Information Collection

Respondents - State, Local and Tribal Agencies

IC 228210 under ICR 201708-0584-003 · OMB 0584-0637.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0637 can be found here:

Documents and Forms

Document Name Document Type
Attachment G.1_Ste and Local SNAP and Partner Admin Interview Prtcl_10-16-17.docx Other-Attachment G.1_Ste and Local S
Attachment G.2_Ste and Local SNAP and Partner Staff Protocol_10-16-17.docx Other-Attachment G.2_Ste and Local S
Attachment I.1_State Recruitment Materials_MOU 9-13-17.docx Other-Attachment I.1_State Recruitme
Attachment I.2_State Recruitment Materials_Study Description 9-13-17.docx Attachment I.2_State Recruitment Materials_Study Description 9-13-17.docx IC Document
Attachment I.3_State Recruitment Materials_FAQ Doc 10-16-17.docx Attachment I.3_State Recruitment Materials_FAQ Doc 10-16-17.docx IC Document
Attachment I.4_State Recruitment Materials_FNS Support Letter 9-13-17.docx Attachment I.4_State Recruitment Materials_FNS Support Letter 9-13-17.docx IC Document
Attachment I.5_State Recruitment Materials_Initial Email 9-13-17.docx Attachment I.5_State Recruitment Materials_Initial Email 9-13-17.docx IC Document
Attachment I.6_State Recruitment Materials_Follow Up Email 9-13-17.docx Attachment I.6_State Recruitment Materials_Follow Up Email 9-13-17.docx IC Document
Attachment I.7_State Recruitment Materials_Script after Email 10-16-17.docx Attachment I.7_State Recruitment Materials_Script after Email 10-16-17.docx IC Document
Attachment I.8_State Recruitment Materials_Second Call Topics 9-13-17.docx Attachment I.8_State Recruitment Materials_Second Call Topics 9-13-17.docx IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respondents - State, Local and Tribal Agencies	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?	Electronic Capability
Other-Attachment G.1_Ste and Local SNAP and Partner Admin Interview Prtcl_10-16-17.docx	Attachment G.1_Ste and Local SNAP and Partner Admin Interview Prtcl_10-16-17.docx	No	Paper Only
Other-Attachment G.2_Ste and Local SNAP and Partner Staff Protocol_10-16-17.docx	Attachment G.2_Ste and Local SNAP and Partner Staff Protocol_10-16-17.docx	No	Paper Only
Other-Attachment I.1_State Recruitment Materials_MOU 9-13-17.docx	Attachment I.1_State Recruitment Materials_MOU 9-13-17.docx	No	Printable 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: 240	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 Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	710	710
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment I.2_State Recruitment Materials_Study Description 9-13-17.docx	Attachment I.2_State Recruitment Materials_Study Description 9-13-17.docx	09/28/2017
Attachment I.3_State Recruitment Materials_FAQ Doc 10-16-17.docx	Attachment I.3_State Recruitment Materials_FAQ Doc 10-16-17.docx	10/16/2017
Attachment I.4_State Recruitment Materials_FNS Support Letter 9-13-17.docx	Attachment I.4_State Recruitment Materials_FNS Support Letter 9-13-17.docx	09/28/2017
Attachment I.5_State Recruitment Materials_Initial Email 9-13-17.docx	Attachment I.5_State Recruitment Materials_Initial Email 9-13-17.docx	09/28/2017
Attachment I.6_State Recruitment Materials_Follow Up Email 9-13-17.docx	Attachment I.6_State Recruitment Materials_Follow Up Email 9-13-17.docx	09/28/2017
Attachment I.7_State Recruitment Materials_Script after Email 10-16-17.docx	Attachment I.7_State Recruitment Materials_Script after Email 10-16-17.docx	10/16/2017
Attachment I.8_State Recruitment Materials_Second Call Topics 9-13-17.docx	Attachment I.8_State Recruitment Materials_Second Call Topics 9-13-17.docx	09/28/2017

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