Information Collection

Businesses Respondents

IC 263710 under ICR 202311-0584-006 · OMB 0584-0694.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix AE. Case Study Recruitment Email from Project Team to Community Partner.docx	Other-Appendix AE. Case Study Recrui
Appendix AE. Case Study Recruitment Email from Project Team to Community Partner.docx	Other-Appendix AE. Case Study Recrui
Appendix G. Informed Consent Script.docx	Other-Appendix G. Informed Consent S
Appendix G. Informed Consent Script.docx	Other-Appendix G. Informed Consent S
Appendix F. Community Partners Interview Guide.docx	Other-Appendix F. Community Partners
Appendix F. Community Partners Interview Guide.docx	Other-Appendix F. Community Partners

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix AE. Case Study Recruitment Email from Project Team to Community Partner	Appendix AE. Case Study Recruitment Email from Project Team to Community Partner.docx	Yes	No	Printable Only
Other-Appendix G. Informed Consent Script	Appendix G. Informed Consent Script.docx	No		Paper Only
Other-Appendix F. Community Partners Interview Guide	Appendix F. Community Partners Interview Guide.docx	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 Nutrition Service

FR Citation: 65 FR 17251

Number of Respondents: 30

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 2 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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