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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CN Agency and SFA Directors, Business Managers, Superintendents, Menu Planners, School Nutrition Managers, School Liaisons, and Principals - SLT
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix C3 State Child Nutrition Director Study Introduction and Data Request Email (Groups 1, 2, & 3)
C03 State Child Nutrition Director Study Introduction and Data Request Email (Groups 1, 2, 3).docx
Yes
No
Fillable Printable
Other-Appendix C11. Recruiting Call Script (Groups 2, 3, & Full and Limited Outlying Areas)
C11 Recruiting Call Script (Groups 2, 3, Full OA, Ltd OA).docx
No
Paper Only
Other-Appendix C12. SFA Director Planning Interview (Groups 2, 3, & Full and Limited Outlying Areas)
C12 SFA Director Planning Interview (Groups 2, 3, Full and Ltd OA).docx
No
Paper Only
Other-Appendix C13. SFA Post-Planning Email (Groups 2 & 3)
C13 SFA Post-Planning Email (Groups 2, 3).docx
Yes
Yes
Fillable Fileable
Other-Appendix C18. School Planning Interview (Groups 2 & 3 and Full Outlying Areas)
C18 School Planning Interview (Groups 2, 3, Full OA).docx
Yes
Yes
Fillable Fileable
Other-Appendix C21. State Child Nutrition Director Study Introduction and Data Request Email (Full and Limited Outlying Areas)
C21 State CN Director Study Introduction and Data Request Email (Full OA, Ltd OA).docx
Yes
No
Fillable Printable
Other-Appendix C24. SFA Post-Planning Email (Full and Limited Outlying Areas)
C24 SFA Post-Planning Email (Full OA, Ltd OA).docx
Yes
Yes
Fillable Fileable
Other-Appendix D1. School Roster Data Request (Group 2)
D01 School Roster Data Request (Group 2)_revised2.docx
Yes
Yes
Fillable Fileable
Other-Appendix E1.1 Basic Menu Survey Booklet: Instruction, Example Forms, and Forms (Group 2)
Appendix E1.1 Basic Menu Survey Booklet (Group 2).pdf
Yes
Yes
Fillable Fileable
Other-Appendix E2.1 Expanded Menu Survey Booklet: Instructions, Example Forms, and Forms (Group 3)
Appendix E2.1 Expanded Menus Survey Booklet (Group 3).pdf
Yes
Yes
Fillable Fileable
Other-Appendix E2.2 Expanded Menu Survey Booklet: Instructions and Forms (Full and Limited Outlying Areas)
Appendix E2.2 Expanded Menu Survey Booklet (Full and Limited Outlying Areas).pdf
Yes
Yes
Fillable Fileable
Other-Appendix E3 Fruit and Vegetable Questions & Meal Pattern Crediting Report (Groups 2 & 3)
E03 Fruit and Vegetable Questions and Meal Pattern Crediting Report (Groups 2, 3).docx
Yes
Yes
Fillable Fileable
Other-Appendix F3. SFA Director Survey (Groups 1, 2, & 3)
F03 SFA Director Survey (Groups 1, 2, 3).docx
Yes
Yes
Fillable Fileable
Other-Appendix F6. SNM Survey (Groups 2 & 3)
F06 SNM Survey (Groups 2, 3).docx
Yes
Yes
Fillable Fileable
Other-Appendix F7. Principal Survey (Groups 2 & 3)
F07 Principal Survey (Groups 2, 3).docx
Yes
Yes
Fillable Fileable
Other-Appendix G1. State Agency Indirect Cost Suvey (Group 3 & Full Outlying Areas)
G01 State Agency Indirect Cost Survey (Group 3, Full OA).docx
Yes
Yes
Fillable Fileable
Other-Appendix G3. SFA On-Site Cost Interview (Group 3 & Full and Limited Outlying Areas)
G03 SFA On-Site Cost Interview (Group 3, Full and Ltd OA).docx
Yes
No
Fillable Printable
Other-Appendix G4. School Nutrition Manager Cost Interview (Group 3 & Full Outlying Areas)
G04-School Nutrition Manager Cost Interview (Group 3, Full OA).docx
Yes
No
Fillable Printable
Other-Appendix G5. Principal Cost Interview (Group 3 & Full Outlying Areas)
G05-Principal Cost Interview (Group 3, Full OA).docx
Yes
No
Fillable Printable
Other-Appendix G6. Food Cost Worksheet (Group 3 & Full and Limited Outlying Areas)
G06 Food Cost Worksheet (Group 3, Full and Ltd OA).docx
No
Paper Only
Other-Appendix G7. On-Site Self-Serve/Made-to-Order Bar Form (Group 3)
G07 Onsite Self-Serve and Made-to-Order Bar Form (Group 3).docx
No
Paper Only
Other-Appendix G11. SFA Follow-Up Web Survey (Group 3 & Full and Limited Outlying Areas)
G11 SFA Follow-Up Web Survey (Group 3, Full and Ltd OA).docx
Yes
Yes
Fillable Fileable
Other-Appendix G13. SFA Follow-Up Cost Interview (Group 3 & Full and Limited Outlying Areas)
G13 SFA Follow-up Cost Interview (Group 3, Full and Ltd OA).docx
No
Paper Only
Other-Appendix H1. Vending Machine and Other Sources of Foods and Beverages Checklists (Groups 2 & 3)
H01 Vending Machine and Other Sources of Foods and Beverages Checklist (Groups 2, 3).docx
Yes
No
Fillable Printable
Other-Appendix H2. Cafeteria Observation Guide (Groups 2 & 3)
H02 Cafeteria Observation Guide (Groups 2, 3).docx
Yes
No
Fillable Printable
Other-Appendix I6. Point of Sale Form (Group 2)
I06 Point of Sale Form (Group 2).docx
No
Paper Only
Other-Appendix J1. Plate Waste Observation Booklet (Group 3)
J01 Plate Waste Observation Booklet (Group 3).docx
No
Paper Only
Other-Appendix J2. Reimbursable Meal Sale Data Request Form (Group 2)
J02 Reimbursable Meal Sale Data Request Form (Group 2).docx
No
Paper Only
Other-Appendix K4. SFA Director Suvey Example Screenshot
K04 SFA Director Survey Example Screenshot.docx
Yes
Yes
Fillable Fileable
Other-Appendix K7. SFA Follow-Up Web Survey Example Screenshot
K07 SFA Follow-Up Web Survey Example Screenshot.docx
Yes
Yes
Fillable Fileable
Other-Appendix K2. School Planning Interview Example Screenshot
K02 School Planning Interview Example Screenshot.docx
Yes
Yes
Fillable Fileable
Other-Appendix K3. Electronic Menu Survey Example Screenshots
K03 Electronic Menu Survey Example Screenshots.docx
Yes
Yes
Fillable Fileable
Other-Appendix K5. Principal Survey Example Screenshot
K05 Principal Survey Example Screenshot.docx
Yes
Yes
Fillable Fileable
Other-Appendix K6. State Agency Indirect Cost Survey Example Screenshot
K06 State Agency Indirect Cost Survey Example Screenshots.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FNS-8 USDA/FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
4,902
Number of Respondents for Small Entity:
1,738
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
61 %
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
20,556
0
20,556
0
0
0
Annual IC Time Burden (Hours)
20,811
0
20,811
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix C2.2 Study Objectives (Groups 1, 2, & 3)
C02.2 Study Objectives (Groups 1, 2, 3).pdf
09/17/2019
Appendix C4 SFA Director Sample Notification Email from State CN Director (Groups 2 & 3)
C04 SFA Director Sample Notification Email from State CN Director (Groups 2, 3).docx
09/17/2019
Appendix C10. SFA Director Recruitment Advance Letter (Groups 2 & 3)
C10 SFA Director Recruitment Advance Letter (Groups 2, 3)_2.docx
09/17/2019
Appendix C14. Data Collection Activities and Respondents (Group 3 & Full and Limited Outlying Areas)
C14 Data Collection Activities and Respondents (Group 3, Full OA, Ltd OA).docx
09/17/2019
Appendix C15. Principal Introduction Letter to Schools (Groups 2 & 3)
C15 Principal Introduction Email to Schools (Groups 2, 3)_2.docx
09/18/2019
Appendix C16. School Nutrition Manager Introduction Letter (Groups 2 & 3)
C16 School Nutrition Manager Introduction Letter (Groups 2, 3).docx
09/18/2019
Appendix C17. Next Steps for Principals Email (Group 2)
C17 Next Steps for Principals Email (Group 2).docx
09/17/2019
Appendix C19. Pre-Visit Reminder Email (Groups 2 & 3)
C19 Pre-Visit Reminder Email (Groups 2, 3).docx
09/17/2019
Appendix C20. Study Objectives and Overview (Full and Limited Outlying Areas)
C20 Study Objectives and Overview (Full OA, Ltd OA).pdf
09/17/2019
Appendix C22. SFA Director Sample Notification Email from State CN Director (Full and Limited Outlying Areas)
C22 SFA Director Sample Notification Email from State CN Director (Full OA, Ltd OA).docx
09/17/2019
Appendix C23 SFA Director Recruitment Advance Letter (Full and Limited Outlying Areas)
C23 SFA Director Recruitment Advance Letter (Full OA, Ltd OA).docx
09/17/2019
Appendix C25. Principal Introduction Letter to Schools (Full Outlying Areas)
C25 Principal Introduction Letter to Schools (Full OA).docx
09/17/2019
Appendix C26. School Nutrition Manager Introduction Letter (Full Outlying Areas)
C26 School Nutrition Manager Introduction Letter (Full OA).docx
09/18/2019
Appendix C27. Pre-Target Week Rerminder Email (Full and Limited Outlying Areas)
C27 Pre-Target Week Reminder Email (Full OA, Ltd OA).docx
09/17/2019
Appendix F1. SFA Director Survey Advance Letter (Group 1)
F01 SFA Director Survey Advance Letter (Group 1).docx
09/17/2019
Appendix F2. SFA Director Survey Email Invitation (Group 1)
F02 SFA Director Survey Email Invitation (Group 1).docx
09/17/2019
Appendix F4. SFA Director (Groups 1, 2, & 3) and Principal Surveys (Groups 2 & 3) Follow-Up Email
F04 SFA Director (Groups 1, 2, 3) and Principal Surveys (Groups 2, 3) Follow Up Email.docx
09/17/2019
Appendix F5. SFA Director Survey Reminder Call Script (Groups 1, 2, & 3)
F05 SFA Director Survey Reminder Call Script (Groups 1, 2, 3).docx
09/17/2019
Appendix F8. SFA Director and Principal Surveys Email Invitation (Groups 2 & 3)
F08 SFA Director and Principal Email Invitation (Groups 2, 3).docx
09/17/2019
Appendix F9. Principal Survey Reminder Call Script (Groups 2 & 3)
F09 Principal Survey Reminder Call Script (Groups 2, 3).docx
09/17/2019
Appendix G2. State Agency Indirect Cost Survey Invite (Group 3 & Full Outlying Areas)
G02 State Agency Indirect Cost Survey Invite (Group 3, Full OA).docx
09/17/2019
Appendix G8. SFA Director Cost Interview Reference Guide (Group 3 & Full and Limited Outlying Areas)
G08 SFA Director Cost Interview Reference Guide (Group 3, Full and Ltd OA).docx
09/18/2019
Appendix G9. School Nutrition Manager Cost Interview Reference Guide (Group 3 & Full Outlying Areas)
G09 School Nutrition Manager Cost Interview Reference Guide (Group 3 and Full OA).docx
09/18/2019
Appendix G10. Principal Cost Interview Reference Guide (Group 3 & Full Outlying Areas)
G10 Principal Cost Interview Reference Guide (Groups 3 and Full OA).docx
09/18/2019
Appendix G12. SFA Follow-Up Web Survey and Interview Planning Email (Group 3 & Full and Limited Outlying Areas)
G12 SFA Follow-Up Web Survey and Interview Planning Email (Group 3, Full and Ltd OA).docx
09/18/2019
Appendix G14. SFA Follow-Up Cost Interview Reference Guide (Group 3 & Full and Limited Outlying Areas)
G14 SFA Follow-up Cost Interview Reference Guide (Groups 3, Full and Ltd OA).docx
09/18/2019
Appendix C8. Study Overview (Group 3)
C08 Study Overview (Group 3).pdf
09/17/2019
Appendix C6. SNA Endorsement Letter (Groups 2, 3, & Full and Limited Outlying Areas)
C06 SNA Endorsement Letter (Groups 2, 3 and Full and Limited Outlying Areas).pdf
09/17/2019
Appendix C7. Study Overview (Group 2)
C07 Study Overview (Group 2).pdf
09/17/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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