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Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - State and Tribal Grantees and SFAs (1 of 3))

IC 242284 under ICR 202203-0584-002 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment B.1 Grantee Intervi
Other-Attachment B.1 Grantee Intervi
Other-Attachment D SFA Interview Pro
Other-Attachment D SFA Interview Pro
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Information Collection (IC) Details

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Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - State and Tribal Grantees and SFAs (1 of 3))
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B.1 Grantee Interview Protocol Attachment B.1 Grantee Interview Protocol.docx No   Paper Only
Other-Attachment D SFA Interview Protocol Attachment D SFA Interview Protocol.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 FNS Studies and Reports  56 FR 19078

12 5
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 51 0 0 0 0 51
Annual IC Time Burden (Hours) 72 0 0 0 0 72
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C.1 Study Team Introductory Email to Grantees Attachment C.1 Study Team Introductory Email to Grantees.docx 06/18/2020
Attachment C.2 Inteview Confirmation Email Template for Grantees Attachment C.2 Interview Confirmation Email Template for Grantees.docx 06/18/2020
Attachment E.1 Grantee Introductory Email to SFAs Attachment E.1 Grantee Introductory Email to SFAs.docx 06/18/2020
Attachment E.2 Study Team Introductory Email to SFAs Attachment E.2 Study Team Introductory Email to SFAs.docx 06/18/2020
Attachment E.3 Recruitment FAQ Sheet for SFAs Attachment E.3 Recruitment FAQ Sheet for SFAs.docx 06/18/2020
Attachment E.4 Study Overview Sheet for SFAs Attachment E.4 Study Overview Sheet for SFAs.docx 06/18/2020
Attachment E.5 Telephone Script for SFA Recruitment Attachment E.5 Telephone Script for SFA Recruitment.docx 06/18/2020
Attachment E.6 Interview Confirmation Email Template for SFAs Attachment E.6 Interview Confirmation Email Template for SFAs.docx 06/18/2020
Attachment A Burden Table Attachment A Burden table 6.17.20.xlsx 06/18/2020
Attachment J IRB Approval Attachment J IRB Approval.pdf 06/18/2020
2019 Summer EBT Generic Submission 25 Jun 2020 Memo 2019 Summer EBT Generic Submission 25 Jun 2020 Memo.docx 06/26/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.