Information Collection

State and Local Government Respondents

IC 263552 under ICR 202311-0584-003 · OMB 0584-0691.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
G1. State Agency Key Informant Interview Invitation Email.docx	Other-G1. State Agency Key Informant
G1. State Agency Key Informant Interview Invitation Email.docx	Other-G1. State Agency Key Informant
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
A1. Administrative Data Elements.docx A1. Administrative Data Elements	IC Document
A1. Administrative Data Elements.docx A1. Administrative Data Elements	IC Document
B1. Cost Data Worksheet.xlsx B1. Cost Data Worksheet	IC Document
B1. Cost Data Worksheet.xlsx B1. Cost Data Worksheet	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-G1. State Agency Key Informant Interview Invitation Email			G1. State Agency Key Informant Interview Invitation Email.docx		Yes	No	Printable Only
Other-C1. Partner Key Informant Interview Guide			C1. Partner Key Informant Interview Guide.docx		No		Paper Only

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: 103

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	398	398
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A1. Administrative Data Elements	A1. Administrative Data Elements.docx	11/17/2023
B1. Cost Data Worksheet	B1. Cost Data Worksheet.xlsx	11/17/2023

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