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 Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-B1. (Instrument A5) SFA Request for E-Records_Part A Prior SY (Non-CEP Schools for Household Sampling)_v7 Yes Yes Fillable Fileable
Other-B3. (Instrument A8) SFA Request for E-Records_Part B Current SY (Non-CEP Schools for Household Sampling)_v6 Yes Yes Fillable Fileable
Other-B8. (Instrument A1) Application Data Abstraction Form_v4 Yes Yes Fillable Fileable
Other-B9. (Instrument A2) SFA Request for E-Records (CEP Schools for ISP Data Abstraction)_v5 Yes Yes Fillable Fileable
Other-B11. (Instrument A10) SFA Meal Participation Data Request_v4 Yes Yes Fillable Fileable
Other-B12. (Instrument B3) SFA Director Web Survey_v6 Yes Yes Fillable Fileable
Other-B13. (Instrument B1) SFA Pre Data Collection Visit_Questionnaire_v6 Yes Yes Fillable Fileable
Other-B14. (Instrument B5) School_Pre Data Collection Visit_Questionnaire_v4 Yes Yes Fillable Fileable
Other-B15. (Instrument D1) School Meal Count Verification Form_v5 Yes Yes Fillable Fileable
Other-B16. (Instrument D3) SFA Meal Claim Reimbursement Verification Form_all schools_v4 Yes Yes Fillable Fileable
Other-B17. (Instrument D4) State Meal Claim Data Request_v6 Yes Yes Fillable Fileable
Other-B18. (Instrument C1). Meal Observation Booklet_v4 No   Paper Only
Other-C1. (Recruitment 003) Official Notification from Rgl Liaisons to State Dir_v6 Yes Yes Fillable Fileable
Other-C2. (Recruitment 004) SFA Study Notification Template from State CN Director_v2 Yes Yes Fillable Fileable
Other-C3. (Recruitment 005) SFA Study Notification and Data Request_v5 Yes Yes Fillable Fileable
Other-C4. (Recruitment 006) SFA School Data Verification Reference Guide_v5 Yes Yes Fillable Fileable
Other-C6. (Recruitment 007) SFA FU DiscGuide (Study Notification and School Data Verification)_v7 No   Paper Only
Other-C7. (Recruitment 008) Automated Email to Confirm Receipt of School Data_v5 Yes Yes Fillable Fileable
Other-C8. (Recruitment 009) SFA Confirmation and Next Steps Email_v7 Yes No Fillable Fileable
Other-C9. (Recruitment 010) SFA School Sample Notification Email_v7 Yes No Fillable Fileable
Other-C10. (Recruitment 012) Email Notification Template from SFA to Schools_v6 Yes Yes Fillable Fileable
Other-C11. (Recruitment 011) SFA Follow Up Discussion Guide (School Sample Notification)_v7 No   Paper Only
Other-C12. (Recruitment 013) School Study Notification Letter_v7 Yes Yes Fillable Fileable
Other-C13. (Recruitment 014) School Follow Up Discussion Guide_v5 No   Paper Only
Other-C14. (Recruitment 015) School Confirmation Email_v7 Yes Yes Fillable Fileable
Other-C15. (Recruitment 016) School Notification of HH Data Collection_v4 Yes Yes Fillable Fileable
Other-C17. (Instrument B1a) SFA Data Collection Initial Visit Contact Email_v3 Yes Yes Fillable Fileable
Other-C18. (Instrument B1b) SFA Data Collection Visit Confirmation Email_v3 Yes Yes Fillable Fileable
Other-C20. (Instrument B5a) School Data Collection Visit Confirmation Email_v2 Yes Yes Fillable Fileable
Other-C29. (Recruitment 100) Recruitment 100_APEC IV_Study Website Crosswalk_v7 Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

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

1,098 83
   
State, Local, and Tribal Governments
 
   40 %

  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 14,635 0 0 0 0 14,635
Annual IC Time Burden (Hours) 5,235 0 0 0 0 5,235
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
B19. Meal Observation Pilot Protocol_v2 02/09/2022
B2. (Instrument A6) SFA Reminder for E-Records Part A Prior SY (Non-CEP Schools for Household Sampling)_v6 02/09/2022
B4. (Instrument A9) SFA Reminder for E-Records Part B Current SY (Non-CEP Schools for Household Sampling)_v6 02/09/2022
B10. (Instrument A3) SFA Reminder for E-Records (CEP Schools for ISP Data Abstraction)_v4 02/09/2022
C5. (Recruitment 024) APEC-IV FAQ for States, SFAs, and Schools_v6 02/09/2022
C19. (Instrument B2) SFA Data Collection Visit Reminder Email_v3 02/09/2022
C21a. (Instrument B6) School Data Collection Visit Reminder Email_1 month 02/09/2022
C21b. (Instrument B6) School Data Collection Visit Reminder Email_ 1 week 02/09/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.