Information Collection

Business

IC 262149 under ICR 202309-0584-002 · OMB 0584-0689.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0689 can be found here:

Documents and Forms

Document Name Document Type
Appendix B_2023 .docx Other-Appendix B_2023 Pulse Survey O
Appendix B_2023 .docx Other-Appendix B_2023 Pulse Survey O
Appendix C_Sample Survey Support Email (2).docx Other-Appendix C_Sample Survey Suppo
Appendix C_Sample Survey Support Email (2).docx Other-Appendix C_Sample Survey Suppo
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails IC Document
Appendix E_Sample Thank You Emails.docx Appendix E_Sample Thank You Emails IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_Sample Reminder Emails IC Document
Appendix D_Corrected Sample Reminder Emails.docx Appendix D_Sample Reminder Emails IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B_2023 Pulse Survey Operational Challenges in Child Nutrition Programs			Appendix B_2023 .docx		Yes	Yes	Fillable Fileable
Other-Appendix C_Sample Survey Support Email (2)			Appendix C_Sample Survey Support Email (2).docx		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,401	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,005	17,005
Annual IC Time Burden (Hours)	1,575	1,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E_Sample Thank You Emails	Appendix E_Sample Thank You Emails.docx	09/12/2023
Appendix D_Sample Reminder Emails	Appendix D_Corrected Sample Reminder Emails.docx	09/13/2023

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