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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CN Agency and SFA Directors, Business Managers, Superintendents, Menu Planners, School Nutrition Managers, School Liaisons, and Principals - SLT
New
20556
20811
0
Other-Appendix C3 State Child Nutrition Director Study Introduction and Data Request Email (Groups 1, 2, & 3)
Other-Appendix C11. Recruiting Call Script (Groups 2, 3, & Full and Limited Outlying Areas)
Other-Appendix C12. SFA Director Planning Interview (Groups 2, 3, & Full and Limited Outlying Areas)
Other-Appendix C13. SFA Post-Planning Email (Groups 2 & 3)
Other-Appendix C18. School Planning Interview (Groups 2 & 3 and Full Outlying Areas)
Other-Appendix C21. State Child Nutrition Director Study Introduction and Data Request Email (Full and Limited Outlying Areas)
Other-Appendix C24. SFA Post-Planning Email (Full and Limited Outlying Areas)
Other-Appendix D1. School Roster Data Request (Group 2)
Other-Appendix E1.1 Basic Menu Survey Booklet: Instruction, Example Forms, and Forms (Group 2)
Other-Appendix E2.1 Expanded Menu Survey Booklet: Instructions, Example Forms, and Forms (Group 3)
Other-Appendix E2.2 Expanded Menu Survey Booklet: Instructions and Forms (Full and Limited Outlying Areas)
Other-Appendix E3 Fruit and Vegetable Questions & Meal Pattern Crediting Report (Groups 2 & 3)
Other-Appendix F3. SFA Director Survey (Groups 1, 2, & 3)
Other-Appendix F6. SNM Survey (Groups 2 & 3)
Other-Appendix F7. Principal Survey (Groups 2 & 3)
Other-Appendix G1. State Agency Indirect Cost Suvey (Group 3 & Full Outlying Areas)
Other-Appendix G3. SFA On-Site Cost Interview (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G4. School Nutrition Manager Cost Interview (Group 3 & Full Outlying Areas)
Other-Appendix G5. Principal Cost Interview (Group 3 & Full Outlying Areas)
Other-Appendix G6. Food Cost Worksheet (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G7. On-Site Self-Serve/Made-to-Order Bar Form (Group 3)
Other-Appendix G11. SFA Follow-Up Web Survey (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G13. SFA Follow-Up Cost Interview (Group 3 & Full and Limited Outlying Areas)
Other-Appendix H1. Vending Machine and Other Sources of Foods and Beverages Checklists (Groups 2 & 3)
Other-Appendix H2. Cafeteria Observation Guide (Groups 2 & 3)
Other-Appendix I6. Point of Sale Form (Group 2)
Other-Appendix J1. Plate Waste Observation Booklet (Group 3)
Other-Appendix J2. Reimbursable Meal Sale Data Request Form (Group 2)
Other-Appendix K4. SFA Director Suvey Example Screenshot
Other-Appendix K7. SFA Follow-Up Web Survey Example Screenshot
Other-Appendix K2. School Planning Interview Example Screenshot
Other-Appendix K3. Electronic Menu Survey Example Screenshots
Other-Appendix K5. Principal Survey Example Screenshot
Other-Appendix K6. State Agency Indirect Cost Survey Example Screenshot
CN Agency and SFA Directors, Business Managers, Superintendents, Menu Planners, School Nutrition Managers, School Liaisons, and Principals - SLT (Non-Response)
New
566
43
0
Other-NON RESPONDENTS BURDEN INSTRUMENT
Food Service Management Company Manager and Regional Operations Manager - Businesses
New
64
53
0
Other-Appendix G3. SFA On-Site Cost Interview (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G4. School Nutrition Manager Cost Interview (Group 3 & Full Outlying Areas)
Other-Appendix G6. Food Cost Worksheet (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G11. SFA Follow-Up Web Survey (Group 3 & Full and Limited Outlying Areas)
Other-Appendix G13. SFA Follow-Up Cost Interview (Group 3 & Full and Limited Outlying Areas)
Other-Appendix K2. School Planning Interview Example Screenshot
Other-Appendix K7. SFA Follow-Up Web Survey Example Screenshot
Other-Appendix E2.2 Expanded Menu Survey Booklet: Instructions and Forms (Full and Limited Outlying Areas)
Food Service Management Company Manager and Regional Operations Manager - Businesses (Non-Response)
New
1
1
0
Other-NON RESPONDENTS BURDEN INSTRUMENT
Parents/Guardians and Students - Individuals and Households
New
24380
5100
0
Other-Appendix D8. Parent Passive Consent Response Form - English (Group 2)
Other-Appendix D9. Parent Passive Consent Response Form - Spanish (Group 2)
Other-Appendix D10. Parent Active Consent Response Form - English (Group 2)
Other-Appendix D11. Parent Active Consent Response Form - Spanish (Group 2)
Other-Appendix I1. Student Interview English (Group 2)
Other-Appendix I2. Student Interview Spanish (Group 2)
Other-Appendix I3. Parent Interview English (Group 2)
Other-Appendix I4. Parent Interview Spanish (Group 2)
Other-Appendix I5. Automated Multiple Pass Method (Group 2)
Other-Appendix I8. Food Diary English (Group 2)
Other-Appendix I9. Food Diary Spanish (Group 2)
Other-Appendix K8. Parent Interview Example Screenshots
Parents/Guardians and Students - Individuals and Households (Non-Response)
New
2016
430
0
Other-NON RESPONDENTS BURDEN INSTRUMENT
Total burden requested under this ICR:
47583
26438
0
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