OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Household Survey Activities

IC 228202 under ICR 201709-0584-001 · OMB 0584-0638.

Documents and Forms
Document Name
Document Type
Other-Appendix 12.a Household Survey
Other-Appendix 12.b Household Survey
Other-Appendix 29.a Household Survey
Other-Appendix 29.b Household Survey
Other-Appendix 37 Respondent Payment
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Household Survey Activities
 
No New
 
Voluntary
 
7 CFR 245.6a

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix 12.a Household Survey - English 12a. Household Survey_English.docx Yes Yes Fillable Fileable
Other-Appendix 12.b Household Survey - Spanish 12b. Household Survey_Spanish.docx Yes Yes Fillable Fileable
Other-Appendix 29.a Household Survey Call Script - English 29a. Household survey call script-English.docx No   Paper Only
Other-Appendix 29.b Household Survey Call Script - Spanish 29b. Household survey call script-Spanish.docx No   Paper Only
Other-Appendix 37 Respondent Payment Log 37. Respondent Payment Log.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

1,486 0
   
Individuals or Households
 
   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 11,846 0 11,846 0 0 0
Annual IC Time Burden (Hours) 5,123 0 5,123 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix 20.a Household Survey Advance Letter - English 20a. Household survey advance letter_English.docx 09/15/2017
Appendix 20.b Household Survey Advance Letter - Spanish 20b. Household survey advance letter_Spanish.docx 09/15/2017
Appendix 21.a Household Survey Brochure - English 21a. Household Survey Brochure (English).pdf 09/15/2017
Appendix 21.b Household Survey Brochure - Spanish 21b. Household Survey Brochure (Spanish).pdf 09/15/2017
Appendix 22.a Household Survey Frequently Asked Questions - English 22a. Household survey frequently asked questions (English).docx 09/15/2017
Appendix 22.b Household Survey Frequently Asked Questions - Spanish 22b. Household survey frequently asked questions (Spanish).docx 09/15/2017
Appendix 33.a Household Survey Thank You Letter - English 33a. Household Survey Thank you letter_English.docx 09/15/2017
Appendix 33.b Household Survey Thank You Letter - Spanish 33b. Household Survey Thank you letter_Spanish.docx 09/15/2017
Appendix 40.a Household Survey Door Hanger - English 40a. Household Survey Door Hanger (English).pdf 09/15/2017
Appendix 40.b Household Survey Door Hanger - Spanish 40b. Household Survey Door Hanger (Spanish).pdf 09/15/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.