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State, Local, or Tribal Government
Understanding the Relationship Between Poverty, Well-Being, and Food Security
OMB: 0584-0682
IC ID: 258101
OMB.report
USDA/FNS
OMB 0584-0682
ICR 202501-0584-001
IC 258101
( )
Documents and Forms
Document Name
Document Type
B. SNAP Agency Data Request.docx
Other-B. SNAP Agency Data Request
I. Police Station Letter.docx
Other-I. Police Station Letter
R. Study Description.docx
Other-R. Study Description
Q1. Focus Group Consent Form.docx
Other-Q1. Focus Group Consent Form
Q3. Focus Group Invitation.docx
Other-Q3. Focus Group Invitation
Q2. Focus Group Discussion Guide.docx
Other-Q2. Focus Group Discussion Gui
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State, Local, or Tribal Government
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-B. SNAP Agency Data Request
B. SNAP Agency Data Request.docx
Yes
No
Printable Only
Other-I. Police Station Letter
I. Police Station Letter.docx
No
Paper Only
Other-R. Study Description
R. Study Description.docx
Yes
No
Printable Only
Other-Q1. Focus Group Consent Form
Q1. Focus Group Consent Form.docx
Yes
Yes
Printable Only
Other-Q3. Focus Group Invitation
Q3. Focus Group Invitation.docx
Yes
No
Printable Only
Other-Q2. Focus Group Discussion Guide
Q2. Focus Group Discussion Guide.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:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
117
0
0
0
0
117
Annual IC Time Burden (Hours)
77
0
0
0
0
77
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.