Information Collection

Feasibility Study - Responsive

IC 214846 under ICR 201501-0584-002 · OMB 0584-0600.

Documents and Forms

Document Name Document Type
Attachment B Survey Instrument 2015 02 02.docx Other-Attachment B Survey Instrument
Attachment B 4 - Survey Screenshots 2015 02 02.docx Other-Attachment B 4 - Survey Screen
Attachment C Site Visit Interview Guide 2015 02 02.docx Other-Attachment C Site Visit Interv
Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02.docx Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02 IC Document
Attachment B 2 Survey Invitation 2015 02 02.docx Attachment B 2 Survey Invitation 2015 02 02 IC Document
Attachment B 3 Survey Follow-Up 2015 02 02.docx Attachment B 3 Survey Follow-Up 2015 02 02 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Feasibility Study - Responsive	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment B Survey Instrument 2015 02 02	Attachment B Survey Instrument 2015 02 02.docx	No		Paper Only
Other-Attachment B 4 - Survey Screenshots 2015 02 02	Attachment B 4 - Survey Screenshots 2015 02 02.docx	Yes	Yes	Fillable Fileable
Other-Attachment C Site Visit Interview Guide 2015 02 02	Attachment C Site Visit Interview Guide 2015 02 02.docx	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 322	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	789	789
Annual IC Time Burden (Hours)	459	459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02	Attachment B 1 Survey Advance Notice - Information Sheet 2015 02 02.docx	02/02/2015
Attachment B 2 Survey Invitation 2015 02 02	Attachment B 2 Survey Invitation 2015 02 02.docx	02/02/2015
Attachment B 3 Survey Follow-Up 2015 02 02	Attachment B 3 Survey Follow-Up 2015 02 02.docx	02/02/2015

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