Supporting Statement for OMB Clearance for the Study of Non-Response to the School Meals Application Verification Process
DATA COLLECTOR’S NAME:
DISTRICT:
CARD NUMBER  | 
			RESPONDENT NAME  | 
			RESPONDENT SIGNATURE  | 
			INTERVIEWER SIGNATURE  | 
			DATE  | 
		
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Enter the card number, respondent name and ask the respondent to sign the third column. Return to [FIELD MANAGER NAME], 707 Alexander Road, Building 3, Suite 304, Princeton NJ 08540. Please send weekly.
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | FIELD INTERVIEWER RESPONDENT PAYMENT LOG | 
| Subject | form | 
| Author | MATHEMATICA | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-22 |