Information Collection Request

Evaluation of the Summer Food Service Program Enhancement Demonstrations

ICR 201104-0584-004 · OMB 0584-0560 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Final Revised Part B 07_19_11.docx Supporting Statement B Uploaded 2011-07-19 Available
Final Revised Part A 07_19_11.docx Supporting Statement A Uploaded 2011-07-19 Available
A Pretest Memo for Parent Questionnaire - Appendix L SFSP parent survey cognitive testing memo 6-10-2011 (2).docx Supplementary Document Uploaded 2011-06-15 Available
F. Attachment F - Confidentiality pledge - 4-7-2011.doc Supplementary Document Uploaded 2011-05-10 Available
G. Notification of IRB Approval.docx Supplementary Document Uploaded 2011-06-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197650 Business (Sponsors and sites) Other-Cost Instruments Extended New
197649 Non-responders (Individual/Household) Parents Other-Non Responders (Parents) New
197397 State Agency (aka Key Informants) Other-State Agency Cost Quest. New
197396 Parent Survey Other-R2 Backpack Parent Questionnaire New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2014 36 Months From Approved
4,719 0 0
652 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Parent Survey
State Agency (aka Key Informants)
Non-responders (Individual/Household) Parents
Business (Sponsors and sites)

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 4,719 0 0 4,719 0 0
Annual Time Burden (Hours) 652 0 0 652 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No