Businesses

Assessment of Administrative Costs of Electronic Healthy Incentives Projects (eHIP)

OMB:

IC ID: 271790

Documents and Forms
Document Name
Document Type
Other-09_I.Electronic Letter with Re
Other-09_I.Electronic Letter with Re
Other-10_J.Electronic Letter with Re
Other-10_J.Electronic Letter with Re
Other-11_K.Electronic Letter with Re
Other-11_K.Electronic Letter with Re
Other-12_L. In-Depth Interview Proto
Other-12_L. In-Depth Interview Proto
Other-14_N. Interview Consent Form
Other-14_N. Interview Consent Form
Other-15_O. Interview Follow Up and
Other-15_O. Interview Follow Up and
Other-16_P. Electronic Letter to Gus
Other-16_P. Electronic Letter to Gus
Other-13_M. Interview Worksheets
Other-13_M. Interview Worksheets
Information Collection (IC) Details

View Information Collection (IC)

Businesses
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL 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

Income Security Food and Nutrition Assistance

 

38 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 272 0 272 0 0 0
Annual IC Time Burden (Hours) 105 0 105 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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