Information Collection

Parents/Guardians and Students - Individuals and Households

IC 236495 under ICR 201906-0584-004 · OMB 0584-0648.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
D08 Parent Passive Consent Response Form- English (Group 2)_aag.docx	Other-Appendix D8. Parent Passive Co
D09 Parent Passive Consent Response Form- Spanish (Group 2)_2.docx	Other-Appendix D9. Parent Passive Co
D10 Parent Active Consent Response Form- English (Group 2)_aag.docx	Other-Appendix D10. Parent Active Co
D11 Parent Active Consent Response Form- Spanish (Group 2).docx	Other-Appendix D11. Parent Active Co
I01 Student Interview English (Group 2) 2019.9.16_2.docx	Other-Appendix I1. Student Interview
I02 Student Interview Spanish (Group 2) 2019.9.16.docx	Other-Appendix I2. Student Interview
I03 Parent Interview English (Group 2).docx	Other-Appendix I3. Parent Interview
I04 Parent Interview Spanish (Group 2).docx	Other-Appendix I4. Parent Interview
I05 Automated Multiple Pass Method (Group 2).docx	Other-Appendix I5. Automated Multipl
I08 Food Diary- English (Group 2).docx	Other-Appendix I8. Food Diary Englis
I09 Food Diary- Spanish (Group 2)_2.docx	Other-Appendix I9. Food Diary Spanis
K08 Parent Interview Example Screenshots.docx	Other-Appendix K8. Parent Interview
D02 School Endorsement Letter- English (Group 2).docx Appendix D2. School Endorsement Letter - English (Group 2)	IC Document
D03 School Endorsement Letter- Spanish (Group 2)_2.docx Appendix D3. School Endorsement Letter - Spanish (Group 2)	IC Document
D04 Elementary and Middle High School Parent (Household) Advance Letter- English (Group 2).docx Appendix D4. Elementary and Middle/High School Parent (Household) Advance Letter English (Group 2)	IC Document
D05 Elementary and Middle High School Parent (Household) Advance Letter- Spanish (Group 2)_2.docx Appendix D5. Elementary and Middle/High School Parent (Household) Advance Letter Spanish (Group 2)	IC Document
D06 Household Elementary and Middle High School Brochure-English (Group 2).pdf Appendix D6. Household Elementary and Middle/High School Brochure - English (Group 2)	IC Document
D07 Household Elementary and Middle High School Brochure-Spanish (Group 2)_2.pdf Appendix D7. Household Elementary and Middle/High School Brochure - Spanish (Group 2)	IC Document
D12 Student Assent Form-English (Group 2)_aag.docx Appendix D12. Student Assent Form - English (Group 2)	IC Document
D13 Student Assent Form-Spanish (Group 2).docx Appendix D13. Student Assent Form - Spanish (Group 2)	IC Document
I10 Dietary Recall Texts and Emails - English (Group 2).docx Appendix I10. Dietary Recall Texts and Emails English (Group 2)	IC Document
I11 Dietary Recall Texts and Emails - Spanish (Group 2)_2.docx Appendix I11. Dietary Recall Texts and Emails Spanish (Group 2)	IC Document
I12 Elementary and Middle - High School Student Interview Reminder Flyer - English (Group 2).docx Appendix I12. Elementary and Middle/High School Student Interview Reminder Flyer English (Group 2)	IC Document
I13 Elementary and Middle - High School Student Reminder Flyer - Spanish (Group 2)_2.docx Appendix I13. Elementary and Middle/High School Student Interview Reminder Flyer Spanish (Group 2)	IC Document
I14 Parent Interview Texts and Emails - English (Group 2).docx Appendix I14. Parent Interview Texts and Emails English (Group 2)	IC Document
I15 Parent Interview Texts and Emails- Spanish (Group 2)_2.docx Appendix I15. Parent Interview Texts and Emails Spanish (Group 2)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Parents/Guardians and Students - Individuals and Households

Agency IC Tracking Number:

Is this a Common Form? No

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 I5. Automated Multiple Pass Method (Group 2)	I05 Automated Multiple Pass Method (Group 2).docx	Yes	Yes	Fillable Fileable
Other-Appendix I4. Parent Interview Spanish (Group 2)	I04 Parent Interview Spanish (Group 2).docx	Yes	Yes	Fillable Fileable
Other-Appendix D9. Parent Passive Consent Response Form - Spanish (Group 2)	D09 Parent Passive Consent Response Form- Spanish (Group 2)_2.docx	No		Paper Only
Other-Appendix D10. Parent Active Consent Response Form - English (Group 2)	D10 Parent Active Consent Response Form- English (Group 2)_aag.docx	No		Paper Only
Other-Appendix I3. Parent Interview English (Group 2)	I03 Parent Interview English (Group 2).docx	Yes	Yes	Fillable Fileable
Other-Appendix K8. Parent Interview Example Screenshots	K08 Parent Interview Example Screenshots.docx	Yes	Yes	Fillable Fileable
Other-Appendix I8. Food Diary English (Group 2)	I08 Food Diary- English (Group 2).docx	No		Paper Only
Other-Appendix I9. Food Diary Spanish (Group 2)	I09 Food Diary- Spanish (Group 2)_2.docx	No		Paper Only
Other-Appendix D11. Parent Active Consent Response Form - Spanish (Group 2)	D11 Parent Active Consent Response Form- Spanish (Group 2).docx	No		Paper Only
Other-Appendix I1. Student Interview English (Group 2)	I01 Student Interview English (Group 2) 2019.9.16_2.docx	Yes	Yes	Fillable Fileable
Other-Appendix I2. Student Interview Spanish (Group 2)	I02 Student Interview Spanish (Group 2) 2019.9.16.docx	Yes	Yes	Fillable Fileable
Other-Appendix D8. Parent Passive Consent Response Form - English (Group 2)	D08 Parent Passive Consent Response Form- English (Group 2)_aag.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: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24,380	24,380
Annual IC Time Burden (Hours)	5,100	5,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D2. School Endorsement Letter - English (Group 2)	D02 School Endorsement Letter- English (Group 2).docx	09/18/2019
Appendix D3. School Endorsement Letter - Spanish (Group 2)	D03 School Endorsement Letter- Spanish (Group 2)_2.docx	09/18/2019
Appendix D4. Elementary and Middle/High School Parent (Household) Advance Letter English (Group 2)	D04 Elementary and Middle High School Parent (Household) Advance Letter- English (Group 2).docx	09/18/2019
Appendix D5. Elementary and Middle/High School Parent (Household) Advance Letter Spanish (Group 2)	D05 Elementary and Middle High School Parent (Household) Advance Letter- Spanish (Group 2)_2.docx	09/18/2019
Appendix D6. Household Elementary and Middle/High School Brochure - English (Group 2)	D06 Household Elementary and Middle High School Brochure-English (Group 2).pdf	09/18/2019
Appendix D7. Household Elementary and Middle/High School Brochure - Spanish (Group 2)	D07 Household Elementary and Middle High School Brochure-Spanish (Group 2)_2.pdf	09/18/2019
Appendix D12. Student Assent Form - English (Group 2)	D12 Student Assent Form-English (Group 2)_aag.docx	09/17/2019
Appendix D13. Student Assent Form - Spanish (Group 2)	D13 Student Assent Form-Spanish (Group 2).docx	09/18/2019
Appendix I10. Dietary Recall Texts and Emails English (Group 2)	I10 Dietary Recall Texts and Emails - English (Group 2).docx	09/18/2019
Appendix I11. Dietary Recall Texts and Emails Spanish (Group 2)	I11 Dietary Recall Texts and Emails - Spanish (Group 2)_2.docx	09/18/2019
Appendix I12. Elementary and Middle/High School Student Interview Reminder Flyer English (Group 2)	I12 Elementary and Middle - High School Student Interview Reminder Flyer - English (Group 2).docx	09/18/2019
Appendix I13. Elementary and Middle/High School Student Interview Reminder Flyer Spanish (Group 2)	I13 Elementary and Middle - High School Student Reminder Flyer - Spanish (Group 2)_2.docx	09/18/2019
Appendix I14. Parent Interview Texts and Emails English (Group 2)	I14 Parent Interview Texts and Emails - English (Group 2).docx	09/18/2019
Appendix I15. Parent Interview Texts and Emails Spanish (Group 2)	I15 Parent Interview Texts and Emails- Spanish (Group 2)_2.docx	09/18/2019

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