Information Collection

Child Nutrition Reducing Burden Study: State Agency and School Food Authority Surveys

IC 230098 under ICR 201710-0584-003 · OMB 0584-0613.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0613 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A.2. Recruitment Letter RO to SA.docx	Other-Appendix A.2 Recruitment Lette
Appendix A.8. SA Reminder Telephone Script.docx	Other-Appendix A.8. SA Reminder Tele
Appendix A.9. SFA Reminder Telephone Script.docx	Other-Appendix A.9. SFA Reminder Tel
Appendix A.10. Table Example to Include with Recruitment Letter from RO to SA.docx	Other-Appendix A.10. Table Example t
Appendix B.1. Data Collection Instrument SA_passback_cleanv2.docx	Other-Appendix B.1 Data Collection I
Appendix B.2. Data Collection Instrument SFA_passback_cleanv2.docx	Other-Appendix B.2. Data Collection
Appendix A.1. Recruitment Letter FNS to RO.docx Appendix A.1 Recruitment LetterL FNS to RO	IC Document
Appendix A.3. Recruitment Letter SA to SFA.docx Appendix A.3 Recruitment LetterL SA to SFA	IC Document
Appendix A.4. Invitation Email 2M to SA.docx Appendix A.4 Invitation Email: 2M to SA	IC Document
Appendix A.5. Invitation Email 2M to SFA.docx Appendix A.5. Invitation Email: 2M to SFA	IC Document
Appendix A.6. Follow-up Email Reminder SA.docx Appendix A.6. Follow-up Email Reminder: SA	IC Document
Appendix A.7. Follow-up Email Reminder SFA.docx Appendix A.7. Follow-up Emal Reminder: SFA	IC Document
Appendix A.11. Section 28 of National School Lunch Act as amended by HHFKA.docx Appendix A.11. Section 28 of the Richard B Russell National School Lunch Act as amended by the Healthy Hunger Free Kids Act of 2	IC Document
Appendix A.12. House Report 114-531.pdf Appendix A.12 House Report 114-531	IC Document
Appendix C. Estimated CN Burden QRS - Table 1.xlsx Appendix C. Estimated Annual Burden for Information Collection and Nonresponse for CN QRS Surveys	IC Document
Appendix D.1. State Agency Survey (Pretest Version).pdf Appendix D.1. State Agency Survey (Pretest Version)	IC Document
Appendix D.2. SFA Survey (Pretest Version).pdf Appendix D.2 SFA Survey (Pretest Version)	IC Document
Appendix D.3. Example FNS_RO Pretest Email.docx Appendix D.3. Example FNS RO Pretest Email	IC Document
Appendix D.4. Example RO_SA_Pretest Invite.docx Appendix D.4. Example RO SA Pretest Invite	IC Document
QRS CN Reducing Burden OMB Generic Clearance_cleanv2.docx QRS CN Reducing Burden OMB Generic Clearance Final	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Child Nutrition Reducing Burden Study: State Agency and School Food Authority Surveys

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?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B.1 Data Collection Instrument: SA	Appendix B.1. Data Collection Instrument SA_passback_cleanv2.docx	Yes	Yes	Fillable Fileable
Other-Appendix B.2. Data Collection Instrument: SFA	Appendix B.2. Data Collection Instrument SFA_passback_cleanv2.docx	Yes	Yes	Fillable Fileable
Other-Appendix A.2 Recruitment Letter: Ro to SA	Appendix A.2. Recruitment Letter RO to SA.docx	No		Paper Only
Other-Appendix A.8. SA Reminder Telephone Script	Appendix A.8. SA Reminder Telephone Script.docx	No		Paper Only
Other-Appendix A.9. SFA Reminder Telephone Script	Appendix A.9. SFA Reminder Telephone Script.docx	No		Paper Only
Other-Appendix A.10. Table Example to Include with Recruitment Letter from RO to SA	Appendix A.10. Table Example to Include with Recruitment Letter from RO to SA.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 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 1,330

Number of Respondents for Small Entity: 20

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 79 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,602	4,602
Annual IC Time Burden (Hours)	528	528
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A.1 Recruitment LetterL FNS to RO	Appendix A.1. Recruitment Letter FNS to RO.docx	02/13/2018
Appendix A.3 Recruitment LetterL SA to SFA	Appendix A.3. Recruitment Letter SA to SFA.docx	02/13/2018
Appendix A.4 Invitation Email: 2M to SA	Appendix A.4. Invitation Email 2M to SA.docx	02/13/2018
Appendix A.5. Invitation Email: 2M to SFA	Appendix A.5. Invitation Email 2M to SFA.docx	02/13/2018
Appendix A.6. Follow-up Email Reminder: SA	Appendix A.6. Follow-up Email Reminder SA.docx	02/13/2018
Appendix A.7. Follow-up Emal Reminder: SFA	Appendix A.7. Follow-up Email Reminder SFA.docx	02/13/2018
Appendix A.11. Section 28 of the Richard B Russell National School Lunch Act as amended by the Healthy Hunger Free Kids Act of 2010 (HHFKA)	Appendix A.11. Section 28 of National School Lunch Act as amended by HHFKA.docx	02/13/2018
Appendix A.12 House Report 114-531	Appendix A.12. House Report 114-531.pdf	02/13/2018
Appendix C. Estimated Annual Burden for Information Collection and Nonresponse for CN QRS Surveys	Appendix C. Estimated CN Burden QRS - Table 1.xlsx	02/13/2018
Appendix D.1. State Agency Survey (Pretest Version)	Appendix D.1. State Agency Survey (Pretest Version).pdf	02/14/2018
Appendix D.2 SFA Survey (Pretest Version)	Appendix D.2. SFA Survey (Pretest Version).pdf	02/14/2018
Appendix D.3. Example FNS RO Pretest Email	Appendix D.3. Example FNS_RO Pretest Email.docx	02/13/2018
Appendix D.4. Example RO SA Pretest Invite	Appendix D.4. Example RO_SA_Pretest Invite.docx	02/13/2018
QRS CN Reducing Burden OMB Generic Clearance Final	QRS CN Reducing Burden OMB Generic Clearance_cleanv2.docx	04/06/2018

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