Information Collection

Business Respondents

IC 263550 under ICR 202311-0584-003 · OMB 0584-0691.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
C1. Partner Key Informant Interview Guide.docx	Other-C1. Partner Key Informant Inte
C1. Partner Key Informant Interview Guide.docx	Other-C1. Partner Key Informant Inte
C2. Retailer Key Informant Interview Guide.docx	Other-C2. Retailer Key Informant Int
C2. Retailer Key Informant Interview Guide.docx	Other-C2. Retailer Key Informant Int
G2. Partner Key Informant Interview Invitation Email.docx	Other-G2. Partner Key Informant Inte
G2. Partner Key Informant Interview Invitation Email.docx	Other-G2. Partner Key Informant Inte
G3. Retailer Key Informant Interview Invitation.docx	Other-G3. Retailer Key Informant Int
G3. Retailer Key Informant Interview Invitation.docx	Other-G3. Retailer Key Informant Int
H1. Retailer Key Informant Interview Recruitment Guide.docx	Other-H1. Retailer Key Informant Int
H1. Retailer Key Informant Interview Recruitment Guide.docx	Other-H1. Retailer Key Informant Int
F1. Pre-test Findings Memo.docx F1. Pre-test Findings Memo	IC Document
F1. Pre-test Findings Memo.docx F1. Pre-test Findings Memo	IC Document

IC Title:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-C1. Partner Key Informant Interview Guide	No		Paper Only
Other-C2. Retailer Key Informant Interview Guide	No		Paper Only
Other-G2. Partner Key Informant Interview Invitation Email	Yes	No	Printable Only
Other-G3. Retailer Key Informant Interview Invitation	Yes	Yes	Fillable Fileable
Other-H1. Retailer Key Informant Interview Recruitment Guide	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-10 USDA/FNS Persons Doing Business with the Food and Nutrition Service

FR Citation: 65 FR 17251

Number of Respondents: 813

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,223	2,223
Annual IC Time Burden (Hours)	557	557
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
F1. Pre-test Findings Memo		11/17/2023

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

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