Information Collection

Parent Survey

IC 197396 under ICR 201104-0584-004 · OMB 0584-0560.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0560 can be found here:

2012-02-14 - No material or nonsubstantive change to a currently approved collection
2011-09-30 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
F. PARENT QUESTIONNAIRE introductory script 2011 6-10-2011.docx	Other-Questionnaire
H1. eSFSP 2011 R1 MEAL DELIVERY QUEST 6-10-2011.doc	Other-Meal Delivery Parent Questionn
H8. eSFSP 2011 R1 MEAL DELIVERY QUEST 11-02-23 Spanish.docx	Other-Meal Delivery Parent Questionn
H2. eSFSP 2011 R1 BACKPACK QUESTIONNAIRE 6-10-2011.doc	Other-Backpack Parent Questionnaire
H9. eSFSP 2011 R1 BACKPACK QUESTIONNAIRE 11-02-23 Spanish.docx	Other-Backpack Parent Questionnaire
H3._eSFSP_2011_R2_QUESTIONNAIRE_6-10-2011.docx	Other-R2 BACKPACK AND MEAL DELIVERY
H10. eSFSP 2011 R2 QUESTIONNAIRE 11-02-23 Spanish.docx	Other-R2 BACKPACK AND MEAL DELIVERY
H4._eSFSP_2012_R1_MEAL_DELIVERY_QUEST_7-20-11.docx	Other-R1 MEAL DELIVERY Parent Questi
H11. eSFSP 2012 R1 MEAL DELIVERY QUEST 11-02-23 Spanish.docx	Other-R1 MEAL DELIVERY Parent Questi
H5._eSFSP_2012_R1_BACKPACK_QUESTIONNAIRE_7-20-11.docx	Other-R1 Backpack Parent Questionnai
H12. eSFSP 2012 R1 BACKPACK QUESTIONNAIRE 11-02-23 Spanish.docx	Other-R1 Backpack Parent Questionnai
H6._eSFSP_2012_R2_Meal_Delivery_Questionnaire_7-20-11.docx	Other-R2 Meal Delivery Parent Questi
H13. eSFSP 2012 R2 MD Q 11-02-22 Spanish.docx	Other-R2 Meal Delivery Parent Questi
H7._eSFSP_2012_R2_BACKPACK_Questionnaire_7-20-11.docx	Other-R2 Backpack Parent Questionnai
H14. eSFSP 2012 R2 BACKPACK Q 11-02-23 Spanish.docx	Other-R2 Backpack Parent Questionnai
C. Followup Script.docx	Other-Follow up Script (for parents)
F2. VERBAL INTRODUCTORY SCRIPT Spanish.docx	Other-Questionnaire Spanish
C2 Followup Script Spanish (2).docx	Other-Spanish Follow up Script
B. eSFSP CELLPHONE INSTRUCTIONS 6-10-2011.docx Parent Cell Phone Instructions (English)	IC Document
C. Cellphone instructions - revised - 4-7-2011 Spanish.doc Parent Cell Phone Instructions (Spanish)	IC Document
E1. eSFSP Advance Letter MEAL DELIVERY 2011 6-10-2011.docx SFSP Advance Letter for Parents in Meal Delivery	IC Document
E5. eSFSP Advance Letter MEAL DELIVERY 2011 6-10-2011 Spanish.docx SFSP Spanish Advance Letter for Parents in Meal Delivery	IC Document
E6. SFSP Advance Letter BACKPACK 2011 11-02-16 Spanish.docx SFSP Spanish Advance Letter BACKPACK 2011	IC Document
E2. eSFSP Advance Letter BACKPACK 2011 6-10-2011.docx SFSP English Advance Letter BACKPACK 2011	IC Document
G3. FSP YOU HAVE BEEN SELECTED MEAL DELIVERY 2011 revised - 4-7-2011.doc SELECTED SPANISH LTR for MEAL DELIVERY 2011	IC Document
G3. SFSP YOU HAVE BEEN SELECTED MEAL DELIVERY 2011 - revised - 4-7-2011.doc SELECTED LETTER for MEAL DELIVERY 2011 (English)	IC Document
E4. eSFSP YOU HAVE BEEN SELECTED BACKPACK 2011 6-10-2011.docx SELECTED LTR FOR BACKPACK 2011	IC Document
E8. SFSP YOU HAVE BEEN SELECTED Backpack 2011 11-02-22 Spanish.docx SELECTED SPANISH LTR BACKPACK 2011	IC Document
K1. eSFSP THANK YOU BACKPACK 6-10-2011 Thank You Letter Back Pack	IC Document
K2 eSFSP THANK YOU MEAL DELIVERY 6-10-2011.docx Thank You Letter Meal Delivery	IC Document
D. Confidentiality pledge 6-10-2011.docx Confidentiality Agreement	IC Document
B2 Cellphone instructions 4-7-2011 Spanish.docx Cell Phone Instructions Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Parent Survey

Agency IC Tracking Number:

Is this a Common Form? No

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-R2 Backpack Parent Questionnaire	H7._eSFSP_2012_R2_BACKPACK_Questionnaire_7-20-11.docx	No	Paper Only
Other-R2 BACKPACK AND MEAL DELIVERY Parent Questionnaire	H3._eSFSP_2011_R2_QUESTIONNAIRE_6-10-2011.docx	No	Paper Only
Other-Questionnaire	F. PARENT QUESTIONNAIRE introductory script 2011 6-10-2011.docx	No	Paper Only
Other-R1 MEAL DELIVERY Parent Questionnaire (Spanish)	H11. eSFSP 2012 R1 MEAL DELIVERY QUEST 11-02-23 Spanish.docx	No	Paper Only
Other-R1 Backpack Parent Questionnaire (Spanish)	H12. eSFSP 2012 R1 BACKPACK QUESTIONNAIRE 11-02-23 Spanish.docx	No	Paper Only
Other-R2 Meal Delivery Parent Questionnaire (Spanish)	H13. eSFSP 2012 R2 MD Q 11-02-22 Spanish.docx	No	Paper Only
Other-R2 Backpack Parent Questionnaire (Spanish)	H14. eSFSP 2012 R2 BACKPACK Q 11-02-23 Spanish.docx	No	Paper Only
Other-Meal Delivery Parent Questionnaire	H1. eSFSP 2011 R1 MEAL DELIVERY QUEST 6-10-2011.doc	No	Paper Only
Other-Meal Delivery Parent Questionnaire (Spanish)	H8. eSFSP 2011 R1 MEAL DELIVERY QUEST 11-02-23 Spanish.docx	No	Paper Only
Other-Backpack Parent Questionnaire	H2. eSFSP 2011 R1 BACKPACK QUESTIONNAIRE 6-10-2011.doc	No	Paper Only
Other-Backpack Parent Questionnaire (Spanish)	H9. eSFSP 2011 R1 BACKPACK QUESTIONNAIRE 11-02-23 Spanish.docx	No	Paper Only
Other-R2 Meal Delivery Parent Questionnaire	H6._eSFSP_2012_R2_Meal_Delivery_Questionnaire_7-20-11.docx	No	Paper Only
Other-Follow up Script (for parents)	C. Followup Script.docx	No	Paper Only
Other-Questionnaire Spanish	F2. VERBAL INTRODUCTORY SCRIPT Spanish.docx	No	Paper Only
Other-Spanish Follow up Script	C2 Followup Script Spanish (2).docx	No	Paper Only
Other-R1 MEAL DELIVERY Parent Questionnaire	H4._eSFSP_2012_R1_MEAL_DELIVERY_QUEST_7-20-11.docx	No	Paper Only
Other-R1 Backpack Parent Questionnaire	H5._eSFSP_2012_R1_BACKPACK_QUESTIONNAIRE_7-20-11.docx	No	Paper Only
Other-R2 BACKPACK AND MEAL DELIVERY Parent Questionnaire (Spanish)	H10. eSFSP 2011 R2 QUESTIONNAIRE 11-02-23 Spanish.docx	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: FNS 8 USDA/FNS Studies and Reports

FR Citation: 65 FR 17251

Number of Respondents: 830

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	3,986	3,986
Annual IC Time Burden (Hours)	526	526
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Parent Cell Phone Instructions (English)	B. eSFSP CELLPHONE INSTRUCTIONS 6-10-2011.docx	06/14/2011
Parent Cell Phone Instructions (Spanish)	C. Cellphone instructions - revised - 4-7-2011 Spanish.doc	04/22/2011
SFSP Advance Letter for Parents in Meal Delivery	E1. eSFSP Advance Letter MEAL DELIVERY 2011 6-10-2011.docx	06/14/2011
SFSP Spanish Advance Letter for Parents in Meal Delivery	E5. eSFSP Advance Letter MEAL DELIVERY 2011 6-10-2011 Spanish.docx	06/14/2011
SFSP Spanish Advance Letter BACKPACK 2011	E6. SFSP Advance Letter BACKPACK 2011 11-02-16 Spanish.docx	06/14/2011
SFSP English Advance Letter BACKPACK 2011	E2. eSFSP Advance Letter BACKPACK 2011 6-10-2011.docx	06/14/2011
SELECTED SPANISH LTR for MEAL DELIVERY 2011	G3. FSP YOU HAVE BEEN SELECTED MEAL DELIVERY 2011 revised - 4-7-2011.doc	06/14/2011
SELECTED LETTER for MEAL DELIVERY 2011 (English)	G3. SFSP YOU HAVE BEEN SELECTED MEAL DELIVERY 2011 - revised - 4-7-2011.doc	05/10/2011
SELECTED LTR FOR BACKPACK 2011	E4. eSFSP YOU HAVE BEEN SELECTED BACKPACK 2011 6-10-2011.docx	06/14/2011
SELECTED SPANISH LTR BACKPACK 2011	E8. SFSP YOU HAVE BEEN SELECTED Backpack 2011 11-02-22 Spanish.docx	06/14/2011
Thank You Letter Back Pack	K1. eSFSP THANK YOU BACKPACK 6-10-2011	06/14/2011
Thank You Letter Meal Delivery	K2 eSFSP THANK YOU MEAL DELIVERY 6-10-2011.docx	06/14/2011
Confidentiality Agreement	D. Confidentiality pledge 6-10-2011.docx	06/14/2011
Cell Phone Instructions Spanish	B2 Cellphone instructions 4-7-2011 Spanish.docx	06/15/2011

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