Households: M - Household Survey

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

OMB: 0584-0530

IC ID: 203796

Information Collection (IC) Details

View Information Collection (IC)

Households: M - Household Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-M.1-Household Survey rev062112 Attachment M.1-Household Survey.doc No   Paper Only
Other-M.2-Household_Survey_Spanish rev062112 Attachment M.2-Household_Survey_Spanish.doc No   Paper Only

Income Security Food and Nutrition Assistance

FNS Studies and Reports  56 FR 19078

4,424 0
   
Individuals or Households
 
   100 %

  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 4,424 0 4,424 0 0 0
Annual IC Time Burden (Hours) 3,318 0 3,318 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
L.1-HH Letter rev062112 Attachment L.1-HH Letter.doc 08/19/2012
L.2-HH Spanish Letter rev062112 Attachment L.2-HH Spanish Letter.doc 08/19/2012
L.3-National School Meals Brochure rev062112 Attachment L.3-National School Meals Brochure.doc 08/19/2012
L.4-National School Meals Brochure_Spanish rev062112 Attachment L.4-National School Meals Brochure_Spanish.doc 08/19/2012
L.5-Informed Consent for Participation rev062112 Attachment L.5-Informed Consent for Participation.docm 08/19/2012
L.6-Informed Consent for Participation_Spanish rev062112 Attachment L.6-Informed Consent for Participation_Spanish.docm 08/19/2012
L.7-Consent for Access to Education Records_CEO rev062112 Attachment L.7-Consent for Access to Education Records_CEO.docm 08/19/2012
L.8-Consent for Access to Education Records_CEO_Spanish rev062112 Attachment L.8-Consent for Access to Education Records_CEO_Spanish.docm 08/19/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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