Team Nutrition Educational Technology Environmental Scan

Generic Clearance to Conduct Formative Research or Development of Nutrition Education and Promotion Materials and Related Tools and Grants for FNS Population Groups

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Team Nutrition Educational Technology Environmental Scan	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.