Information Collection

State/Local: C - SFA District Director Questionnaire

IC 203778 under ICR 201208-0584-008 · OMB 0584-0530.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0530 can be found here:

Documents and Forms

Document Name Document Type
rev062112 Attachment C - SFA District Director Questionnaire.docx Other-Attachment C - SFA District Di
rev062112 Attachment B.1-Superintendent Letter.docx B.1-Superintendent Letter IC Document
rev062112 Attachment B.2-SFA Letter.docx B.2-SFA Letter IC Document
rev062112 Attachment B.3-Study Overview.docx B.3-Study Overview IC Document
rev062112 Attachment B.4-Suggested Text for Recruiting Call.docx B.4-Suggested Text for Recruiting Call IC Document
rev062112 Attachment B.5-Initial Email to SFA Directors.docx B.5-Initial Email to SFA Directors IC Document
rev062112 Attachment B.6-Reminder Email to SFA Directors.docx B.6-Reminder Email to SFA Directors IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State/Local: C - SFA District Director Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Attachment C - SFA District Director Questionnaire			rev062112 Attachment C - SFA District Director Questionnaire.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 16

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
B.1-Superintendent Letter	rev062112 Attachment B.1-Superintendent Letter.docx	08/19/2012
B.2-SFA Letter	rev062112 Attachment B.2-SFA Letter.docx	08/19/2012
B.3-Study Overview	rev062112 Attachment B.3-Study Overview.docx	08/19/2012
B.4-Suggested Text for Recruiting Call	rev062112 Attachment B.4-Suggested Text for Recruiting Call.docx	08/19/2012
B.5-Initial Email to SFA Directors	rev062112 Attachment B.5-Initial Email to SFA Directors.docx	08/19/2012
B.6-Reminder Email to SFA Directors	rev062112 Attachment B.6-Reminder Email to SFA Directors.docx	08/19/2012

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