SLT agencies Principals-Teachers-School Nutrition Directors

Generic Clearance to Conduct Formative Research/CNPP

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0523 can be found here:

Documents and Forms

Document Name Document Type
Attachment A_Teacher Consent Package_FINAL.docx Other-Attachment A Teacher Consent P
Attachment C_School Nutrition Director Consent Package_FINAL.doc Other-Attachment C: School Nutrition
Attachment D_Individual Interview Guide for Teachers_06024013-1.doc Other-Attachment D: Individual Inter
Attachment E_Educator Journal_06242013-1ahw8232013.docx Other-Attachment E: Educator Journal
Attachment J_Individual Interview Guide for Food Service_06242013-1.doc Other-Attachment J – Individual Inte
Non Respondent Placeholder for State Local or Tribal Agencies.docx Other-Non Respondent Placeholder
CNY KG OMB Proposal_08052013 OCIO comments 8-22-13.docx OMB Generic Clearance Justification Memo IC Document

Information Collection (IC) Details

IC Title:	SLT agencies Principals-Teachers-School Nutrition Directors	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 1755(a)(3) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment A Teacher Consent Package	Attachment A_Teacher Consent Package_FINAL.docx	No	Paper Only
Other-Attachment C: School Nutrition Director Consent Package	Attachment C_School Nutrition Director Consent Package_FINAL.doc	No	Paper Only
Other-Attachment D: Individual Interview Guide for Teachers	Attachment D_Individual Interview Guide for Teachers_06024013-1.doc	No	Paper Only
Other-Attachment E: Educator Journal	Attachment E_Educator Journal_06242013-1ahw8232013.docx	No	Paper Only
Other-Attachment J – Individual Interview Guide for School Nutrition Director	Attachment J_Individual Interview Guide for Food Service_06242013-1.doc	No	Paper Only
Other-Non Respondent Placeholder	Non Respondent Placeholder for State Local or Tribal Agencies.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-8, FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Generic Clearance Justification Memo	CNY KG OMB Proposal_08052013 OCIO comments 8-22-13.docx	08/23/2013

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