Healthy School Environment

Generic Clearance to Conduct Formative Research

OMB: 0584-0524

IC ID: 195334

Documents and Forms
Document Name
Document Type
Other-Screening Questionnaire
Other-Parent - Screening Questionnai
Other-Teacher - Screening Questionna
Other-Principal - Screening Question
Other-FSM - Screening Questionnaire
Other-Student - Focus Group Moderato
Other-Parent - Focus Group Moderator
Other-Teacher - Focus Group Moderato
Other-Principal - Focus Group Modera
Other-FSM - Focus Group Moderator Gu
Other-Security Agreement - Adults
Other-Security Agreement - Parent of
Other-Consent Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Healthy School Environment
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Security Agreement - Adults P - Agreement on Security of Comments_Adults_Revised.docx No   Paper Only
Other-Security Agreement - Parent of Children in Focus Group Q - Agreement on Security of Comments_parents_Revised.docx No   Paper Only
Other-Screening Questionnaire A_FNS screener_students_Revised nov30.docx No   Paper Only
Other-FSM - Screening Questionnaire E_Screener_Food Service Managers_Revised nov30.docx No   Paper Only
Other-Teacher - Screening Questionnaire C_Screener_Teachers_Revised nov30.docx No   Paper Only
Other-Principal - Screening Questionnaire D_FNS screener_principals_Revised nov30.docx No   Paper Only
Other-Parent - Focus Group Moderator Guide G_Formative Guide_Parents_Revised.docx No   Paper Only
Other-Student - Focus Group Moderator Guide F_Formative Guide_Students.docx No   Paper Only
Other-Consent Form R - Parental consent form.docx No   Paper Only
Other-Parent - Screening Questionnaire B_FNS screener_parents_Revised nov30.docx No   Paper Only
Other-Teacher - Focus Group Moderator Guide H_Formative Guide_Teachers_Revised.docx No   Paper Only
Other-Principal - Focus Group Moderator Guide I_Formative Guide_Principals_Revised.docx No   Paper Only
Other-FSM - Focus Group Moderator Guide J_Formative Guide_Food Service Managers_Revised.docx No   Paper Only

Income Security Food and Nutrition Assistance

 

4,308 0
   
Individuals or Households
 
   0 %

  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 4,308 0 4,308 0 0 0
Annual IC Time Burden (Hours) 764 0 764 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Memo OMB Justification Request FINAL_Revised dec20_formative only.docx 12/20/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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