Information Collection

SLT agencies Principals-Teachers-School Nutrition Directors

IC 207397 under ICR 201201-0584-026 · OMB 0584-0523.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 â 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 %

table that charts list of burden
	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

table that charts IC Documents
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.