Information Collection

FoodAPS Field Test - Non respondents

IC 251683 under ICR 202202-0536-002 · OMB 0536-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0077 can be found here:

Documents and Forms

Document Name Document Type
NON-Response Place Holder.pdf Other-NON-Response Place Holder
NON-Response Place Holder.pdf Other-NON-Response Place Holder
Attachment C2 - First nonresponse letter 09082021.docx Attachment C2 - First nonresponse letter IC Document
Attachment C2 - First nonresponse letter 09082021.docx Attachment C2 - First nonresponse letter IC Document
Attachment C3 - Postcard nonresponse 10292021.docx Attachment C3 - Postcard nonresponse IC Document
Attachment C3 - Postcard nonresponse 10292021.docx Attachment C3 - Postcard nonresponse IC Document
Attachment D1a - In-person Advance Letter for NR 02152022.docx Attachment D1a - In-person Advance Letter for NR IC Document
Attachment D1a - In-person Advance Letter for NR 02152022.docx Attachment D1a - In-person Advance Letter for NR IC Document
Attachment D4 - Refusal Conversion Letter 10292021.docx Attachment D4 - Refusal Conversion Letter IC Document
Attachment D4 - Refusal Conversion Letter 10292021.docx Attachment D4 - Refusal Conversion Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FoodAPS Field Test - Non 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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-NON-Response Place Holder			NON-Response Place Holder.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,695	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,695	3,695
Annual IC Time Burden (Hours)	493	493
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment C2 - First nonresponse letter	Attachment C2 - First nonresponse letter 09082021.docx	02/18/2022
Attachment C3 - Postcard nonresponse	Attachment C3 - Postcard nonresponse 10292021.docx	02/18/2022
Attachment D1a - In-person Advance Letter for NR	Attachment D1a - In-person Advance Letter for NR 02152022.docx	02/18/2022
Attachment D4 - Refusal Conversion Letter	Attachment D4 - Refusal Conversion Letter 10292021.docx	02/18/2022

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