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Team Nutrition Educational Materials for Summer Meals - SLT (IC1 of 2)
Generic Clearance to Conduct Formative Research
OMB: 0584-0524
IC ID: 217074
OMB.report
USDA/FNS
OMB 0584-0524
ICR 201606-0584-004
IC 217074
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:
2023-11-30 - No material or nonsubstantive change to a currently approved collection
2022-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment C Consent Package for Site Operators_Final.docx
Other-Attachment C Consent Package f
Attachment H Individual Interview Guide for Site Operators_Final.docx
Other-Attachment H Individual Interv
Attachment I Journal for Site Operators_Final.docx
Other-Attachment I Journal for Site
Appendix M_Operator Booklet.pdf
Appendix M_Operator Booklet
IC Document
Appendix N_Operator Activity Guides.pdf
Appendix N_Operator Activity Guides
IC Document
Appendix O_Promotional Materials.pdf
Appendix O_Promotional Materials
IC Document
Appendix P_Family Activity Guides.pdf
Appendix P_Family Activity Guides
IC Document
Attachment Q Site Operator Stipend Justification_Final.docx
Attachment Q Site Operator Stipend Justification_Final
IC Document
Task 3 OMB Memo_Revised 061715.docx
Task 3 OMB Memo_Revised 061715
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Team Nutrition Educational Materials for Summer Meals - SLT (IC1 of 2)
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Attachment C Consent Package for Site Operators_Final
Attachment C Consent Package for Site Operators_Final.docx
No
Paper Only
Other-Attachment H Individual Interview Guide for Site Operators_Final
Attachment H Individual Interview Guide for Site Operators_Final.docx
No
Paper Only
Other-Attachment I Journal for Site Operators_Final
Attachment I Journal for Site Operators_Final.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
84
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
84
0
0
0
0
84
Annual IC Time Burden (Hours)
137
0
0
0
0
137
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix M_Operator Booklet
Appendix M_Operator Booklet.pdf
06/17/2015
Appendix N_Operator Activity Guides
Appendix N_Operator Activity Guides.pdf
06/17/2015
Appendix O_Promotional Materials
Appendix O_Promotional Materials.pdf
06/17/2015
Appendix P_Family Activity Guides
Appendix P_Family Activity Guides.pdf
06/17/2015
Attachment Q Site Operator Stipend Justification_Final
Attachment Q Site Operator Stipend Justification_Final.docx
06/17/2015
Task 3 OMB Memo_Revised 061715
Task 3 OMB Memo_Revised 061715.docx
06/17/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.