State/Local: J - Changes in Student Certification and Enrollment Form

NSLP/SBP Access, Participation, Eligibility, and Certification Study

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
rev062112 Attachment J - Changes in Student Certification and Enrollment Form - For All Schools.doc Other-J - Changes in Student Certifi

Information Collection (IC) Details

IC Title:	State/Local: J - Changes in Student Certification and Enrollment Form	Agency IC Tracking Number:

Is this a Common Form? No		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-J - Changes in Student Certification and Enrollment Form - For All Schools			rev062112 Attachment J - Changes in Student Certification and Enrollment Form - For All Schools.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 384	Number of Respondents for Small Entity: 38

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	384	384
Annual IC Time Burden (Hours)	192	192
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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