Information Collection

Request Approval to Perform Research for Team Nutrition Posters-Phase 2

IC 208682 under ICR 201308-0584-004 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A_FNS Screener_Student Focus Groups.doc	Other-A_FNS Screener_Student Focus G
B_FNS Discussion Guide_Elementary School.doc	Other-B_FNS Discussion Guide_Element
C_FNS Discussion Guide_Middle School.doc	Other-C_FNS Discussion Guide_Middle
D1 USDA 09 19 13 CLN 1 Elementary Poster Prototypes Rnd 2.pdf	Other-D1 USDA CLN 1 Elementary Poste
D2 USDA CLN 2 Middle School Poster Prototypes Rnd 2.pdf	Other-D2 USDA CLN 2 Middle School Po
E_Agreement on Security of Comments.doc	Other-E_Agreement on Security of Com
F_Parent Consent Form.doc	Other-F_Parent Consent Form
09 19 13 Memorandum Request Approval to Perform Research for Team Nutrition Posters for Elementary and Middle School (Phase 2).docx Memorandum Request Approval to Perform Research for Team Nutrition Posters for Elementary and Middle School (Phase 2)	IC Document

IC Title:

Request Approval to Perform Research for Team Nutrition Posters-Phase 2

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-A_FNS Screener_Student Focus Groups	A_FNS Screener_Student Focus Groups.doc	No	Paper Only
Other-B_FNS Discussion Guide_Elementary School	B_FNS Discussion Guide_Elementary School.doc	No	Paper Only
Other-C_FNS Discussion Guide_Middle School	C_FNS Discussion Guide_Middle School.doc	No	Paper Only
Other-D1 USDA CLN 1 Elementary Poster Prototypes Rnd 2	D1 USDA 09 19 13 CLN 1 Elementary Poster Prototypes Rnd 2.pdf	No	Paper Only
Other-D2 USDA CLN 2 Middle School Poster Prototypes Rnd 2	D2 USDA CLN 2 Middle School Poster Prototypes Rnd 2.pdf	No	Paper Only
Other-E_Agreement on Security of Comments.doc	E_Agreement on Security of Comments.doc	No	Paper Only
Other-F_Parent Consent Form	F_Parent Consent Form.doc	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8, FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 5,760

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,760	5,760
Annual IC Time Burden (Hours)	876	876
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memorandum Request Approval to Perform Research for Team Nutrition Posters for Elementary and Middle School (Phase 2)	09 19 13 Memorandum Request Approval to Perform Research for Team Nutrition Posters for Elementary and Middle School (Phase 2).docx	09/19/2013

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