Information Collection Request

Evaluation of the Impact of the Household-Based Summer Demonstrations on Food Insecurity Among Children (SEBTC)

ICR 201012-0584-005 · OMB 0584-0559 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix L Consent Language Final.doc Supplementary Document Uploaded 2011-03-17 Available
FNS Cover Memo.doc Supplementary Document Uploaded 2011-03-17 Available
Appendix G full IRB approval.pdf Supplementary Document Uploaded 2011-03-17 Available
Appendix C.docx Supplementary Document Uploaded 2011-02-07 Available
Appendix G_IRB#0535 _SUMMERFOODS_partial approval 2-8-2011.pdf Supplementary Document Uploaded 2011-02-08 Available
Appendix F Confidentiality for Contractors 2-8-2011.docx Supplementary Document Uploaded 2011-02-08 Available
SEBTC Revised OMB Part A 3-16-11 final.doc Supporting Statement A Uploaded 2011-03-17 Available
SEBTC Revised OMB Part B 3 16 11 final.doc Supporting Statement B Uploaded 2011-03-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196147 Non Responding Households Other-Non Responders New
196143 State Agencies, Grantees and SFA Other-April Other Orgs New
196142 Business- Profit & Not -for- Profit Other-sept EBT processor Final New
196141 SEBTC - Households Other-Baseline Questionnaire - English & Spanish New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved
30,672 0 0
15,974 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
SEBTC - Households
Non Responding Households
Business- Profit & Not -for- Profit
State Agencies, Grantees and SFA

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30,672 0 0 30,672 0 0
Annual Time Burden (Hours) 15,974 0 0 15,974 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No