OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Respondents Individuals/Households - Elderly 60+

IC 228206 under ICR 201806-0584-001 · OMB 0584-0637.

Documents and Forms
Document Name
Document Type
Other-Attachment H.1_Elderly Partici
Other-Attachment H.1.a_Elderly Parti
Other-Attachment H.2_Elderly Partici
Other-Attachment D.5 Interview Scree
Other-Attachment D.5.a. Interview Sc
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Respondents Individuals/Households - Elderly 60+
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment H.1_Elderly Participant Interview Guide.docx Attch H.1_Elderly Participant Interview Guide.docx No   Paper Only
Other-Attachment H.1.a_Elderly Participant Interview Guide_Spanish.docx Attch H.1.a_Elderly Participant Interview Guide_Spanish.docx No   Paper Only
Other-Attachment H.2_Elderly Participant Focus Group Guide.docx Attch H.2_Elderly Participant Focus Group Guide.docx No   Paper Only
Other-Attachment D.5 Interview Screen Form 6.14.18 Attch D.5_Interview Screen Form_Dis-Question-Update.docx No   Paper Only
Other-Attachment D.5.a. Interview Screen Form Spanish 6.14.18 Attch D.5.a Int Screen Form_Spanish_Dis-Question-Update.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-9 STARS  75 FR 81207

366 0
   
Individuals or Households
 
   0 %

  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 566 0 0 0 0 566
Annual IC Time Burden (Hours) 395 0 0 0 0 395
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment D.2_Int Recruitment Flyer 9-13-17.docx Attch D.2_Int Recruitment Flyer 9-13-17.docx 09/28/2017
Attachment D.2.a_Int Flyer_Spanish 9-13-17.docx Attch D.2.a_Int Flyer_Spanish 9-13-17.docx 09/28/2017
Attch D.3_Recruit Script 10-16-17.docx Attch D.3_Recruit Script 10-16-17.docx 10/16/2017
Attch D.3.a_Recruit Script_Spanish 10-16-17.docx Attch D.3.a_Recruit Script_Spanish 10-16-17.docx 10/16/2017
Attachment D.4_Focus Recruitment Flyer 9-13-17.docx Attch D.4_Focus Recruitment Flyer 9-13-17.docx 09/28/2017
Attachment D.6_Interview Consent Form 9-13-17.docx Attch D.6_Interview Consent Form 9-13-17.docx 09/28/2017
Attachment D.6a_Int Consent Form_Spanish 9-13-17.docx Attch D.6a_Int Consent Form_Spanish 9-13-17.docx 09/28/2017
Attachment D.7_Focus Consent Form.docx Attch D.7_Focus Consent Form.docx 09/28/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.