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Parent/Student REV 2
Generic Clearance to Conduct Formative Research
OMB: 0584-0524
IC ID: 203735
OMB.report
USDA/FNS
OMB 0584-0524
ICR 201207-0584-007
IC 203735
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:
2023-11-30 - No material or nonsubstantive change to a currently approved collection
2022-12-14 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent/Student REV 2
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-B - Parent Letter_Survey_Consent Form_FINAL
B - Parent Letter_Survey_Consent Form_FINAL.doc
No
Paper Only
Other-D - Student Pre-Survey_FINAL
D - Student Pre-Survey_FINAL.docx
No
Paper Only
Other-D2 - Student_Post-Survey_FINAL
D2 - Student_Post-Survey_FINAL.docx
No
Paper Only
Other-H - Parent InDepth Interview Guide_FINAL
H - Parent InDepth Interview Guide_FINAL.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:
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 %
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
400
0
400
0
0
0
Annual IC Time Burden (Hours)
122
0
122
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Package for Pilot Testing_FINAL
OMB Package for Pilot Testing_FINAL.doc
08/16/2012
K - Classroom Observation Log_FINAL
K - Classroom Observation Log_FINAL.docx
08/16/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.