
Attachment E.5_Recruitment Materials_Email confirming State participation_10.25.23.docx	Other-Attachment E.5_Recruitment Mat
Attachment E.5_Recruitment Materials_Email confirming State participation_10.25.23.docx	Other-Attachment E.5_Recruitment Mat
Attachment F.1_Instruments and Procedures_Combined Interview Protocol_10.25.23.docx	Other-Attachment F.1_Instruments and
Attachment F.1_Instruments and Procedures_Combined Interview Protocol_10.25.23.docx	Other-Attachment F.1_Instruments and
Attachment F.3_Instruments and Procedures_Site Visit Introductory Email_10.25.23.docx	Other-Attachment F.3_Instruments and
Attachment F.3_Instruments and Procedures_Site Visit Introductory Email_10.25.23.docx	Other-Attachment F.3_Instruments and
Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23.docx Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23	IC Document
Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23.docx Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23	IC Document
Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25.docx Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25	IC Document
Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25.docx Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local and Tribal Governments

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-Attachment E.1_Recruitment Materials_Letter of Introduction from FNS_10.25.23	Attachment E.1_Recruitment Materials_Letter of Introduction from FNS_10.25.23.docx	Yes	Yes	Printable Only
Other-Attachment E.2_Recruitment Materials_Initial Email to States_10.25.23	Attachment E.2_Recruitment Materials_Initial Email to States_10.25.23.docx	Yes	Yes	Printable Only
Other-Attachment E.3_Recruitment Materials_Study Description_10.25.23	Attachment E.3_Recruitment Materials_Study Description_10.25.23.docx	Yes	Yes	Printable Only
Other-Attachment E.4_Recruitment Materials_State Recruitment Call Script_10.25.23	Attachment E.4_Recruitment Materials_State Recruitment Call Script_10.25.23.docx	No		Paper Only
Other-Attachment E.5_Recruitment Materials_Email confirming State participation_10.25.23	Attachment E.5_Recruitment Materials_Email confirming State participation_10.25.23.docx	Yes	No	Printable Only
Other-Attachment F.1_Instruments and Procedures_Combined Interview Protocol_10.25.23	Attachment F.1_Instruments and Procedures_Combined Interview Protocol_10.25.23.docx	No		Paper Only
Other-Attachment F.3_Instruments and Procedures_Site Visit Introductory Email_10.25.23	Attachment F.3_Instruments and Procedures_Site Visit Introductory Email_10.25.23.docx	Yes	Yes	Printable Only

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: 95

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	213	213
Annual IC Time Burden (Hours)	132	132
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23	Attachment F.2_Instruments and Procedures_Observation Guide_10.25.23.docx	10/25/2023
Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25	Attachment F.4_Instruments and Procedures_Site Visit Background and Sample Agenda_10.25.docx	10/25/2023

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