Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NSWP III (IC 2 of 2) New 2032 75 0 Other-Appendix A3 Revised Certification Survey
Other-Appendix A4 Revised Denied Applicant Survey
Other-Appendix A5 Revised Program Experiences Survey
Other-NSWP-III Pretesting\I-H\Appendix A6 Former WIC Participant Case Study Interview Guide
Other-Consent Form
Other-Dinied Applicant Consent Form
NSWP-III Pretest - SLT (IC 1 of 2) New 181 27 0 Other-Appendix A1 Revised State Agency Survey
Other-Appendix A2 Revised Local WIC Agency Survey
Other-B2. Revised Letter to State Agencies from Regional Offices
Other-B3. Revised State Agency Survey Invitation Email
Other-B4. Revised State Agency Survey Invitation Letter with Instrument
Other-B5. Revised State Agency Survey Reminder Email
Other-B6. Revised State Agency Survey Reminder Phone Script
Other-B7. Revised Local WIC Agency Survey Invitation Email
Other-B8. Revised Local WIC Agency Survey Invitation Letter with Instrument
Other-B9. Revised Local WIC Agency Survey Reminder Email
Other-B10. Revised Local WIC Agency Survey Reminder Phone Script
Other-C3. Revised State Agency Survey Thank You Letter
Other-C4. Revised Local WIC Agency Survey Thank You Letter
Other-D1. State Agency Survey Debriefing Interview Guide
Other-D2. Local WIC Agency Debriefing Interview Guide
Pretesting for Direct Certification with Medicaid Demonstrations New 345 404 0 Other-DCM-FRP Generic OMB Appendix A1
Other-DCM-FRP Generic OMB Appendix A2
Other-DCM-FRP Generic OMB Appendix A3
Other-DCM-FRP Generic OMB Appendix A4
Other-DCM-FRP Generic OMB Appendix B
Other-DCM-FRP Generic OMB Appendix C1
Other-DCM-FRP Generic OMB Appendix C1a
Other-DCM-FRP Generic OMB Appendix C1b
Other-DCM-FRP Generic OMB Appendix C2
Other-DCM-FRP Generic OMB Appendix D
Revised - Business - Preparation for the Launch of the Summer Meals Study New 36 11 0 Other-Appendix A.3. Sponsor Survey.docx
Other-Appendix A.5.Menu Planning Survey.docx
Other-Appendix A.6.Menu Followup Report.docx
Other-Appendix A.8. Sponsor QI .docx
Other-Appendix B.1. Former Sponsor QI.docx
Other-Appendix C.1. Site Supervisor Survey.docx
Other-Appendix C.2. Site Supervisor QI.docx
Revised - Individuals/Households - Preparation for the Launch of the Summer Meals Study New 187 43 0 Other-Appendix E.4. Household Eligibility Screener.docx
Other-Appendix E.6 Participant Caregiver Survey.docx
Other-Appendix E.7 Nonparticipant Caregiver Survey.docx
Other-Appendix E.8 Participant Caregiver QI.docx
Other-Appendix E.9 Nonparticipant Caregiver QI.docx
Revised - SLT - Preparation for the Launch of the Summer Meals Study New 35 10 0 Other-Appendix A.3. Sponsor Survey.docx
Other-Appendix A.5.Menu Planning Survey.docx
Other-Appendix A.6.Menu Followup Report.docx
Other-Appendix B.1. Former Sponsor QI.docx
Other-Appendix C.1. Site Supervisor Survey.docx
Other-Appendix C.2. Site Supervisor QI.docx
SNAP E&T Program Participants (Individuals/Households) Respondents New 650 48 0 Other-Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English 2-26-19.docx
Other-Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx
Other-Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx
Other-Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx
Other-Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx
Other-Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx
Other-Appendix A-6e Screen Shots--Web Survey of SNAP and Work--English_2_12_19.docx
Other-Appendix A-6f Screen Shots--Web Survey of SNAP and Work--Spanish_2_12_19.docx
SNAP Online Purchasing Pilot New 50 1000 0 Other-Attachment A - Online Purchasing Pilot RFV
Other-Attachment B - Online Pilot Form
SNAP Teen Nutrition Pilot Test (State Agencies - Teachers) New 33 55 0 Other-Attachment A - Quantitative Evaluation Survey for High School Students 0...-1
Other-Attachment B - Moderator PRE - Discussion Guide for Focus Groups with Hi...
Other-Attachment C - Moderator POST - Discussion Guide for Focus Groups with High School Students 060116
Other-Attachment D - Moderator PRE - Discussion Guide for Focus Groups with High School Teachers 052516
Other-Attachment E- Moderator POST - Discussion Guide for Focus Groups with High School Teachers 060116
Other-Attachment F - Parent Guardian Focus Group Consent Form for Student Participation 060116
SNAP Teen Nutrition Pilot Testing (Parents/Students) New 635 313 0 Other-Attachment A - Quantitative Evaluation Survey for High School Students 0...-1
Other-Attachment B - Moderator PRE - Discussion Guide for Focus Groups with High School Students
Other-Attachment C - Moderator POST - Discussion Guide for Focus Groups with High School Students060116
Other-Attachment F - Parent Guardian Focus Group Consent Form for Student Participation 060116
School Nutrition and Meal Cost Study - II, Outlying Areas Cost Study Feasibility Assessment New 230 134 0 Other-Appendix A SFA Director/District Business Manager Interview Guide
Other-Appendix B. State CN Agency Director Interview Guide
Other-Appendix C. School Nutrition Manager Interview Guide
Other-Appendix D. Principal Interview Guide
Other-Appendix G. SFA Director Recruiting Email
Other-Appendix I. SFA Director Recruiting Telephone Script
Other-Appendix J. State CN Agency Director Recruiting Telephone Script
Other-Appendix L. School Nutrition Manager Recruiting Telephone Script
Other-Appendix M. Principal Recruiting Telephone Script
School Nutrition and Meal Cost Study-II, Outlying Areas Cost Study Feasibility Reassessment - SAs, SFA Directors, District Business Managers, School Nutrition Managers, and School Principals (SLT) New 268 136 0 Other-Appendix A. SFA-Level Interview Guide
Other-Appendix B. State-Level Interview Guide
Other-Appendix C. School Nutrition Manager Interview Guide
Other-Appendix D. Principal Interview Guide
Other-Appendix G. SFA Director Recruiting Email
Other-Appendix H. SFA Director Recruiting Telephone Script
Other-Appendix I. State CN Agency Director Recruiting Email
Other-Appendix J. State CN Agency Director Recruiting Telephone Script
Other-Appendix K. School Nutrition Manager/Principal Recruiting Email
Other-Appendix L. School Nutrition Manager Recruiting Telephone Script
Other-Appendix M. Principal Recruiting Telephone Script
Other-Appendix N. Visit Confirmation Email
Turnip the Beet - Pilot Program New 387 361 0 Other-FINALNominationForm_TurniptheBeet_SummerMealRecognition
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 5069 2617 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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