Household Survey Activities

Study of Non-Response to the School Meals Application Verification Process

37. Respondent Payment Log

Household Survey Activities

OMB: 0584-0638

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Supporting Statement for OMB Clearance for the Study of Non-Response to the School Meals Application Verification Process

Appendix 37

Respondent Payment Log

DATA COLLECTOR’S NAME:

DISTRICT:

CARD NUMBER

RESPONDENT NAME

RESPONDENT SIGNATURE

INTERVIEWER SIGNATURE

DATE













































































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 Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFIELD INTERVIEWER RESPONDENT PAYMENT LOG
Subjectform
AuthorMATHEMATICA
File Modified0000-00-00
File Created2021-01-22

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