Information Collection

Parent/Student REV 2

IC 203735 under ICR 201207-0584-007 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
B - Parent Letter_Survey_Consent Form_FINAL.doc	Other-B - Parent Letter_Survey_Conse
D - Student Pre-Survey_FINAL.docx	Other-D - Student Pre-Survey_FINAL
D2 - Student_Post-Survey_FINAL.docx	Other-D2 - Student_Post-Survey_FINAL
H - Parent InDepth Interview Guide_FINAL.docx	Other-H - Parent InDepth Interview G
OMB Package for Pilot Testing_FINAL.doc OMB Package for Pilot Testing_FINAL	IC Document
K - Classroom Observation Log_FINAL.docx K - Classroom Observation Log_FINAL	IC Document

IC Title:

Parent/Student REV 2

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-B - Parent Letter_Survey_Consent Form_FINAL	No	Paper Only
Other-D - Student Pre-Survey_FINAL	No	Paper Only
Other-D2 - Student_Post-Survey_FINAL	No	Paper Only
Other-H - Parent InDepth Interview Guide_FINAL	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 8 Studies & Reports

FR Citation: 56 FR 19078

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	122	122
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Package for Pilot Testing_FINAL		08/16/2012
K - Classroom Observation Log_FINAL		08/16/2012

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

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