Information Collection

Businesses

IC 271790 under ICR 202410-0584-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
09_I.Electronic Letter with Request to Schedule Interview - fns.docx	Other-09_I.Electronic Letter with Re
09_I.Electronic Letter with Request to Schedule Interview - fns.docx	Other-09_I.Electronic Letter with Re
10_J.Electronic Letter with Reminder to Schedule Interview.docx	Other-10_J.Electronic Letter with Re
10_J.Electronic Letter with Reminder to Schedule Interview.docx	Other-10_J.Electronic Letter with Re
11_K.Electronic Letter with Reminder about Interview.docx	Other-11_K.Electronic Letter with Re
11_K.Electronic Letter with Reminder about Interview.docx	Other-11_K.Electronic Letter with Re
12_L. In-Depth Interview Protocol.docx	Other-12_L. In-Depth Interview Proto
12_L. In-Depth Interview Protocol.docx	Other-12_L. In-Depth Interview Proto
14_N. Interview Consent Form.docx	Other-14_N. Interview Consent Form
14_N. Interview Consent Form.docx	Other-14_N. Interview Consent Form
15_O. Interview Follow Up and Thank You Note.docx	Other-15_O. Interview Follow Up and
15_O. Interview Follow Up and Thank You Note.docx	Other-15_O. Interview Follow Up and
16_P. Electronic Letter to GusNIP Grantees with Data Request - fns.docx	Other-16_P. Electronic Letter to Gus
16_P. Electronic Letter to GusNIP Grantees with Data Request - fns.docx	Other-16_P. Electronic Letter to Gus
13_M. Interview Worksheets.xlsx	Other-13_M. Interview Worksheets
13_M. Interview Worksheets.xlsx	Other-13_M. Interview Worksheets

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-09_I.Electronic Letter with Request to Schedule Interview - fns	09_I.Electronic Letter with Request to Schedule Interview - fns.docx	Yes	Yes	Printable Only
Other-10_J.Electronic Letter with Reminder to Schedule Interview	10_J.Electronic Letter with Reminder to Schedule Interview.docx	Yes	Yes	Printable Only
Other-11_K.Electronic Letter with Reminder about Interview	11_K.Electronic Letter with Reminder about Interview.docx	Yes	Yes	Printable Only
Other-12_L. In-Depth Interview Protocol	12_L. In-Depth Interview Protocol.docx	No		Paper Only
Other-14_N. Interview Consent Form	14_N. Interview Consent Form.docx	Yes	Yes	Printable Only
Other-15_O. Interview Follow Up and Thank You Note	15_O. Interview Follow Up and Thank You Note.docx	Yes	Yes	Printable Only
Other-16_P. Electronic Letter to GusNIP Grantees with Data Request - fns	16_P. Electronic Letter to GusNIP Grantees with Data Request - fns.docx	Yes	Yes	Printable Only
Other-13_M. Interview Worksheets	13_M. Interview Worksheets.xlsx	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: 38

Number of Respondents for Small Entity: 0

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	272	272
Annual IC Time Burden (Hours)	105	105
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.