Information Collection

State Agencies

IC 219293 under ICR 202408-0584-001 · OMB 0584-0607.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B Web Survey About School Year 2023-24.pdf	Other-Appendix B Web Survey About Sc
Appendix B Web Survey About School Year 2023-24.pdf	Other-Appendix B Web Survey About Sc
Appendix D1 Study support email from FNS Regional Office to State Agency.docx	Other-Appendix D1 Study support emai
Appendix D1 Study support email from FNS Regional Office to State Agency.docx	Other-Appendix D1 Study support emai
Appendix D2 Advance email.docx	Other-Appendix D2 Advance email
Appendix D2 Advance email.docx	Other-Appendix D2 Advance email
Appendix D3 Study brochure.pdf	Other-Appendix D3 Study brochure
Appendix D3 Study brochure.pdf	Other-Appendix D3 Study brochure
Appendix D4 Survey email.docx	Other-Appendix D4 Survey email
Appendix D4 Survey email.docx	Other-Appendix D4 Survey email
Appendix D8 Admin data phone script.docx	Other-Appendix D8 Admin data phone s
Appendix D8 Admin data phone script.docx	Other-Appendix D8 Admin data phone s
FNS-10 Admin Data Request for FY 2024 Appendix C1 FNS-10 Admin Data Request for FY 2024.pdf	Form
FNS-10 Admin Data Request for FY 2024 Appendix C1 FNS-10 Admin Data Request for FY 2024.pdf	Form
FNS-418 Admin Data Request for FY 2024 Appendix C2 FNS-418 Admin Data Request for FY 2024.pdf	Form
FNS-418 Admin Data Request for FY 2024 Appendix C2 FNS-418 Admin Data Request for FY 2024.pdf	Form
FNS-44 Admin Data Request for FY 2024 Appendix C3 FNS-44 Admin Data Request for FY 2024.pdf	Form
FNS-44 Admin Data Request for FY 2024 Appendix C3 FNS-44 Admin Data Request for FY 2024.pdf	Form
Appendix D5 Survey reminder email.docx Appendix D5 Survey reminder email	IC Document
Appendix D5 Survey reminder email.docx Appendix D5 Survey reminder email	IC Document
Appendix D6 Survey reminder phone script.docx Appendix D6 Survey reminder phone script	IC Document
Appendix D6 Survey reminder phone script.docx Appendix D6 Survey reminder phone script	IC Document
Appendix D7 Survey last chance post card.pdf Appendix D7 Survey last chance post card	IC Document
Appendix D7 Survey last chance post card.pdf Appendix D7 Survey last chance post card	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B Web Survey About School Year 2023-24			Appendix B Web Survey About School Year 2023-24.pdf	Yes	Yes	Fillable Fileable
Form	FNS-10	Admin Data Request for FY 2024	Appendix C1 FNS-10 Admin Data Request for FY 2024.pdf	Yes	Yes	Fillable Fileable
Form	FNS-418	Admin Data Request for FY 2024	Appendix C2 FNS-418 Admin Data Request for FY 2024.pdf	Yes	Yes	Fillable Fileable
Form	FNS-44	Admin Data Request for FY 2024	Appendix C3 FNS-44 Admin Data Request for FY 2024.pdf	Yes	Yes	Fillable Fileable
Other-Appendix D1 Study support email from FNS Regional Office to State Agency			Appendix D1 Study support email from FNS Regional Office to State Agency.docx	Yes	No	Printable Only
Other-Appendix D2 Advance email			Appendix D2 Advance email.docx	Yes	No	Printable Only
Other-Appendix D3 Study brochure			Appendix D3 Study brochure.pdf	No		Paper Only
Other-Appendix D4 Survey email			Appendix D4 Survey email.docx	Yes	No	Printable Only
Other-Appendix D8 Admin data phone script			Appendix D8 Admin data phone script.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

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: 68

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	735	-5,983	6,718
Annual IC Time Burden (Hours)	945	-709	1,654
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D5 Survey reminder email	Appendix D5 Survey reminder email.docx	08/09/2024
Appendix D6 Survey reminder phone script	Appendix D6 Survey reminder phone script.docx	08/09/2024
Appendix D7 Survey last chance post card	Appendix D7 Survey last chance post card.pdf	08/09/2024

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