Information Collection

Usda Foods Program

IC 190861 under ICR 200712-0584-003 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHMENT_B_-_Partner_Screener_093009.docx	Other-Questionnaire
ATTACHMENT C - CNP Screener 10-27-09.docx qualmeeting.acrobat.com/fleishman/	Other-Questionnaire
ATTACHMENT D - Teacher Screener 10-27-09.docx mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Other-Questionnaire
ATTACHMENT E - Administrators Screener 10-27-09.docx	Other-Questionnaire
ATTACHMENT Ja - CNP Screen Shots 10-15-09 (2).docx qualmeeting.acrobat.com/fleishman/	Other-Questionnaire
ATTACHMENT Na - CNP Benchmark Screen Shots 10-15-09.docx www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa	Other-Questionnaire
ATTACHMENT Oa - Teacher Benchmark Screen Shots 10-15-09.docx mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Other-Questionnaire
ATTACHMENT F - Parent Recruitment Screener 10-27-09.docx	Other-Questionnaire
ATTACHMENT N - CNP Benchmark 10-27-09.docx www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa	Other-Questionnaire
ATTACHMENT O - Teacher Benchmark Q 10-27-09.docx mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Other-Questionnaire
ATTACHMENT_J_-_CNP_Guide_093009.docx CNP_Guide	IC Document
ATTACHMENT_K_-_Teacher_Guide_093009.docx Teacher_Guide	IC Document
ATTACHMENT_L_-_Administrators_Guide_093009.docx Administrators_Guide	IC Document
ATTACHMENT_M_-_Parents_Guides_093009.docx Parents_Guide	IC Document
Attachment A Study Design 10-19-09.docx Study Design	IC Document
ATTACHMENT_G_-_Reminder_Letter_093009.docx Reminder Letter	IC Document
ATTACHMENT_H_-_Reminder_Call_Script_093009.docx Reminder Script	IC Document
Attachment_I_-_IDI_Script_093009.docx IDI Script	IC Document
ATTACHMENT_P_-_Reminder_Email_Benchmark_093009.docx Reminder_Email	IC Document
Attachment_Q_-_Confidentiality_Agreements_093009.docx Confidentiality_Agreements	IC Document
Attachment_R_-_Poverty_Guidelines_093009.docx Poverty_Guidelines	IC Document
Attachment_S_-_AAPO_Research_Guidelines_093009.docx Research_Guidelines	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

USDA FOODS PROGRAM

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	ATTACHMENT_B_-_Partner_Screener_093009.docx		No		Paper Only
Other-Questionnaire	ATTACHMENT C - CNP Screener 10-27-09.docx	http://qualmeeting.acrobat.com/fleishman/	Yes	Yes	Fillable Fileable
Other-Questionnaire	ATTACHMENT D - Teacher Screener 10-27-09.docx	http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Yes	Yes	Fillable Fileable
Other-Questionnaire	ATTACHMENT E - Administrators Screener 10-27-09.docx		Yes	Yes	Paper Only
Other-Questionnaire	ATTACHMENT Ja - CNP Screen Shots 10-15-09 (2).docx	http://qualmeeting.acrobat.com/fleishman/	Yes	Yes	Fillable Fileable Signable
Other-Questionnaire	ATTACHMENT Na - CNP Benchmark Screen Shots 10-15-09.docx	http://www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa	Yes	Yes	Fillable Fileable Signable
Other-Questionnaire	ATTACHMENT Oa - Teacher Benchmark Screen Shots 10-15-09.docx	http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Yes	Yes	Fillable Fileable Signable
Other-Questionnaire	ATTACHMENT F - Parent Recruitment Screener 10-27-09.docx		No		Paper Only
Other-Questionnaire	ATTACHMENT N - CNP Benchmark 10-27-09.docx	http://www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa	Yes	Yes	Fillable Fileable Signable
Other-Questionnaire	ATTACHMENT O - Teacher Benchmark Q 10-27-09.docx	http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,914

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,914	1,914
Annual IC Time Burden (Hours)	870	870
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CNP_Guide	ATTACHMENT_J_-_CNP_Guide_093009.docx	10/01/2009
Teacher_Guide	ATTACHMENT_K_-_Teacher_Guide_093009.docx	10/01/2009
Administrators_Guide	ATTACHMENT_L_-_Administrators_Guide_093009.docx	10/01/2009
Parents_Guide	ATTACHMENT_M_-_Parents_Guides_093009.docx	10/01/2009
Study Design	Attachment A Study Design 10-19-09.docx	10/19/2009
Reminder Letter	ATTACHMENT_G_-_Reminder_Letter_093009.docx	10/01/2009
Reminder Script	ATTACHMENT_H_-_Reminder_Call_Script_093009.docx	10/01/2009
IDI Script	Attachment_I_-_IDI_Script_093009.docx	10/01/2009
Reminder_Email	ATTACHMENT_P_-_Reminder_Email_Benchmark_093009.docx	10/01/2009
Confidentiality_Agreements	Attachment_Q_-_Confidentiality_Agreements_093009.docx	10/01/2009
Poverty_Guidelines	Attachment_R_-_Poverty_Guidelines_093009.docx	10/01/2009
Research_Guidelines	Attachment_S_-_AAPO_Research_Guidelines_093009.docx	10/01/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.