Information Collection

Middle School Digital Nutrition I/H

IC 220051 under ICR 201407-0584-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment B_Consent Package for Parent_Caregivers.doc	Other-Attachment B_Consent Package f
Attachment C_Student_Focus_Group_Guideline_Grade 6.docx	Other-Attachment C_Student_Focus_Gro
Attachment E_Student_Focus_Group_Guideline_Grade 7.docx	Other-Attachment E_Student_Focus_Gro
Attachment G_Student_Focus_Group_Guideline_Grade 8-rev.docx	Other-Attachment G_Student_Focus_Gro
Attachment M_Focus Group Stimulus_Grade 6-rev.docx	Other-Attachment M_Focus Group Stimu
Attachment N_Focus Group Stimulus_Grade 7-rev.docx	Other-Attachment N_Focus Group Stimu
Attachment O_Focus Group Stimulus_Grade 8-rev.docx	Other-Attachment O_Focus Group Stimu
Middle School Digital Nutrition_OMB Memo-rev3.pdf Middle School Digital Nutrition_OMB Memo-rev3	IC Document

IC Title:

Middle School Digital Nutrition I/H

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-Attachment B_Consent Package for Parent_Caregivers	Attachment B_Consent Package for Parent_Caregivers.doc	No	Paper Only
Other-Attachment C_Student_Focus_Group_Guideline_Grade 6	Attachment C_Student_Focus_Group_Guideline_Grade 6.docx	No	Paper Only
Other-Attachment E_Student_Focus_Group_Guideline_Grade 7	Attachment E_Student_Focus_Group_Guideline_Grade 7.docx	No	Paper Only
Other-Attachment G_Student_Focus_Group_Guideline_Grade 8-rev	Attachment G_Student_Focus_Group_Guideline_Grade 8-rev.docx	No	Paper Only
Other-Attachment M_Focus Group Stimulus_Grade 6	Attachment M_Focus Group Stimulus_Grade 6-rev.docx	No	Paper Only
Other-Attachment N_Focus Group Stimulus_Grade 7	Attachment N_Focus Group Stimulus_Grade 7-rev.docx	No	Paper Only
Other-Attachment O_Focus Group Stimulus_Grade 8	Attachment O_Focus Group Stimulus_Grade 8-rev.docx	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: 1,920

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	1,992	1,992
Annual IC Time Burden (Hours)	380	380
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Middle School Digital Nutrition_OMB Memo-rev3	Middle School Digital Nutrition_OMB Memo-rev3.pdf	02/11/2016

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