State, Local and Tribal Governments

An Assessment of the Roles and Effectiveness of Community-Based Organizations in the Supplemental Nutrition Assistance Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0578 can be found here:

Documents and Forms

Document Name Document Type
CBO - Appendix A.1A - State SNAP Director Email.docx Other-CBO - Appendix A.1A - State SN
CBO - Appendix A.1B - State SNAP Director Interview Protocol.docx Other-CBO - Appendix A.1B - State SN
CBO - Appendix D - Instructions for Submitting Data Files and List of Variables.docx Other-CBO - Appendix D - Instruction
CBO - Appendix A.3A - SNAP Local Office Director Email.docx Other-CBO - Appendix A.3A - SNAP Loc
CBO - Appendix A.3B - SNAP Local Office Director Interview Protocol.docx Other-CBO - Appendix A.3B - SNAP Loc
CBO - Appendix A.4 - SNAP Local Office Worker Interview Protocol.docx Other-CBO - Appendix A.4 - SNAP Loca

Information Collection (IC) Details

IC Title:	State, Local and Tribal Governments	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-CBO - Appendix A.1A - State SNAP Director Email	CBO - Appendix A.1A - State SNAP Director Email.docx	Yes	Yes	Fillable Fileable
Other-CBO - Appendix A.1B - State SNAP Director Interview Protocol	CBO - Appendix A.1B - State SNAP Director Interview Protocol.docx	Yes	Yes	Fillable Fileable
Other-CBO - Appendix D - Instructions for Submitting Data Files and List of Variables	CBO - Appendix D - Instructions for Submitting Data Files and List of Variables.docx	Yes	Yes	Fillable Fileable
Other-CBO - Appendix A.3A - SNAP Local Office Director Email	CBO - Appendix A.3A - SNAP Local Office Director Email.docx	Yes	Yes	Fillable Fileable
Other-CBO - Appendix A.3B - SNAP Local Office Director Interview Protocol	CBO - Appendix A.3B - SNAP Local Office Director Interview Protocol.docx	Yes	Yes	Fillable Fileable
Other-CBO - Appendix A.4 - SNAP Local Office Worker Interview Protocol	CBO - Appendix A.4 - SNAP Local Office Worker Interview Protocol.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: 40	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	68	68
Annual IC Time Burden (Hours)	102	102
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.