Information Collection

FFVP CFD Pilot - Individual

IC 212278 under ICR 201407-0584-001 · OMB 0584-0598.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0598 can be found here:

2015-04-01 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FFVP-CFD_Appendix_E2b1_Parent_Survey_Eng.(2014-06-30).docx	Other-FFVP-CFD_Appendix_E2b1_Parent_
FFVP-CFD_Appendix_E2b2_Parent_Survey_Sp.(2014-06-30).docx	Other-FFVP-CFD_Appendix_E2b2_Parent_
FFVP-CFD_Appendix_E3a_Student_Survey_Admin_Script.(2014-07-10).docx	Other-FFVP-CFD_Appendix_E3a_Student_
FFVP-CFD_Appendix_E3c_Student_Survey.(2014-07-10).docx	Other-FFVP-CFD_Appendix_E3c_Student_
FFVP-CFD_Appendix_E4a_FEST Training Script (2014-06-30).docx	Other-FFVP-CFD_Appendix_E4a_FEST Tra
FFVP-CFD_Appendix_E4b_Student_FoodsEatenToday_Recall_Booklet.(2014-06-30).pdf	Other-FFVP-CFD_Appendix_E4b_Student_
FFVP-CFD_Appendix_E4c_DietaryRecall_CAPI_ScreensShots.(2014-06-30).docx	Other-FFVP-CFD_Appendix_E4c_DietaryR
FFVP-CFD_Appendix_E1a1_Parent_Consent_Implied_Eng.(2014-06-30).docx FFVP-CFD_Appendix_E1a1_Parent_Consent_Implied_Eng	IC Document
FFVP-CFD_Appendix_E1a2_Parent_Consent_Implied_Sp.(2014-06-30).docx FFVP-CFD_Appendix_E1a2_Parent_Consent_Implied_Sp	IC Document
FFVP-CFD_Appendix_E1b1_Parent_Consent_Active_Eng.(2014-06-30).doc FFVP-CFD_Appendix_E1b1_Parent_Consent_Active_Eng	IC Document
FFVP-CFD_Appendix_E1b2_Parent_Consent_Active_Sp.(2014-06-30).docx FFVP-CFD_Appendix_E1b2_Parent_Consent_Active_Sp	IC Document
FFVP-CFD_Appendix_E1c1_Parent_Consent_VerbalScript_Eng.(2014-07-07).doc FFVP-CFD_Appendix_E1c1_Parent_Consent_VerbalScript_Eng	IC Document
FFVP-CFD_Appendix_E1c2_Parent_Consent_VerbalScript_Sp.(2014-07-07).docx FFVP-CFD_Appendix_E1c2_Parent_Consent_VerbalScript_Sp	IC Document
FFVP-CFD_Appendix_E2a1_Parent_Survey_Intro_Eng.(2014-06-30).doc FFVP-CFD_Appendix_E2a1_Parent_Survey_Intro_Eng	IC Document
FFVP-CFD_Appendix_E2a2_Parent_Survey_Intro_Sp.(2014-06-30).docx FFVP-CFD_Appendix_E2a2_Parent_Survey_Intro_Sp	IC Document
FFVP-CFD_Appendix_E3b1_Student_Assent_Eng.(2014-07-10).docx FFVP-CFD_Appendix_E3b1_Student_Assent_Eng	IC Document
FFVP-CFD_Appendix_E3b2_Student_Assent_Sp.(2014-06-30).docx FFVP-CFD_Appendix_E3b2_Student_Assent_Sp	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

FFVP CFD Pilot - Individual

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FFVP-CFD_Appendix_E2b1_Parent_Survey_Eng	FFVP-CFD_Appendix_E2b1_Parent_Survey_Eng.(2014-06-30).docx	No		Paper Only
Other-FFVP-CFD_Appendix_E2b2_Parent_Survey_Sp	FFVP-CFD_Appendix_E2b2_Parent_Survey_Sp.(2014-06-30).docx	No		Paper Only
Other-FFVP-CFD_Appendix_E3a_Student_Survey_Admin_Script	FFVP-CFD_Appendix_E3a_Student_Survey_Admin_Script.(2014-07-10).docx	No		Paper Only
Other-FFVP-CFD_Appendix_E3c_Student_Survey	FFVP-CFD_Appendix_E3c_Student_Survey.(2014-07-10).docx	No		Paper Only
Other-FFVP-CFD_Appendix_E4a_FEST Training Script	FFVP-CFD_Appendix_E4a_FEST Training Script (2014-06-30).docx	No		Paper Only
Other-FFVP-CFD_Appendix_E4b_Student_FoodsEatenToday_Recall_Booklet	FFVP-CFD_Appendix_E4b_Student_FoodsEatenToday_Recall_Booklet.(2014-06-30).pdf	No		Paper Only
Other-FFVP-CFD_Appendix_E4c_DietaryRecall_CAPI_ScreensShots	FFVP-CFD_Appendix_E4c_DietaryRecall_CAPI_ScreensShots.(2014-06-30).docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 20,432

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 16 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	37,113	37,113
Annual IC Time Burden (Hours)	9,463	9,463
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FFVP-CFD_Appendix_E1a1_Parent_Consent_Implied_Eng	FFVP-CFD_Appendix_E1a1_Parent_Consent_Implied_Eng.(2014-06-30).docx	07/08/2014
FFVP-CFD_Appendix_E1a2_Parent_Consent_Implied_Sp	FFVP-CFD_Appendix_E1a2_Parent_Consent_Implied_Sp.(2014-06-30).docx	07/08/2014
FFVP-CFD_Appendix_E1b1_Parent_Consent_Active_Eng	FFVP-CFD_Appendix_E1b1_Parent_Consent_Active_Eng.(2014-06-30).doc	07/08/2014
FFVP-CFD_Appendix_E1b2_Parent_Consent_Active_Sp	FFVP-CFD_Appendix_E1b2_Parent_Consent_Active_Sp.(2014-06-30).docx	07/08/2014
FFVP-CFD_Appendix_E1c1_Parent_Consent_VerbalScript_Eng	FFVP-CFD_Appendix_E1c1_Parent_Consent_VerbalScript_Eng.(2014-07-07).doc	07/08/2014
FFVP-CFD_Appendix_E1c2_Parent_Consent_VerbalScript_Sp	FFVP-CFD_Appendix_E1c2_Parent_Consent_VerbalScript_Sp.(2014-07-07).docx	07/08/2014
FFVP-CFD_Appendix_E2a1_Parent_Survey_Intro_Eng	FFVP-CFD_Appendix_E2a1_Parent_Survey_Intro_Eng.(2014-06-30).doc	07/08/2014
FFVP-CFD_Appendix_E2a2_Parent_Survey_Intro_Sp	FFVP-CFD_Appendix_E2a2_Parent_Survey_Intro_Sp.(2014-06-30).docx	07/08/2014
FFVP-CFD_Appendix_E3b1_Student_Assent_Eng	FFVP-CFD_Appendix_E3b1_Student_Assent_Eng.(2014-07-10).docx	07/10/2014
FFVP-CFD_Appendix_E3b2_Student_Assent_Sp	FFVP-CFD_Appendix_E3b2_Student_Assent_Sp.(2014-06-30).docx	07/08/2014

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