Information Collection Request

Fourth Access, Participation, Eligibility, and Certification Study Series (APEC IV)

ICR 202106-0584-003 · OMB 0584-0530 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
APEC IV OMB Part A (Revised 2-7-22)_PRAO clean.docx Supporting Statement A Uploaded 2022-02-09 Repair queued
J. APEC IV Burden Table_(Revised_2-4-22).xlsx Supplementary Document Uploaded 2022-02-09 Repair queued
I. Westat Information Technology and Systems Security Policy and Best Practices.docx Supplementary Document Uploaded 2022-02-09 Repair queued
H. IRB Approval Notice.pdf Supplementary Document Uploaded 2022-02-09 Missing upstream
G. Data Collector Code of Conduct and Assurance of Confidentiality.docx Supplementary Document Uploaded 2022-02-09 Repair queued
F. NASS Comments and Westat Responses.docx Supplementary Document Uploaded 2022-02-09 Missing upstream
A3 OMB M-15-02.pdf Supplementary Document Uploaded 2022-02-09 Missing upstream
A2 Payment Integrity Information Act (PIIA) of 2019.pdf Supplementary Document Uploaded 2022-02-09 Repair queued
A1 Richard B. Russell National School Lunch.pdf Supplementary Document Uploaded 2022-02-09 Repair queued
APEC IV OMB Part B (Revised 2-7-22)_PRAO clean.docx Supporting Statement B Uploaded 2022-02-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226901 State, Local, and Tribal Government - State Child Nutrition Agency, SFA, and Schools (Non-respondents) Other-Non Respondents Burden Instrument Modified
226899 State, Local, and Tribal Government - State Child Nutrition Agency, SFA, and Schools Other-B1. (Instrument A5) SFA Request for E-Records_Part A Prior Modified
226897 Individuals/Households - Households (Non-Respondents) Other-Non Respondents Burden Instrument Modified
226896 Individuals/Households - Households Other-B5a. (Instrument E1) Household Survey_v12_English Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
118,361 0
21,013 0
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 118,361 0 0 118,361 0 0
Annual Time Burden (Hours) 21,013 0 0 21,013 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No