School Nutrition Dietary Assessment Study - IV

Documents and Forms

Document Name Document Type
Appendix H Principal Survey.doc Not Yet Available Other-Principal Survey
Appendix C.doc Other-Menu Survey Forms
Appendix G.doc Other-School Food Service Manager Su
School Food Autority Director Survey.doc Not Yet Available Other-SFA Director Survey
Appendix D Menu Survey Instructions.doc Instruction
Appendix E.docx Appendix E- Procedures for Menu Survey Training IC Document
Appendix H Cover and Email Communications with Principals.doc Appendix H - Cover and Email Communication IC Document
Appendix J Cover and Email Communications with SFA Directors.doc Appendix J - Advance Letters and Other Communication IC Document
Cover page attached Training Module for School Liaison Who.pptm Appendix K - Training Module for School Liaison _Competitive Food Checklist IC Document
Appendix D Daily Reminder List.doc Appendix D - Daily Reminder List IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	School Nutrition Dietary Assessment Study - IV	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Principal Survey	Appendix H Principal Survey.doc	Not Yet Available	Yes	Yes	Fillable Fileable Signable
Other-Menu Survey Forms	Appendix C.doc		No		Paper Only
Other-School Food Service Manager Survey	Appendix G.doc		No		Paper Only
Other-SFA Director Survey	School Food Autority Director Survey.doc	Not Yet Available	Yes	Yes	Fillable Fileable Signable
Instruction	Appendix D Menu Survey Instructions.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,725	Number of Respondents for Small Entity: 300

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,725	3,725
Annual IC Time Burden (Hours)	7,111	7,111
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E- Procedures for Menu Survey Training	Appendix E.docx	06/18/2009
Appendix H - Cover and Email Communication	Appendix H Cover and Email Communications with Principals.doc	06/18/2009
Appendix J - Advance Letters and Other Communication	Appendix J Cover and Email Communications with SFA Directors.doc	06/18/2009
Appendix K - Training Module for School Liaison _Competitive Food Checklist	Cover page attached Training Module for School Liaison Who.pptm	06/18/2009
Appendix D - Daily Reminder List	Appendix D Daily Reminder List.doc	06/18/2009

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