Revised - Individuals/Households - Preparation for the Launch of the Summer Meals Study

FNS Generic Clearance For Pre-Testing, Pilot, And Field Test Studies

OMB: 0584-0606

IC ID: 227339

Documents and Forms
Document Name
Document Type
Other-Appendix E.4. Household Eligib
Other-Appendix E.6 Participant Careg
Other-Appendix E.7 Nonparticipant Ca
Other-Appendix E.8 Participant Careg
Other-Appendix E.9 Nonparticipant Ca
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Revised - Individuals/Households - Preparation for the Launch of the Summer Meals Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix E.4. Household Eligibility Screener.docx Appendix E.4. Household Eligibility Screener.docx No   Paper Only
Other-Appendix E.6 Participant Caregiver Survey.docx Appendix E.6 Participant Caregiver Survey.docx No   Paper Only
Other-Appendix E.7 Nonparticipant Caregiver Survey.docx Appendix E.7 Nonparticipant Caregiver Survey.docx No   Paper Only
Other-Appendix E.8 Participant Caregiver QI.docx Appendix E.8 Participant Caregiver QI.docx No   Paper Only
Other-Appendix E.9 Nonparticipant Caregiver QI.docx Appendix E.9 Nonparticipant Caregiver QI.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

63 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 187 0 187 0 0 0
Annual IC Time Burden (Hours) 43 0 43 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SFSP Generic Clearance Package_revised_6.29docx.docx SFSP Generic Clearance Package_revised_6.29docx.docx 06/29/2017
SFSP Burden Table Revised 6-28-17_aag SFSP Burden Table Revised 6-28-17_aag.xlsx 06/29/2017
Appendix E.1. Study voicemail message for inbound caregiver calls.docx Appendix E.1. Study voicemail message for inbound caregiver calls.docx 06/29/2017
Appendix E.2 Outbound telephone calls to schedule cognitive testing with caregivers.docx Appendix E.2 Outbound telephone calls to schedule cognitive testing with caregivers.docx 06/29/2017
Appendix E.3 Email caregivers confirmation for cognitive testing.docx Appendix E.3 Email caregivers confirmation for cognitive testing.docx 06/29/2017
Appendix E.5 Parental and 18 Year Old Consent Revised.docx Appendix E.5 Parental and 18 Year Old Consent Revised.docx 06/29/2017
Appendix E.10 Parental Consent to Interview Child or Teen Revised.docx Appendix E.10 Parental Consent to Interview Child or Teen Revised.docx 06/29/2017
Appendix E.11 Child Assent.docx Appendix E.11 Child Assent.docx 06/29/2017
Appendix E.12 Teen Assent.docx Appendix E.12 Teen Assent.docx 06/29/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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