OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

BUSINESS: SNAP E&T Program Providers (Respondents + Pretest)

IC 214461 under ICR 201512-0584-009 · OMB 0584-0602.

Documents and Forms
Document Name
Document Type
Other-INSTRUMENT 2_Provider Survey _
Other-INSTRUMENT 2.1_Provider Survey
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

BUSINESS: SNAP E&T Program Providers (Respondents + Pretest)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-INSTRUMENT 2_Provider Survey _clean INSTRUMENT 2_Provider Survey _clean.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-INSTRUMENT 2.1_Provider Survey web based 1.12.2015 INSTRUMENT 2.1_Provider Survey web based 1.12.2015.pdf www.notyetcreated.com Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

 

500 250
   
Private Sector Not-for-profit institutions
 
   90 %

  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 917 0 413 0 0 504
Annual IC Time Burden (Hours) 307 0 14 0 0 293
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ATTACHMENT 8_Provider Survey Advance Letter - email_Response 11-26-14 ATTACHMENT 8_Provider Survey Advance Letter - email_Response 11-26-14.docx 12/30/2014
ATTACHMENT 9_Provider Survey Reminder Email_Response 11-26-14 ATTACHMENT 9_Provider Survey Reminder Email_Response 11-26-14.docx 12/30/2014
ATTACHMENT 10_Provider Survey Reminder Postcard_clean ATTACHMENT 10_Provider Survey Reminder Postcard 02.25.15.docx 02/25/2015
Letter to Increase Response Rate and Participation Attachment A Letter for Change Justification 0584 - SNAP Employment and Training Study 1-5-16.docx 01/05/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.