OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - Parents/Caregivers of Children (2 of 3)

IC 242285 under ICR 202203-0584-002 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment F.1 Focus Group Sig
Other-Attachment F.1 Focus Group Sig
Other-Attachment F.2 Focus Group Con
Other-Attachment F.2 Focus Group Con
Other-Attachment F.3 Parent/Caregive
Other-Attachment F.3 Parent/Caregive
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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)

Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - Parents/Caregivers of Children (2 of 3)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment F.1 Focus Group Sign-In Sheet Attachment F.1 Focus Group Sign-in Sheet.docx No   Paper Only
Other-Attachment F.2 Focus Group Consent Form Attachment F.2 Focus Group Consent Form.docx No   Paper Only
Other-Attachment F.3 Parent/Caregiver Focus Group Interview Protocol Attachment F.3 ParentCaregiver Focus Group Interview Protocol_25 Jun 2020.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 FNS Studies and Reports  56 FR 19078

480 0
   
Individuals or Households
 
   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 1,680 0 0 0 0 1,680
Annual IC Time Burden (Hours) 166 0 0 0 0 166
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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
Attachment G.1 Recruitment Flyer/Handout for Focus Group Attachment G.1 Recruitment FlyerHandout for Focus Group_25 Jun 2020.docx 06/26/2020
Attachment G.2 Recruitment FAQ Sheet for Focus Groups Attachment G.2 Recruitment FAQ Sheet for Focus Groups_25 Jun 2020.docx 06/26/2020
Attachment G.3 Study Overview Sheet for Focus Group Participants Attachment G.3 Study Overview Sheet for Focus Group Participants_25 Jun ....docx 06/26/2020
Attachment G.4 Telephone Script for Focus Group Confirmation Attachment G.4 Telephone Script for Focus Group Confirmation_25 Jun 2020.docx 06/26/2020
Attachment G.5 Focus Group Confirmation Email Template for Focus Group Participants Attachment G.5 Focus Group Confirmation Email Template for Focus Group_25 Jun 2020.docx 06/26/2020
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.