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State & Local Agencies
In-depth Case Studies of Advanced Modernization Initiatives
OMB: 0584-0547
IC ID: 182700
OMB.report
USDA/FNS
OMB 0584-0547
ICR 201011-0584-003
IC 182700
( )
Documents and Forms
Document Name
Document Type
Appendix B.1-State Staff Interview Protocol.doc
Other-Interview - State Staff
Appendix B.2-County Local Interview Protocol.doc
Other-Interview - County Staff
Appendix D-Extant Data Request.doc
Other-Request for Data from Records
Appendix G.1-State Introduction Letter.doc
Advance Letter (State Staff)
IC Document
Appendix G.2-County & Local Introduction Letter.doc
Advance Letter (County/Local Staff)
IC Document
Appendix J-Introduction Call Scripts.doc
Intro Telephone Script
IC Document
Appendix K-Reminder Call Scripts.doc
Reminder Telephone
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State & Local Agencies
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Interview - State Staff
Appendix B.1-State Staff Interview Protocol.doc
No
Paper Only
Other-Interview - County Staff
Appendix B.2-County Local Interview Protocol.doc
No
Paper Only
Other-Request for Data from Records
Appendix D-Extant Data Request.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
319
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
331
0
-641
0
0
972
Annual IC Time Burden (Hours)
1,231
0
-118
0
0
1,349
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Advance Letter (State Staff)
Appendix G.1-State Introduction Letter.doc
12/06/2010
Advance Letter (County/Local Staff)
Appendix G.2-County & Local Introduction Letter.doc
12/06/2010
Intro Telephone Script
Appendix J-Introduction Call Scripts.doc
06/28/2011
Reminder Telephone
Appendix K-Reminder Call Scripts.doc
06/28/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.