Information Collection

Individuals and Households

IC 265408 under ICR 202402-0584-002 · OMB 0584-0696.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
21_U. State Director Web Survey.docx	Other-21_U. State Director Web Surve
21_U. State Director Web Survey.docx	Other-21_U. State Director Web Surve
23_W. Interview Guide Risk Assessment.docx	Other-23_W. Interview Guide Risk Ass
23_W. Interview Guide Risk Assessment.docx	Other-23_W. Interview Guide Risk Ass
22_V. Interview Guide State Level Data Analysis Staff.docx	Other-22_V. Interview Guide State Le
22_V. Interview Guide State Level Data Analysis Staff.docx	Other-22_V. Interview Guide State Le
24_X. Interview Guide State-Level IT Systems Staff.docx	Other-24_X. Interview Guide State-Le
24_X. Interview Guide State-Level IT Systems Staff.docx	Other-24_X. Interview Guide State-Le
25_Y. Interview Guide Local Office Staff.docx	Other-25_Y. Interview Guide Local Of
25_Y. Interview Guide Local Office Staff.docx	Other-25_Y. Interview Guide Local Of

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-21_U. State Director Web Survey	Yes	Yes	Fillable Fileable
Other-23_W. Interview Guide Risk Assessment	Yes	Yes	Fillable Fileable
Other-22_V. Interview Guide State Level Data Analysis Staff	No		Paper Only
Other-24_X. Interview Guide State-Level IT Systems Staff	No		Paper Only
Other-25_Y. Interview Guide Local Office Staff	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: 5

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	11	11
Annual IC Time Burden (Hours)	9	9
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.

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