Information Collection

State, Local or Tribal Agencies (Respondents)

IC 233039 under ICR 201806-0584-003 · OMB 0584-0645.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0645 can be found here:

Documents and Forms

Document Name Document Type
E. State SNAP Director and E&T Director Interview Protocol.docx Other-E. State SNAP Director and E&T
F. Local SNAP Office Director Interview Protocol.docx Other-F. Local SNAP Office Director
G. Local SNAP Office Eligibility Worker Interview Protocol.docx Other-G. Local SNAP Office Eligibili
H. Process Mapping Protocol.docx Other-H. Process Mapping Protocol.do
K. E&T Provider Interview Protocol.docx Other-K. E&T Provider Interview Prot
L. Admin Data Submission Instructions and Variable List.docx snap.insightpolicyresearch.com Instruction
M.1. FTP Site instructions for submitting administrative data.docx snap.insightpolicyresearch.com Other- M.1. FTP Site instructions fo
M.2. Email to States with FTP Password.docx Other-M.2. Email to States with FTP
C.1. Recruitment Email from FNS to States.docx C.1. Recruitment Email from FNS to States.docx IC Document
C.2. Follow Up Email from Study Directors to States.docx C.2. Follow Up Email from Study Directors to States.docx IC Document
D. Study Overview and Frequently Asked Questions.docx D. Study Overview and Frequently Asked Questions.docx IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State, Local or Tribal Agencies (Respondents)	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-F. Local SNAP Office Director Interview Protocol.docx	F. Local SNAP Office Director Interview Protocol.docx		No		Paper Only
Other-G. Local SNAP Office Eligibility Worker Interview Protocol.docx	G. Local SNAP Office Eligibility Worker Interview Protocol.docx		No		Paper Only
Other-H. Process Mapping Protocol.docx	H. Process Mapping Protocol.docx		No		Paper Only
Other-K. E&T Provider Interview Protocol.docx	K. E&T Provider Interview Protocol.docx		No		Paper Only
Instruction	L. Admin Data Submission Instructions and Variable List.docx	http://snap.insightpolicyresearch.com	No		Fillable Fileable Signable
Other- M.1. FTP Site instructions for submitting administrative data.docx	M.1. FTP Site instructions for submitting administrative data.docx	http://snap.insightpolicyresearch.com	Yes	Yes	Fillable Fileable Signable
Other-M.2. Email to States with FTP Password.docx	M.2. Email to States with FTP Password.docx		No		Paper Only
Other-E. State SNAP Director and E&T Director Interview Protocol.docx	E. State SNAP Director and E&T Director Interview Protocol.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-10 Persons Doing Business with FNS	FR Citation: 65 FR 17251

Number of Respondents: 116	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 45 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	195	195
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
C.1. Recruitment Email from FNS to States.docx	C.1. Recruitment Email from FNS to States.docx	09/18/2018
C.2. Follow Up Email from Study Directors to States.docx	C.2. Follow Up Email from Study Directors to States.docx	09/18/2018
D. Study Overview and Frequently Asked Questions.docx	D. Study Overview and Frequently Asked Questions.docx	09/18/2018

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