Team Nutrtition Curriculum Messages for 5 & 6th Grades (I/H)

Generic Clearance to Conduct Formative Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
v3 Attachment C - Parent Response Form Parent Consent Parent for Student Consent_Final121511[1].doc Other-Attachment C
Attachment D - Parent Agreement on Security of Comments_Final[1].docx Other-Attachment D
Attachment E - Moderators Guide for Students_Final[1].doc Other-Attachment E
Attachment F - Student Survey_Final[1].doc Other-Attachment F
Attachment G - Moderators Guide for ParentsCaregivers_Final[1].docx Other-Attachment G
Attachment H - ParentsCaregivers Survey_Final[1].docx Other-Attachment H
NON RESPONDENT PLACE HOLDER[1].docx Other-Non-Respondent Place Holder
v3 Formative Research Plan_Revised_Final 11-22-11[1].docx Generic Justification Memo IC Document

Information Collection (IC) Details

IC Title:	Team Nutrtition Curriculum Messages for 5 & 6th Grades (I/H)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment H	Attachment H - ParentsCaregivers Survey_Final[1].docx	No	Paper Only
Other-Non-Respondent Place Holder	NON RESPONDENT PLACE HOLDER[1].docx	No	Paper Only
Other-Attachment C	v3 Attachment C - Parent Response Form Parent Consent Parent for Student Consent_Final121511[1].doc	No	Paper Only
Other-Attachment D	Attachment D - Parent Agreement on Security of Comments_Final[1].docx	No	Paper Only
Other-Attachment E	Attachment E - Moderators Guide for Students_Final[1].doc	No	Paper Only
Other-Attachment F	Attachment F - Student Survey_Final[1].doc	No	Paper Only
Other-Attachment G	Attachment G - Moderators Guide for ParentsCaregivers_Final[1].docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-8 FNS Stidies and Report	FR Citation: 56 FR 19078

Number of Respondents: 1,080	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,080	1,080
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Justification Memo	v3 Formative Research Plan_Revised_Final 11-22-11[1].docx	01/04/2012

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