Information Collection

Team Nutrition Educational Technology Environmental Scan

IC 237919 under ICR 201906-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A_Consent Package for School Focus Groups.docx	Other-Appendix A: Consent Package fo
Appendix B_Consent Package for SHAPE Conference Focus Groups.docx	Other-Appendix B: Consent Package fo
Appendix C_Consent Package for Teacher of Health Education Survey.docx	Other-Appendix C: Consent Package fo
Appendix D_Moderators Guide for Teacher Focus Groups.docx	Other-Appendix D: Moderators Guide f
Appendix E_Teacher of Health Education Survey.docx	Other-Appendix E: Teacher of Health
Appendix F_Flyer for School Focus Groups.pdf	Other-Appendix F: Flyer for School F
Appendix G_Introduction Email for School Focus Groups.docx	Other-Appendix G: Introduction Email
Appendix H_Scheduling Email for School Focus Groups.docx	Other-Appendix H: Scheduling Email f
Appendix I_Principal Letter of Agreement.docx	Other-Appendix I: Principal Letter o
Appendix J_Introduction Email for Teacher of Health Education Survey.docx	Other-Appendix J: Introduction Email
Environmental Scan_OMB Memo_Final Revised2.pdf Environmental Scan_OMB Memo_Final Revised2	IC Document

IC Title:

Team Nutrition Educational Technology Environmental Scan

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-Appendix I: Principal Letter of Agreement	Appendix I_Principal Letter of Agreement.docx	No	Paper Only
Other-Appendix J: Introduction Email for Teacher of Health Education Survey	Appendix J_Introduction Email for Teacher of Health Education Survey.docx	No	Paper Only
Other-Appendix B: Consent Package for SHAPE Conference Focus Groups	Appendix B_Consent Package for SHAPE Conference Focus Groups.docx	No	Paper Only
Other-Appendix C: Consent Package for Teacher of Health Education Survey	Appendix C_Consent Package for Teacher of Health Education Survey.docx	No	Paper Only
Other-Appendix D: Moderators Guide for Teacher Focus Groups	Appendix D_Moderators Guide for Teacher Focus Groups.docx	No	Paper Only
Other-Appendix E: Teacher of Health Education Survey	Appendix E_Teacher of Health Education Survey.docx	No	Paper Only
Other-Appendix F: Flyer for School Focus Groups	Appendix F_Flyer for School Focus Groups.pdf	No	Paper Only
Other-Appendix G: Introduction Email for School Focus Groups	Appendix G_Introduction Email for School Focus Groups.docx	No	Paper Only
Other-Appendix H: Scheduling Email for School Focus Groups	Appendix H_Scheduling Email for School Focus Groups.docx	No	Paper Only
Other-Appendix A: Consent Package for School Focus Groups	Appendix A_Consent Package for School Focus Groups.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: 2,980

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,980	2,980
Annual IC Time Burden (Hours)	501	501
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Environmental Scan_OMB Memo_Final Revised2	Environmental Scan_OMB Memo_Final Revised2.pdf	09/27/2019

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