Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Collection of Produce Safety University Course Feedback and Program Impact Data - SLT Unchanged 618 155 0 Other-Appendix A: PSU Welcome Questions
Other-Appendix B: PSU Course Evaluation
Other-Appendix C: PSU Six-month Follow-up Program Impact Evaluation
Consumer Research for Nutrition Education and Promotion Activities - Business IC Unchanged 1305 142 0 Form FNS-816 Level 1 Event Feedback Form
Form FNS-817 Level 3 Event Feedback Form
Form FNS-854 Attendee Evaluation Form
Form FNS-814 FNS Visitor Form
Consumer Research for Nutrition Education and Promotion Activities -SLT IC Unchanged 13315 3186 0 Form FNS-781 Team Nutrition School Enrollment Form
Form FNS-807 Power Panther Costume Request and Agreement Form
Form FNS-808 Power Panther Costume Event Feedback Form
Form FNS-816 Level 1 Event Feedback Form
Form FNS-817 Level 3 Event Feedback form
Form FNS-854 Attendee Evaluation Form
Form FNS-814 FNS Visitor Form
Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - Parents/Caregivers of Children (2 of 3) Modified 1680 166 0 Other-Attachment F.1 Focus Group Sign-In Sheet
Other-Attachment F.2 Focus Group Consent Form
Other-Attachment F.3 Parent/Caregiver Focus Group Interview Protocol
Other-Attachment F.4 Summer EBT_2022 Non-participant Interview Protocol _
Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - Retailers (3 of 3) Unchanged 102 11 0 Other-Attachment H Retailer Interview Protocol
Evaluation of FY 2019 Summer Electronic Benefit Transfer (EBT) Demonstrations - State and Tribal Grantees and SFAs (1 of 3)) Unchanged 51 72 0 Other-Attachment B.1 Grantee Interview Protocol
Other-Attachment D SFA Interview Protocol
Evaluation of Farm to School Program Training and Curricula for State Agencies and Producers (Businesses/NGOs - 2 of 2) Unchanged 6275 760 0 Other-Trainer Informed Consent
Other-Trainer Post-Training Recruitment Email
Other-Trainer Post Training Recruitment Survey
Other-Screenshot - Trainer Post Survey
Other-Producer Informed Consent
Other-Producer Registration Form
Other-Recruitment Letter (Paper) Producer Training Pre-Survey
Other-Producer Pre-Training Survey (Paper)
Other-Recruitment Letter (Email) Producer Post-Training Survey
Other-Producer Post-Training Survey (online)
Other-Screenshot Post-Survey for Producers
Other-Recruitment Letter (Email) Producers Final Follow-Up Survey
Other-Producer Final Survey (Online)
Other-Screenshot Final Survey for Producers
Evaluation of Farm to School Program Training and Curricula for State Agencies and Producers (S/L/T - 1 of 2) Unchanged 725 124 0 Other-Trainer Informed Consent
Other-Trainer Post-Training Recruitment Email
Other-Trainer Post-Training Survey (Online)
Other-Screenshots of Trainer Post-Survey
Form 1 1
Form and Instruction Informed Consent 2
Form and Instruction 3 Pre-Training Survey
Form and Instruction 4 Post-Training
Form and Instruction 6 Final Follow-up survey
Form and Instruction 7 Recruitment
Form and Instruction 9 Producer Final Survey
Evaluation of the E-STAR Training Grant Program Unchanged 440 127 0 Other-Appendix B_SNM Interview Protocol Year 1
Other-Appendix C_SNM Interview Protocol Year 2
Other-Appendix D_Mentor Interview Protocol Year 1
Other-Appendix E_Mentor Interview Protocol Year 2
Other-Appendix F_SNM Consent Form
Other-Appendix G_SNM Interview Recruitment Materials
Other-Appendix H_Mentor Interview Recruitment Materials
Other-Appendix I_SNM Interview Phone Scripts
Other-Appendix J_Mentor Consent Form
Improving School Meal Program Accuracy through Pre-Ordering and Grab and Go Systems - Students (Individuals and Households) Unchanged 36000 360 0 Other-Appendix E.1: Pre-ordering App Examples - Paper
Other-Appendix E.2: Pre-ordering App Examples - Electronic
Improving School Meal Program Accuracy through Pre-ordering and Grab and Go Systems - SLT Unchanged 192 255 0 Other-Appendix D.1: SFA/School Follow-up Script
Other-Appendix D.2: State Follow-up Script
Mealtimes with Toddlers in the Child and Adult Care Food Program - SLT Unchanged 2070 167 0 Other-Appendix F: Follow up Call to Screened Research Participants
Other-Appendix K: Consent Form for Research Participation
Other-Appendix L: Screener for Research Participation
Other-Appendix N: Guideline for In-depth Interviews (English)
Other-Appendix O: Guideline for In-depth Interviews (Spanish)
Team Nutrition Educational Technology Environmental Scan Unchanged 2980 501 0 Other-Appendix A: Consent Package for School Focus Groups
Other-Appendix B: Consent Package for SHAPE Conference Focus Groups
Other-Appendix C: Consent Package for Teacher of Health Education Survey
Other-Appendix D: Moderators Guide for Teacher Focus Groups
Other-Appendix E: Teacher of Health Education Survey
Other-Appendix F: Flyer for School Focus Groups
Other-Appendix G: Introduction Email for School Focus Groups
Other-Appendix H: Scheduling Email for School Focus Groups
Other-Appendix I: Principal Letter of Agreement
Other-Appendix J: Introduction Email for Teacher of Health Education Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 65753 6026 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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