SEBTC - Households

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

OMB: 0584-0559

IC ID: 196141

Information Collection (IC) Details

View Information Collection (IC)

SEBTC - Households
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Questionnaire - English & Spanish Appendix A English baseline instrument 3 15 Final.doc No   Paper Only
Other-Appendix A :Spanish baseline instrument Appendix A Spanish baseline instrument 3 15 11 final.doc No   Paper Only
Other-Appendix B: English Follow-Up instrument Appendix B English Follow-Up instrument 3 16 11 Final.doc No   Paper Only
Other-Appendix B Follow-Up questionnaire SPANISH Appendix B Follow-Up questionnaire SPANISH (3-16-11) Final.doc No   Paper Only

Income Security Food and Nutrition Assistance

 

10,667 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 21,334 0 21,334 0 0 0
Annual IC Time Burden (Hours) 15,167 0 15,167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Advance Letter Baseline Combined Advance Letter Baseline Combined_REV Final.doc 03/17/2011
Consent Telephone Script (I/H) Appendix K Participant Consent Language 2-8-2011.docx 02/08/2011
Advance Letter Baseline Combined_REV(SPANISH) Final.docx Advance Letter Baseline Combined_REV(SPANISH) Final.docx 03/17/2011
Advance Letter_FollowUp_Control_Eng Advance Letter_FollowUp_Control_Eng_v1 Final.docx 03/17/2011
Advance Letter_FollowUp_Control_Spanish Advance Letter_FollowUp_Control_Spanish_v3 Final.docx 03/17/2011
Advance Letter_FollowUp_Treatment_Eng Advance Letter_FollowUp_Treatment_Eng_v1 Final.docx 03/17/2011
Advance Letter_FollowUp_Treatment_Spanish Advance Letter_FollowUp_Treatment_Spanish_v3 Final.docx 03/17/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy