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

View Information Collection (IC)

State, Local, and Tribal Government - State Child Nutrition Agency, SFA, and Schools
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B1. SFA Request for E-Records (Non-CEP Schools for Household Sampling) Yes Yes Fillable Fileable
Other-Appendix B2. SFA Reminder for E-Records (Non-CEP Schools for Household Sampling) Yes Yes Fillable Fileable
Other-Appendix B3. SFA Request for E-Records (CEP Schools for ISP Data Abstraction) Yes Yes Fillable Fileable
Other-Appendix B4. SFA Reminder for E-Records (CEP Schools for ISP Data Abstraction) Yes Yes Fillable Fileable
Other-Appendix B5. SFA Pre-Visit Interview Yes Yes Paper Only
Other-Appendix B7. Application Data Abstraction Form Yes Yes Fillable Fileable
Other-Appendix B8. Round 2 & 3 Application Data Abstraction Scheduling Email Yes Yes Fillable Fileable
Other-Appendix B9. SFA Reimbursement Claim Verification Form - Sampled Schools Yes Yes Fillable Fileable
Other-Appendix B10. SFA Reimbursement Consolidation and Claim Verification Form - All Schools Yes Yes Fillable Fileable
Other-Appendix B11. SFA Director Survey (web based) Yes Yes Fillable Fileable
Other-Appendix B12. SFA Director Interview (by phone) No   Paper Only
Other-Appendix B13. SFA Meal Participation Data Request Yes Yes Fillable Fileable
Other-Appendix B14. State Meal Claim Data Request Yes Yes Fillable Fileable
Other-Appendix C1. School Pre-Visit Interview Yes No Fillable Printable
Other-Appendix C3. Meal Transaction Observation Form No   Paper Only
Other-Appendix C5. Cafeteria Manager Interview No   Paper Only
Other-Appendix C6. School Meal Count Verification Form No   Paper Only
Other-Appendix O2. Template E-Letter from FNS Regional Liaison to State Child Nutrition Director Yes No Fillable Printable
Other-Appendix O3. State Follow Up Contact Guide No   Paper Only
Other-Appendix O4. SFA Study Notification and School Data Verification E-Letter Yes Yes Fillable Fileable
Other-Appendix O5. SFA Follow Up Contact Guide (Study Notification and School Data Verification) Yes No Fillable Printable
Other-Appendix O8. SFA School Sample Notification E-Letter Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

2,801 19
   
State, Local, and Tribal Governments
 
   21 %

  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 10,084 0 10,084 0 0 0
Annual IC Time Burden (Hours) 4,521 0 4,521 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B6. SFA Data Collection Visit Reminder Email 05/17/2017
Appendix C4. Example of Meal Transaction Sampling 06/20/2017
Appendix C2. School Data Collection Visit Reminder Email 05/17/2017
Appendix O6. SFA Automated Email - Receipt of Verification of School Data 05/18/2017
Appendix O7. SFA Confirmation and Next Steps Email 05/18/2017
Appendix O9. School Study Notification E-Letter 05/18/2017
Appendix O10. APEC III Fact Sheet (for SFAs and Schools) 05/18/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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