Information Collection

State Agencies and School Food Authorities (SFA) (CN and SFA Directors) - SLT

IC 219293 under ICR 202109-0584-002 · OMB 0584-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D.1 State Agency Child Nutrition Director Survey Fall 2021.docx	Other-Appendix D.1 State Agency Chil
Appendix D.1 State Agency Child Nutrition Director Survey Fall 2021.docx	Other-Appendix D.1 State Agency Chil
Appendix D.2 Screenshots of State Agency Child Nutrition Director Survey Fall 2021.pdf	Other-Appendix D.2 Screenshots of St
Appendix D.2 Screenshots of State Agency Child Nutrition Director Survey Fall 2021.pdf	Other-Appendix D.2 Screenshots of St
Appendix D.3 State Agency Child Nutrition Director Survey Summer 2022.docx	Other-Appendix D.3 State Agency Chil
Appendix D.3 State Agency Child Nutrition Director Survey Summer 2022.docx	Other-Appendix D.3 State Agency Chil
Appendix D.4 Screenshots of State Agency Child Nutrition Director Survey Summer 2022.docx	Other-Appendix D.4 Screenshots of St
Appendix D.4 Screenshots of State Agency Child Nutrition Director Survey Summer 2022.docx	Other-Appendix D.4 Screenshots of St
Appendix E.1 FNS-10 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.1 FNS-10 Administra
Appendix E.1 FNS-10 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.1 FNS-10 Administra
Appendix E.2 FNS-418 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.2 FNS-418 Administr
Appendix E.2 FNS-418 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.2 FNS-418 Administr
Appendix E.3 FNS-44 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.3 FNS-44 Administra
Appendix E.3 FNS-44 Administrative Data Request for FY 2021 and FY 2022.docx	Other-Appendix E.3 FNS-44 Administra
Appendix F.1 School Food Authority Director Survey.docx	Other-Appendix F.1 School Food Autho
Appendix F.1 School Food Authority Director Survey.docx	Other-Appendix F.1 School Food Autho
Appendix F.2 Screenshots of School Food Authority Director Survey.docx	Other-Appendix F.2 Screenshots of Sc
Appendix F.2 Screenshots of School Food Authority Director Survey.docx	Other-Appendix F.2 Screenshots of Sc
Appendix G.5 Telephone meeting call script.docx	Other-Appendix G.5 Telephone Meeting
Appendix G.5 Telephone meeting call script.docx	Other-Appendix G.5 Telephone Meeting
Appendix G.2 Study support email (from FNS RO to SA).docx Appendix G.2 Study Support Email (from FNS RO to SA)	IC Document
Appendix G.2 Study support email (from FNS RO to SA).docx Appendix G.2 Study Support Email (from FNS RO to SA)	IC Document
Appendix G.3 SA Advance emails.docx Appendix G.3 SA Advance Emails	IC Document
Appendix G.3 SA Advance emails.docx Appendix G.3 SA Advance Emails	IC Document
Appendix G.4 Brochure.pdf Appendix G.4 Brochure	IC Document
Appendix G.4 Brochure.pdf Appendix G.4 Brochure	IC Document
Appendix G.6 SA Invitation email.docx Appendix G.6 SA Invitation Email	IC Document
Appendix G.6 SA Invitation email.docx Appendix G.6 SA Invitation Email	IC Document
Appendix G.7 Reminder email.docx Appendix G.7 Reminder Email	IC Document
Appendix G.7 Reminder email.docx Appendix G.7 Reminder Email	IC Document
Appendix G.8 Telephone reminder script.docx Appendix G.8 Telephone Reminder Script	IC Document
Appendix G.8 Telephone reminder script.docx Appendix G.8 Telephone Reminder Script	IC Document
Appendix G.9 SA Last chance post card.pdf Appendix G.9 SA Last Chance Post Card	IC Document
Appendix G.9 SA Last chance post card.pdf Appendix G.9 SA Last Chance Post Card	IC Document
Appendix G.10 Study support email (from SA to SFA).docx Appendix G.10 Study Support Email (from SA to SFA)	IC Document
Appendix G.10 Study support email (from SA to SFA).docx Appendix G.10 Study Support Email (from SA to SFA)	IC Document
Appendix G.11 SFA Advance letter.docx Appendix G.11 SFA Advance Letter	IC Document
Appendix G.11 SFA Advance letter.docx Appendix G.11 SFA Advance Letter	IC Document
Appendix G.12 SFA Invitation email.docx Appendix G.12 SFA Invitation Email	IC Document
Appendix G.12 SFA Invitation email.docx Appendix G.12 SFA Invitation Email	IC Document
Appendix G.13 SFA Last chance post card.pdf Appendix G.13 SFA Last Chance Post Card	IC Document
Appendix G.13 SFA Last chance post card.pdf Appendix G.13 SFA Last Chance Post Card	IC Document
Appendix L FNS-742 School Food Authority Verification Collection Report.pdf Appendix L FNS-742 School Food Authority Verification Collection Report	IC Document
Appendix L FNS-742 School Food Authority Verification Collection Report.pdf Appendix L FNS-742 School Food Authority Verification Collection Report	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Agencies and School Food Authorities (SFA) (CN and SFA Directors) - SLT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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 D.1 State Agency Child Nutrition Director Survey: Fall 2021	Appendix D.1 State Agency Child Nutrition Director Survey Fall 2021.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.2 Screenshots of State Agency Child Nutrition Director Survey: Fall 2021	Appendix D.2 Screenshots of State Agency Child Nutrition Director Survey Fall 2021.pdf	Yes	Yes	Fillable Fileable
Other-Appendix D.3 State Agency Child Nutrition Director Survey: Summer 2022	Appendix D.3 State Agency Child Nutrition Director Survey Summer 2022.docx	Yes	Yes	Fillable Fileable
Other-Appendix D.4 Screenshots of State Agency Child Nutrition Director Survey: Summer 2022	Appendix D.4 Screenshots of State Agency Child Nutrition Director Survey Summer 2022.docx	Yes	Yes	Fillable Fileable
Other-Appendix E.1 FNS-10 Administrative Data Request for FY 2021 and FY 2022	Appendix E.1 FNS-10 Administrative Data Request for FY 2021 and FY 2022.docx	Yes	Yes	Fillable Fileable
Other-Appendix E.2 FNS-418 Administrative Data Request for FY 2021 and FY 2022	Appendix E.2 FNS-418 Administrative Data Request for FY 2021 and FY 2022.docx	Yes	Yes	Fillable Fileable
Other-Appendix E.3 FNS-44 Administrative Data Request for FY 2021 and FY 2022	Appendix E.3 FNS-44 Administrative Data Request for FY 2021 and FY 2022.docx	Yes	Yes	Fillable Fileable
Other-Appendix F.1 School Food Authority Director Survey 2021-2022	Appendix F.1 School Food Authority Director Survey.docx	Yes	Yes	Fillable Fileable
Other-Appendix F.2 Screenshots of School Food Authority Director Survey 2021-2022	Appendix F.2 Screenshots of School Food Authority Director Survey.docx	Yes	Yes	Fillable Fileable
Other-Appendix G.5 Telephone Meeting Advance Email and Call Script	Appendix G.5 Telephone meeting call script.docx	Yes	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: 907

Number of Respondents for Small Entity: 825

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,350	5,634	2	714
Annual IC Time Burden (Hours)	3,753	2,568	12	1,173
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix G.2 Study Support Email (from FNS RO to SA)	Appendix G.2 Study support email (from FNS RO to SA).docx	09/26/2021
Appendix G.3 SA Advance Emails	Appendix G.3 SA Advance emails.docx	09/26/2021
Appendix G.4 Brochure	Appendix G.4 Brochure.pdf	09/26/2021
Appendix G.6 SA Invitation Email	Appendix G.6 SA Invitation email.docx	09/26/2021
Appendix G.7 Reminder Email	Appendix G.7 Reminder email.docx	09/26/2021
Appendix G.8 Telephone Reminder Script	Appendix G.8 Telephone reminder script.docx	09/26/2021
Appendix G.9 SA Last Chance Post Card	Appendix G.9 SA Last chance post card.pdf	09/26/2021
Appendix G.10 Study Support Email (from SA to SFA)	Appendix G.10 Study support email (from SA to SFA).docx	09/26/2021
Appendix G.11 SFA Advance Letter	Appendix G.11 SFA Advance letter.docx	09/26/2021
Appendix G.12 SFA Invitation Email	Appendix G.12 SFA Invitation email.docx	09/26/2021
Appendix G.13 SFA Last Chance Post Card	Appendix G.13 SFA Last chance post card.pdf	09/26/2021
Appendix L FNS-742 School Food Authority Verification Collection Report	Appendix L FNS-742 School Food Authority Verification Collection Report.pdf	09/27/2021

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