District Food Service Administrator/Manager

The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)

Documents and Forms

Document Name Document Type
Form 11 District Food Service Administrator/Manager Form and Instruction
11 School Food Environment Instrument FINAL_HCS_SSA_ATTACH 18_SCHOOL FOOD ENV SURVEY_Jan 2013.docx Form and Instruction

Information Collection (IC) Details

IC Title:	District Food Service Administrator/Manager	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
Form and Instruction	11	School Food Environment Instrument	FINAL_HCS_SSA_ATTACH 18_SCHOOL FOOD ENV SURVEY_Jan 2013.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	88	88
Annual IC Time Burden (Hours)	44	44
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.