Information Collection

Businesses

IC 268906 under ICR 202406-0584-003 · OMB 0584-0699.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0699 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment F. SNAP E&T Provider Interview Protocol.docx	Other-Attachment F. SNAP E&T Provide
Attachment F. SNAP E&T Provider Interview Protocol.docx	Other-Attachment F. SNAP E&T Provide
Attachment G Interested Parties Interview Protocol .docx	Other-Attachment G Interested Partie
Attachment G Interested Parties Interview Protocol .docx	Other-Attachment G Interested Partie
Attachment H.13. Interview Scheduling Email 06142024.docx	Other-Attachment H.13. Interview Sch
Attachment H.13. Interview Scheduling Email 06142024.docx	Other-Attachment H.13. Interview Sch
Attachment H.14. Interview Consent Form 06142024.docx	Other-Attachment H.14. Interview Con
Attachment H.14. Interview Consent Form 06142024.docx	Other-Attachment H.14. Interview Con

IC Title:

Businesses

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 F. SNAP E&T Provider Interview Protocol	Attachment F. SNAP E&T Provider Interview Protocol.docx	No		Paper Only
Other-Attachment G Interested Parties Interview Protocol	Attachment G Interested Parties Interview Protocol .docx	No		Paper Only
Other-Attachment H.13. Interview Scheduling Email 06142024	Attachment H.13. Interview Scheduling Email 06142024.docx	Yes	No	Printable Only
Other-Attachment H.14. Interview Consent Form 06142024	Attachment H.14. Interview Consent Form 06142024.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44

Number of Respondents for Small Entity: 14

Affected Public: Private Sector

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

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	128	128
Annual IC Time Burden (Hours)	48	48
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.