Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Households: M - Household Survey New 4424 3318 0 Other-M.1-Household Survey
Other-M.2-Household_Survey_Spanish
Households: M - Household Survey (Non-Response) New 1105 55 0 Other-Non-Respondent Placeholder
Individual/Households Removed 0 0 0 Other-M.1 Household Survey
Other-Attachment M.2-Household_Survey_Spanish
Other-Attachment L.7-Consent for Access to Education Records_CEO
Other-Attachment L.8-National School Meals Brochure_Spanish
Other-Attachment L.5-Informed Consent for Participation
Other-Attachment L.6-Informed Consent for Participation_Spanish
NSLP/SBP Access, Participation, Eligibility, and Certification Study Removed 0 0 0 Other-Attachment C.1-SFA District Director Questionnaire
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month
Other-Attachment D.2-SFA Reimbursement Claim Verif Form-Week
Other-Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools
Other-Attachment E.1-Application Data Abstraction Form
Other-Attachment F.1-Student Sample Contact Info Form
Other-Attachment F.2-Newly Cert FRP
Other-Attachment H.1-School Meal Count Form-Day
Other-Attachment H.2-School Meal Count Form-Week
Other-Attachment H.3-School Meal Count Verification Form-Target Month
Other-Attachment H.4-Supplemental Reporting Form (for Sampled School)
Other-Attachment O.3-Administrative Data Items Being Rqst from State Agencies
Other-Attachment G.1-CEO Student Sampling File Documentation Form
Other-Attachment I.1-Meal Transaction Observation Form
Other-Attachment I.2-Meal Transaction Observation Form
Other-Attachment J.1-Changes in Student Certification and Enrollment Form
Other-Attachment K.1-Participation Data Protocol
Private Schools Removed 0 0 0 Other-Attachment G.1-CEO Student Sampling File Documentation Form
Other-Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools
Other-Attachment C.1-SFA District Director Questionnaire
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month
Other-Attachment E.1-Application Data Abstraction Form
Other-Attachment H.3-School Meal Count Verification Form-Target Month
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month
Other-Attachment D.2-SFA Reimbursement Claim Verif Form-Week
Other-Attachment F.1-Student Sample Contact Info Form
Other-Attachment F.2-Newly Cert FRP
Private Schools: C - SFA District Director Questionnaire New 6 9 0 Other-C - SFA District Director Questionnaire
Private Schools: D - SFA Reimbursement Claims Data New 6 6 0 Other-D.1-SFA Reimbursement Claim Verif - Month
Other-D.2-SFA Reimbursement Claim Verif Form-Week
Other-D.3-SFA Reimbursement Claim Verif Form-For All Schools
Private Schools: F - Certified and Denied Applicant Sampling New 12 3 0 Other-F.1-Student Sample Contact Info Form
Other-F.2-Newly Cert FRP
Private Schools: H - School Meal Count Verification Form New 6 6 0 Other-H.1-School Meal Count Form-Day
Other-H.2-School Meal Count Form-Week
Other-H.3-School Meal Count Verification Form-Target Month
Other-H.4-Supplemental Reporting Form (for Sampled School)
Private Schools: J - Changes in Student Certification and Enrollment Form New 6 3 0 Other-J - Changes in Student Certification and Enrollment Form - For All Schools
Private Schools: K -Participation Data Protocol New 12 6 0 Other-K - Participation Data Protocol- For All Schools
Private Schools: Telephone Interview for Survey Data Clarification New 6 1 0 Other-Unwritten Information Collection Instrument Placeholder
State/Local: C - SFA District Director Questionnaire New 160 240 0 Other-Attachment C - SFA District Director Questionnaire
State/Local: C - SFA District Director Questionnaire (Non-Response) New 9 1 0 Other-NON-RESPONDENT PLACE HOLDER
State/Local: D - SFA Reimbursement Claims Data New 139 139 0 Other-Attachment D.1-SFA Reimbursement Claim Verif - Month
Other-Attachment D.2-SFA Reimbursement Claim Verif - Week
Other-Attachment D.3 - Optional SFA Reimbursement Claim Verif Form-For All Schools
State/Local: F - Certified and Denied Applicant Sampling New 248 62 0 Other-F.1-Student Sample Contact Info Form
Other-F.2-Newly Cert FRP
State/Local: G - CEO Student Sampling New 45 90 0 Other-G - CEO Student Sampling File Documentation Form
State/Local: H - School Meal Count Verification Form New 429 429 0 Other-H.1-School Meal Count Form-Day
Other-H.2-School Meal Count Form-Week
Other-H.3-School Meal Count Verification Form-Target Month
Other-H.4-Supplemental Reporting Form (for Sampled School)
State/Local: J - Changes in Student Certification and Enrollment Form New 384 192 0 Other-J - Changes in Student Certification and Enrollment Form - For All Schools
State/Local: K - Participation Data New 768 384 0 Other-K - Participation Data Protocol- For All Schools
State/Local: O - Program Data New 49 392 0 Other-O.3-Administrative Data Items Being Rqst from State Agencies
State/Local: Telephone Interview for Survey Data Clarification New 160 27 0 Other-Unwritten Information Collection Instrument Placeholder
Total burden requested under this ICR: 7974 5363 0  
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