OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

FFVP CFD Pilot - Individual

IC 212278 under ICR 201503-0584-006 · OMB 0584-0598.

Documents and Forms

Documents and forms in this information collection
Document NameDocument 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)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-FFVP-CFD_Appendix_E2b1_Parent_Survey_Eng No   Paper Only
Other-FFVP-CFD_Appendix_E2b2_Parent_Survey_Sp No   Paper Only
Other-FFVP-CFD_Appendix_E3a_Student_Survey_Admin_Script No   Paper Only
Other-FFVP-CFD_Appendix_E3c_Student_Survey No   Paper Only
Other-FFVP-CFD_Appendix_E4a_FEST Training Script No   Paper Only
Other-FFVP-CFD_Appendix_E4b_Student_FoodsEatenToday_Recall_Booklet No   Paper Only
Other-FFVP-CFD_Appendix_E4c_DietaryRecall_CAPI_ScreensShots Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 37,113 0 0 0 0 37,113
Annual IC Time Burden (Hours) 9,463 0 0 0 0 9,463
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
FFVP-CFD_Appendix_E1a1_Parent_Consent_Implied_Eng 07/08/2014
FFVP-CFD_Appendix_E1a2_Parent_Consent_Implied_Sp 07/08/2014
FFVP-CFD_Appendix_E1b1_Parent_Consent_Active_Eng 07/08/2014
FFVP-CFD_Appendix_E1b2_Parent_Consent_Active_Sp 07/08/2014
FFVP-CFD_Appendix_E1c1_Parent_Consent_VerbalScript_Eng 07/08/2014
FFVP-CFD_Appendix_E1c2_Parent_Consent_VerbalScript_Sp 07/08/2014
FFVP-CFD_Appendix_E2a1_Parent_Survey_Intro_Eng 07/08/2014
FFVP-CFD_Appendix_E2a2_Parent_Survey_Intro_Sp 07/08/2014
FFVP-CFD_Appendix_E3b1_Student_Assent_Eng 07/10/2014
FFVP-CFD_Appendix_E3b2_Student_Assent_Sp 07/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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