Information Collection

Team Nutrition Curriculum (State Agencies: Teachers & Foodservice Staff)

IC 198917 under ICR 201008-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1b. Protocol for Administration of Student Pretest r2e2.doc	Other-Protocol for Administration of
1d.Protocol for Administration of Student Posttest.doc	Other-.Protocol for Administration o
3a.Teacher Posttest Interview Guide & Reporting Form.r2e2.doc	Other-Teacher Posttest Interview Gui
3b.Teacher Implementation Log 1.doc	Other-Teacher Implementation Log 1
3b.Teacher Implementation Log 2.doc	Other-Teacher Implementation Log 2
3b.Teacher Implementation Log 3.doc	Other-Teacher Implementation Log 3
3b.Teacher Implementation Log 4.doc	Other-Teacher Implementation Log 4
3b.Teacher Implementation Log 5.doc	Other-Teacher Implementation Log 5
3b.Teacher Implementation Log 6.doc	Other-Teacher Implementation Log 6
3b.Teacher Implementation Log 7.doc	Other-Teacher Implementation Log 7
3b.Teacher Implementation Log 8.doc	Other-Teacher Implementation Log 8
3b.Teacher Implementation Log 9.doc	Other-Teacher Implementation Log 9
3b.Teacher Implementation Log 10.doc	Other-Teacher Implementation Log 10
3b.Teacher Implementation Log 11.doc	Other-Teacher Implementation Log 11
4a.FSM Posttest Survey.r2e2.doc	Other-FSM Posttest Survey
4b.FSM Posttest Survey Protocol.r2e2.doc	Other-FSM Posttest Survey Protocol
OMBmemo8222011.doc Team Nutrition Garden memo	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Team Nutrition Curriculum (State Agencies: Teachers & Foodservice Staff)

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	Available Electronically?	Electronic Capability
Other-Protocol for Administration of Student Pretest	1b. Protocol for Administration of Student Pretest r2e2.doc	No	Paper Only
Other-.Protocol for Administration of Student Posttest	1d.Protocol for Administration of Student Posttest.doc	No	Paper Only
Other-Teacher Posttest Interview Guide & Reporting Form	3a.Teacher Posttest Interview Guide & Reporting Form.r2e2.doc	No	Paper Only
Other-Teacher Implementation Log 1	3b.Teacher Implementation Log 1.doc	No	Paper Only
Other-Teacher Implementation Log 2	3b.Teacher Implementation Log 2.doc	No	Paper Only
Other-Teacher Implementation Log 3	3b.Teacher Implementation Log 3.doc	No	Paper Only
Other-Teacher Implementation Log 4	3b.Teacher Implementation Log 4.doc	No	Paper Only
Other-Teacher Implementation Log 5	3b.Teacher Implementation Log 5.doc	No	Paper Only
Other-Teacher Implementation Log 6	3b.Teacher Implementation Log 6.doc	No	Paper Only
Other-Teacher Implementation Log 7	3b.Teacher Implementation Log 7.doc	No	Paper Only
Other-Teacher Implementation Log 8	3b.Teacher Implementation Log 8.doc	No	Paper Only
Other-Teacher Implementation Log 9	3b.Teacher Implementation Log 9.doc	No	Paper Only
Other-Teacher Implementation Log 10	3b.Teacher Implementation Log 10.doc	No	Paper Only
Other-Teacher Implementation Log 11	3b.Teacher Implementation Log 11.doc	No	Paper Only
Other-FSM Posttest Survey	4a.FSM Posttest Survey.r2e2.doc	No	Paper Only
Other-FSM Posttest Survey Protocol	4b.FSM Posttest Survey Protocol.r2e2.doc	No	Paper Only

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: 9

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	51	51
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Team Nutrition Garden memo	OMBmemo8222011.doc	08/22/2011

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