Information Collection

State and Local Government

IC 262148 under ICR 202411-0584-003 · OMB 0584-0689.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C_Sample Survey Support Email (2).docx	Other-Appendix C_Sample Survey Suppo
Appendix C_Sample Survey Support Email (2).docx	Other-Appendix C_Sample Survey Suppo
Appendix B_2024 CN Pulse Survey_Changes.docx	Other-Appendix B_2024 CN Pulse Surve
Appendix B_2024 CN Pulse Survey_Changes.docx	Other-Appendix B_2024 CN Pulse Surve
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails	IC Document
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails	IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_ Sample Reminder Emails	IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_ Sample Reminder Emails	IC Document

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C_Sample Survey Support Email (2)					Yes	Yes	Fillable Printable
Other-Appendix B_2024 CN Pulse Survey_Changes					Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,705

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	78,301	78,301
Annual IC Time Burden (Hours)	7,258	7,258
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E_Sample Thank You Emails		09/12/2023
Appendix D_ Sample Reminder Emails		09/13/2023

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

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