View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Food and Nutrition Service (FNS) Form Cognitive Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction FNS_PROTOCOL_PROTOYPE_APPLICANT_V5.docx Yes Yes Paper Only
Instruction FNS_PROTOCOL_ADMIN_V2.docx Yes Yes Paper Only
Form 2016-2017 Prototype Household Application 2016-2017 Prototype Household Application for Free and Reduced Price School Meals FNS 2016-2017 Household Application Form.pdf Yes Yes Paper Only

General Government Central Records & Statistical Mgt

 

180 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 180 0 180 0 0 0
Annual IC Time Burden (Hours) 293 0 293 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo FNS OMB Memo v2.docx 08/03/2016
FAQs FNS FAQ.pdf 08/03/2016
Instructions FNS Instructions.pdf 08/03/2016
Consent Form FNS Consent Form.docx 08/03/2016
Screener FNS_APPLICANT_SCREENER_ADDL_QUESTIONS.docx 08/03/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.