Information Collection

Digital Nutrition Education Materials for Middle School Students (Individuals/Households) - IC 2 of 2

IC 225829 under ICR 201606-0584-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Final.docx	Other-Attachment B Consent Packge fo
Attachment C_Student Focus Group Package_Grade 6_Final.docx	Other-Attachment C Student Focus Gro
Attachment D_Student Survey Grade 6 Final.docx	Other-Attachment D Student Survey: G
Attachment E_Student Focus Group Package_Grade 7 Final.docx	Other-Attachment E Student Focus Gro
Attachment F_Student Survey Grade 7 Final.docx	Other-Attachment F Student Survey: G
Attachment G_Student Focus Group Package_Grade 8 Final.docx	Other-Attachment G Student Focus Gro
Attachment H_Student Survey Grade 8 Final.docx	Other-Attachment H Student Survey: G
20170223 Middle School Digital Nutrition Pilot_OMB Memo_FInal.pdf 20170223 Middle School Digital Nutrition Pilot_OMB Memo_FInal	IC Document

IC Title:

Digital Nutrition Education Materials for Middle School Students (Individuals/Households) - IC 2 of 2

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 Packge for Parent/Caregivers: Parent/Caregiver Consent Cover Letter, Parent/Caregiver Passive Consent Information	Attachment B_Consent Package for Parent Final.docx	No	Paper Only
Other-Attachment C Student Focus Group Package for Grade 6: Student Focus Group Guideline, Student Focus Group Questionnaire	Attachment C_Student Focus Group Package_Grade 6_Final.docx	No	Paper Only
Other-Attachment D Student Survey: Grade 6	Attachment D_Student Survey Grade 6 Final.docx	No	Paper Only
Other-Attachment E Student Focus Group Package for Grade 7: Student Focus Group Guideline, Student Focus Group Questionnaire	Attachment E_Student Focus Group Package_Grade 7 Final.docx	No	Paper Only
Other-Attachment F Student Survey: Grade 7	Attachment F_Student Survey Grade 7 Final.docx	No	Paper Only
Other-Attachment G Student Focus Group Package for Grade 8: Student Focus Group Guideline, Student Focus Group Questionnaire	Attachment G_Student Focus Group Package_Grade 8 Final.docx	No	Paper Only
Other-Attachment H Student Survey: Grade 8	Attachment H_Student Survey Grade 8 Final.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: 2,240

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	3,226	3,226
Annual IC Time Burden (Hours)	744	744
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
20170223 Middle School Digital Nutrition Pilot_OMB Memo_FInal	20170223 Middle School Digital Nutrition Pilot_OMB Memo_FInal.pdf	02/28/2017

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