Information Collection

State, Local & Tribal LEA Schools

IC 202590 under ICR 201204-0584-008 · OMB 0584-0570.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
CEO G Web Survey Title Screens for State, Local and Tribal Government.docx Other-AppG Web Survey Title Screens
CEO C_1 Administrative Cost Interview - Field Questionnaire.docx Other-CEO C1 Administrative Cost Int
CEO C_2 Administrative Cost Interview - Self-Administered Questionnaire.docx Other-CEO C2 Administrative Cost Int
CEO C_3 Application Data Form.docx Other-CEO C3 Application Data Form
CEO C_5 Certification Record Abstraction Form.docx Other-CEO C5 Certification Record Ab
CEO C_6 LEA FS Director Web Survey_ Non-Participating (EN).docx Other-CEO C6 LEA FS Director Web Sur
CEO C_7 LEA FS Director Web Survey_Near Eligible (NE).docx Other-CEO C7 LEA FS Director Web Sur
CEO C_8 LEA FS Director Web Survey_Participating (EP).docx Other-CEO C8 LEA FS Director Web Sur
CEO C_12 LEA Meal Counting and Claiming Form_CEO.docx Other-CEO C12 LEA Meal Counting and
CEO C_13 LEA Meal Counting and Claiming Form_Non-CEO.docx Other-CEO C13 LEA Meal Counting and
CEO C_11 Meal and Cashier Observation Form.docx Other-CEO C11 Meal and Cashier Obser
CEO C_9 Meal Count Verification Form _CEO.docx Other-CEO C9 Meal Count Verification
CEO C_10 Meal Count Verification Form _Non-CEO.docx Other-CEO C10 Meal Count Verificatio
CEO C_14 Menu Survey Instruction Booklet.docx Other-CEO C14 Menu Survey Instructio
CEO C_15 Menu Survey.docx Other-CEO C15 Menu Survey
CEO C_16 PEAR Web Survey of LEA FS Directors_Full version.docx Other-CEO C16 PEAR Web Survey of LEA
CEO C_17 PEAR Web Survey of LEA FS Directors_Short version.docx Other-CEO C17 PEAR Web Survey of LEA
CEO C_18 Pre-Visit LEA FS Director Questionnaire.docx Other-CEO C18 Pre-Visit LEA FS Direc
CEO C_19 Pre-visit School Information Questionnaire.docx Other-CEO C19 Pre-visit School Infor
CEO C_4 Daily Reminder Card.docx
CEO C4 Daily Reminder Card
IC Document
CEO E_1 CE Option Study Overview.docx
CEO E1 CE Option Study Overview
IC Document
CEO E_2 CEO State CN Letter_Year1 States.doc
CEO E2 CEO State CN Letter_Year1 States
IC Document
CEO E_3 CEO State CN Letter_Year2 States.doc
CEO E3 CEO State CN Letter_Year2 States
IC Document
CEO E_4 FNS Letter of Support.doc
CEO E4 FNS Letter of Support
IC Document
CEO E_5 MOU.doc
CEO E5 MOU
IC Document
CEO E_6rev Notification Letter to SEA.docx
CEO E6 Notification Letter to SEA
IC Document
CEO E_7rev Recruiting Letter to LEAs for full data collection.docx
CEO E7 Recruiting Letter to LEAs for full data collection
IC Document
CEO E_8rev Recruiting Letter to LEAs for web & PEAR surveys.docx
CEO E8 Recruiting Letter to LEAs for web & PEAR surveys
IC Document
CEO E_9rev Recruiting Letter to LEAs for web survey only.docx
CEO E9 Recruiting Letter to LEAs for web survey only
IC Document
CEO E_10rev Recruiting Letter to LEAs for web, PEAR surveys, Adm Record Review & Cost Interviews.docx
CEO E10 Recruiting Letter to LEAs for web, PEAR surveys, Adm Record Review & Cost Interviews
IC Document
CEO E_11rev Sample recruitment email from State to LEA (on-site data collection).doc
CEO E11 Sample recruitment email from State to LEA (on-site data collection)
IC Document
CEO E_12rev Sample recruitment email from State to LEA (web survey).doc
CEO E12 Sample recruitment email from State to LEA (web survey)
IC Document
CEO E_13rev State (Yr 1 & 2) follow-up email for on-site recruitment.docx
CEO E13 State (Yr 1 & 2) follow-up email for on-site recruitment
IC Document
CEO E_14rev State (Yr 1 & 2) follow-up email for web survey recruitment.docx
CEO E14 State (Yr 1 & 2) follow-up email for web survey recruitment
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-AppG Web Survey Title Screens for State, Local and Tribal Government www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C1 Administrative Cost Interview - Field Questionnaire 6-21-12 No   Paper Only
Other-CEO C2 Administrative Cost Interview - Self-Administered Questionnaire 6-21-12 No   Paper Only
Other-CEO C3 Application Data Form No   Paper Only
Other-CEO C5 Certification Record Abstration Form No   Paper Only
Other-CEO C6 LEA FS Director Web Survey_ Non-Participating (EN) www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C7 LEA FS Director Web Survey_Near Eligible (NE) www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C8 LEA FS Director Web Survey_Participating (EP) www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C12 LEA Meal Counting and Claiming Form_CEO No   Paper Only
Other-CEO C13 LEA Meal Counting and Claiming Form_Non-CEO No   Fillable Fileable Signable
Other-CEO C11 Meal and Cashier Observation Form No   Fillable Fileable Signable
Other-CEO C9 Meal Count Verification Form _CEO No   Paper Only
Other-CEO C10 Meal Count Verification Form _Non-CEO No   Fillable Fileable Signable
Other-CEO C14 Menu Survey Instruction Booklet No   Paper Only
Other-CEO C15 Menu Survey No   Paper Only
Other-CEO C16 PEAR Web Survey of LEA FS Directors_Full version www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C17 PEAR Web Survey of LEA FS Directors_Short version www.opinionport.com Yes Yes Fillable Fileable Signable
Other-CEO C18 Pre-Visit LEA FS Director Questionnaire No   Fillable Fileable Signable
Other-CEO C19 Pre-visit School Information Questionnaire No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,904 0 3,904 0 0 0
Annual IC Time Burden (Hours) 2,214 0 2,214 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
CEO C4 Daily Reminder Card 08/14/2012
CEO E1 CE Option Study Overview 08/14/2012
CEO E2 CEO State CN Letter_Year1 States 08/14/2012
CEO E3 CEO State CN Letter_Year2 States 08/14/2012
CEO E4 FNS Letter of Support 08/14/2012
CEO E5 MOU 08/14/2012
CEO E6 Notification Letter to SEA 08/14/2012
CEO E7 Recruiting Letter to LEAs for full data collection 08/14/2012
CEO E8 Recruiting Letter to LEAs for web & PEAR surveys 08/14/2012
CEO E9 Recruiting Letter to LEAs for web survey only 08/14/2012
CEO E10 Recruiting Letter to LEAs for web, PEAR surveys, Adm Record Review & Cost Interviews 08/14/2012
CEO E11 Sample recruitment email from State to LEA (on-site data collection) 08/14/2012
CEO E12 Sample recruitment email from State to LEA (web survey) 08/14/2012
CEO E13 State (Yr 1 & 2) follow-up email for on-site recruitment 08/14/2012
CEO E14 State (Yr 1 & 2) follow-up email for web survey recruitment 08/14/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].