Information Collection Request

Evaluation of the Impact of the Household-Based Summer Demonstrations on Food Insecurity Among Children (SEBTC)

ICR 201212-0584-003 · OMB 0584-0559 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
120512 Change Justification Memo - Non-substantive change 0584-0559.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-12-05 Available
Table 2 -Changes and Reasons Table Summer Questionnaire-Jan17.docx Supplementary Document Uploaded 2012-02-10 Available
Table 1-Changes and Reasons Table Spring Baseline Questionnaire-jan23.docx Supplementary Document Uploaded 2012-02-10 Available
Change Justification Memo v3 REVISED-to FNS Jan 23w.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-03-08 Available
Appendix L Consent Language Final.doc Supplementary Document Uploaded 2011-03-17 Repair queued
FNS Cover Memo.doc Supplementary Document Uploaded 2011-03-17 Available
Appendix G full IRB approval.pdf Supplementary Document Uploaded 2011-03-17 Available
Appendix C.docx Supplementary Document Uploaded 2011-02-07 Available
Appendix G_IRB#0535 _SUMMERFOODS_partial approval 2-8-2011.pdf Supplementary Document Uploaded 2011-02-08 Repair queued
Appendix F Confidentiality for Contractors 2-8-2011.docx Supplementary Document Uploaded 2011-02-08 Available
SEBTC Revised OMB Part A 3-16-11 final.doc Supporting Statement A Uploaded 2011-03-17 Available
SEBTC Revised OMB Part B 3 16 11 final.doc Supporting Statement B Uploaded 2011-03-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196147 Non Responding Households Other-Non Responders Modified
196143 State Agencies, Grantees and SFA Other-sept grantees and major partners Unchanged
196142 Business- Profit & Not -for- Profit Other-Questionnaire - Business Unchanged
196141 SEBTC - Households Other-Revised Attachment A - Current approved Spring baseline in Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2014 03/31/2014 03/31/2014
82,672 0 30,672
34,774 0 15,974
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 82,672 30,672 0 52,000 0 0
Annual Time Burden (Hours) 34,774 15,974 0 18,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No