Information Collection

State/Local Government

IC 258080 under ICR 202209-0584-004 · OMB 0584-0680.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0680 can be found here:

Documents and Forms

Document Name Document Type
D1. SNAP Administrative Data Request.docx Other-D1. SNAP Administrative Data R
D1. SNAP Administrative Data Request.docx Other-D1. SNAP Administrative Data R
H2. Staff Semi-structured Interview Invitation Email.docx Other-H2. Staff Semi-structured Inte
H2. Staff Semi-structured Interview Invitation Email.docx Other-H2. Staff Semi-structured Inte
I2. Staff Questionnaire Advance Email with FAQ.docx Other-I2. Staff Questionnaire Advanc
I2. Staff Questionnaire Advance Email with FAQ.docx Other-I2. Staff Questionnaire Advanc
D2. Administrative Data_RAPTER Screenshots.docx Other-D2. Administrative Data_RAPTER
D2. Administrative Data_RAPTER Screenshots.docx Other-D2. Administrative Data_RAPTER
H1. Staff Semi-structured Interview Guide.docx Other-H1. Staff Semi-structured Inte
H1. Staff Semi-structured Interview Guide.docx Other-H1. Staff Semi-structured Inte
I1. Staff Questionnaire Specifications.docx Other-I1. Staff Questionnaire Specif
I1. Staff Questionnaire Specifications.docx Other-I1. Staff Questionnaire Specif
I1.1. Staff Questionnaire Screenshots.docx Other-I1.1. Staff Questionnaire Scre
I1.1. Staff Questionnaire Screenshots.docx Other-I1.1. Staff Questionnaire Scre

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State/Local Government	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-D1. SNAP Administrative Data Request	D1. SNAP Administrative Data Request.docx	Yes	No	Paper Only
Other-H2. Staff Semi-structured Interview Invitation Email	H2. Staff Semi-structured Interview Invitation Email.docx	Yes	Yes	Fillable Printable
Other-I2. Staff Questionnaire Advance Email with FAQ	I2. Staff Questionnaire Advance Email with FAQ.docx	Yes	Yes	Printable Only
Other-D2. Administrative Data_RAPTER Screenshots	D2. Administrative Data_RAPTER Screenshots.docx	Yes	Yes	Fillable Fileable
Other-H1. Staff Semi-structured Interview Guide	H1. Staff Semi-structured Interview Guide.docx	No		Paper Only
Other-I1. Staff Questionnaire Specifications	I1. Staff Questionnaire Specifications.docx	Yes	Yes	Printable Only
Other-I1.1. Staff Questionnaire Screenshots	I1.1. Staff Questionnaire Screenshots.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 391	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	782	782
Annual IC Time Burden (Hours)	510	510
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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