Information Collection

Private Schools

IC 202273 under ICR 201208-0584-008 · OMB 0584-0530.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0530 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
rev062112 Attachment G.1-CEO Student Sampling File Documentation Form.doc	Other-Attachment G.1-CEO Student Sam
rev062112 Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools.doc	Other-Attachment D.3-SFA Reimburseme
rev062112 Attachment C.1-SFA District Director Questionnaire.doc	Other-Attachment C.1-SFA District Di
rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc	Other-Attachment D.1-SFA Reimburseme
rev062112 Attachment E.1-Application Data Abstraction Form.doc	Other-Attachment E.1-Application Dat
rev062112 Attachment H.3-School Meal Count Verification Form-Target Month.doc	Other-Attachment H.3-School Meal Cou
rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc	Other-Attachment D.1-SFA Reimburseme
rev062112 Attachment D.2-SFA Reimbursement Claim Verif Form-Week.doc	Other-Attachment D.2-SFA Reimburseme
rev062112 Attachment F.1-Student Sample Contact Info Form.docm	Other-Attachment F.1-Student Sample
rev062112 Attachment F.2-Newly Cert FRP.doc	Other-Attachment F.2-Newly Cert FRP
rev062112 Attachment B.1-Superintendent Letter.docx Attachment B.1-Superintendent Letter	IC Document
rev062112 Attachment B.2-SFA Letter.docx Attachment B.2-SFA Letter	IC Document
rev062112 Attachment B.3-Study Overview.docx Attachment B.3-Study Overview	IC Document
rev062112 Attachment B.4-Suggested Text for Recruiting Call.docx Attachment B.4-Suggested Text for Recruiting Call	IC Document
rev062112 Attachment B.5-Initial Email to SFA Directors.docx Attachment B.5-Initial Email to SFA Directors	IC Document
rev062112 Attachment B.6-Reminder Email to SFA Directors.docx Attachment B.6-Reminder Email to SFA Directors	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Private Schools

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment G.1-CEO Student Sampling File Documentation Form	rev062112 Attachment G.1-CEO Student Sampling File Documentation Form.doc	No	Paper Only
Other-Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools	rev062112 Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools.doc	No	Paper Only
Other-Attachment C.1-SFA District Director Questionnaire	rev062112 Attachment C.1-SFA District Director Questionnaire.doc	No	Paper Only
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month	rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc	No	Paper Only
Other-Attachment E.1-Application Data Abstraction Form	rev062112 Attachment E.1-Application Data Abstraction Form.doc	No	Paper Only
Other-Attachment H.3-School Meal Count Verification Form-Target Month	rev062112 Attachment H.3-School Meal Count Verification Form-Target Month.doc	No	Paper Only
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month	rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc	No	Paper Only
Other-Attachment D.2-SFA Reimbursement Claim Verif Form-Week	rev062112 Attachment D.2-SFA Reimbursement Claim Verif Form-Week.doc	No	Paper Only
Other-Attachment F.1-Student Sample Contact Info Form	rev062112 Attachment F.1-Student Sample Contact Info Form.docm	No	Paper Only
Other-Attachment F.2-Newly Cert FRP	rev062112 Attachment F.2-Newly Cert FRP.doc	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: FNS-8 USDA/FNS Studies and Reports

FR Citation: 65 FR 17251

Number of Respondents: 54

Number of Respondents for Small Entity: 4

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	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
Attachment B.1-Superintendent Letter	rev062112 Attachment B.1-Superintendent Letter.docx	06/27/2012
Attachment B.2-SFA Letter	rev062112 Attachment B.2-SFA Letter.docx	06/27/2012
Attachment B.3-Study Overview	rev062112 Attachment B.3-Study Overview.docx	06/27/2012
Attachment B.4-Suggested Text for Recruiting Call	rev062112 Attachment B.4-Suggested Text for Recruiting Call.docx	06/27/2012
Attachment B.5-Initial Email to SFA Directors	rev062112 Attachment B.5-Initial Email to SFA Directors.docx	06/27/2012
Attachment B.6-Reminder Email to SFA Directors	rev062112 Attachment B.6-Reminder Email to SFA Directors.docx	06/27/2012

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