Information Collection Request

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

ICR 202208-0584-002 · OMB 0584-0530 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Draft Nonsubstantive change request for review and revision_8.15.22.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-08-16 Repair queued
J. APEC IV Burden Table_(Revised_5-13-22).xlsx Supplementary Document Uploaded 2022-05-18 Repair queued
APEC IV OMB Part A_5.16.22_clean.docx Supporting Statement A Uploaded 2022-05-18 Missing upstream
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 Repair queued
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 Repair queued
A3 OMB M-15-02.pdf Supplementary Document Uploaded 2022-02-09 Repair queued
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_5.16.22_clean.docx Supporting Statement B Uploaded 2022-05-18 Repair queued

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 Unchanged
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 Unchanged
226897 Individuals/Households - Households (Non-Respondents) Other-Non Respondents Burden Instrument Unchanged
226896 Individuals/Households - Households Other-B6a. (Instrument E7) Household Survey Income Worksheet_v4_ Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
05/31/2025 05/31/2025
116,936 116,936
20,917 20,917
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 116,936 116,936 0 0 0 0
Annual Time Burden (Hours) 20,917 20,917 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No