OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State, Local and Tribal Agencies (Respondents)

IC 228063 under ICR 201708-0584-002 · OMB 0584-0633.

Documents and Forms
Document Name
Document Type
Other-Attachment C.1. National Surve
Other-Attachment C.2 National Survey
Other-Attachment D. Screen Shot of W
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State, Local and Tribal Agencies (Respondents)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment C.1. National Survey of State SNAP Data Matching, State-Level Survey.docx Attachment C.1. National Survey of State SNAP Data Matching, State-Level Survey.docx www.qualtrics.com Yes Yes Fillable Fileable Signable
Other-Attachment C.2 National Survey of State SNAP Data Matching, County-Level Survey.docx Attachment C.2 National Survey of State SNAP Data Matching, County-Level Survey.docx www.qualtrics.com Yes Yes Fillable Fileable Signable
Other-Attachment D. Screen Shot of Web Survey.docx Attachment D. Screen Shot of Web Survey.docx www.qualtrics.com Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

 

221 0
   
State, Local, and Tribal Governments
 
   100 %

  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 221 0 221 0 0 0
Annual IC Time Burden (Hours) 181 0 181 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment E. Introduction letter to regional directors of upcoming study.docx Attachment E. Introduction letter to regional directors of upcoming study.docx 08/29/2017
Attachment G. Introduction letter to State SNAP directors of upcoming study.docx Attachment G. Introduction letter to State SNAP directors of upcoming study.docx 08/29/2017
Attachment I. Letter to State administrative staff to participate in survey.docx Attachment I. Letter to State administrative staff to participate in survey.docx 08/29/2017
Attachment M. Follow-up Email.docx Attachment M. Follow-up Email.docx 08/29/2017
Attachment N. Follow-up Telephone Script.docx Attachment N. Follow-up Telephone Script.docx 08/29/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.