View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Parents/Guardians and Students - Individuals and Households
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 D8. Parent Passive Consent Response Form - English (Group 2)
D08 Parent Passive Consent Response Form- English (Group 2)_aag.docx
No
Paper Only
Other-Appendix D9. Parent Passive Consent Response Form - Spanish (Group 2)
D09 Parent Passive Consent Response Form- Spanish (Group 2)_2.docx
No
Paper Only
Other-Appendix D10. Parent Active Consent Response Form - English (Group 2)
D10 Parent Active Consent Response Form- English (Group 2)_aag.docx
No
Paper Only
Other-Appendix D11. Parent Active Consent Response Form - Spanish (Group 2)
D11 Parent Active Consent Response Form- Spanish (Group 2).docx
No
Paper Only
Other-Appendix I1. Student Interview English (Group 2)
I01 Student Interview English (Group 2) 2019.9.16_2.docx
Yes
Yes
Fillable Fileable
Other-Appendix I2. Student Interview Spanish (Group 2)
I02 Student Interview Spanish (Group 2) 2019.9.16.docx
Yes
Yes
Fillable Fileable
Other-Appendix I3. Parent Interview English (Group 2)
I03 Parent Interview English (Group 2).docx
Yes
Yes
Fillable Fileable
Other-Appendix I4. Parent Interview Spanish (Group 2)
I04 Parent Interview Spanish (Group 2).docx
Yes
Yes
Fillable Fileable
Other-Appendix I5. Automated Multiple Pass Method (Group 2)
I05 Automated Multiple Pass Method (Group 2).docx
Yes
Yes
Fillable Fileable
Other-Appendix I8. Food Diary English (Group 2)
I08 Food Diary- English (Group 2).docx
No
Paper Only
Other-Appendix I9. Food Diary Spanish (Group 2)
I09 Food Diary- Spanish (Group 2)_2.docx
No
Paper Only
Other-Appendix K8. Parent Interview Example Screenshots
K08 Parent Interview 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:
8,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
24,380
0
24,380
0
0
0
Annual IC Time Burden (Hours)
5,100
0
5,100
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix D2. School Endorsement Letter - English (Group 2)
D02 School Endorsement Letter- English (Group 2).docx
09/18/2019
Appendix D3. School Endorsement Letter - Spanish (Group 2)
D03 School Endorsement Letter- Spanish (Group 2)_2.docx
09/18/2019
Appendix D4. Elementary and Middle/High School Parent (Household) Advance Letter English (Group 2)
D04 Elementary and Middle High School Parent (Household) Advance Letter- English (Group 2).docx
09/18/2019
Appendix D5. Elementary and Middle/High School Parent (Household) Advance Letter Spanish (Group 2)
D05 Elementary and Middle High School Parent (Household) Advance Letter- Spanish (Group 2)_2.docx
09/18/2019
Appendix D6. Household Elementary and Middle/High School Brochure - English (Group 2)
D06 Household Elementary and Middle High School Brochure-English (Group 2).pdf
09/18/2019
Appendix D7. Household Elementary and Middle/High School Brochure - Spanish (Group 2)
D07 Household Elementary and Middle High School Brochure-Spanish (Group 2)_2.pdf
09/18/2019
Appendix D12. Student Assent Form - English (Group 2)
D12 Student Assent Form-English (Group 2)_aag.docx
09/17/2019
Appendix D13. Student Assent Form - Spanish (Group 2)
D13 Student Assent Form-Spanish (Group 2).docx
09/18/2019
Appendix I10. Dietary Recall Texts and Emails English (Group 2)
I10 Dietary Recall Texts and Emails - English (Group 2).docx
09/18/2019
Appendix I11. Dietary Recall Texts and Emails Spanish (Group 2)
I11 Dietary Recall Texts and Emails - Spanish (Group 2)_2.docx
09/18/2019
Appendix I12. Elementary and Middle/High School Student Interview Reminder Flyer English (Group 2)
I12 Elementary and Middle - High School Student Interview Reminder Flyer - English (Group 2).docx
09/18/2019
Appendix I13. Elementary and Middle/High School Student Interview Reminder Flyer Spanish (Group 2)
I13 Elementary and Middle - High School Student Reminder Flyer - Spanish (Group 2)_2.docx
09/18/2019
Appendix I14. Parent Interview Texts and Emails English (Group 2)
I14 Parent Interview Texts and Emails - English (Group 2).docx
09/18/2019
Appendix I15. Parent Interview Texts and Emails Spanish (Group 2)
I15 Parent Interview Texts and Emails- Spanish (Group 2)_2.docx
09/18/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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