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CN Program Operators - State Agency Staff
Produce Safety University Nomination and Program Evaluation
OMB: 0584-0678
IC ID: 257719
OMB.report
USDA/FNS
OMB 0584-0678
ICR 202211-0584-012
IC 257719
( )
Documents and Forms
Document Name
Document Type
Appendix A- Sample State Agency Letter -1.docx
Other-
Appendix A- Sample State Agency Letter -1.docx
Other-
Appendix B- Nomination Form -1.docx
Other-
Appendix B- Nomination Form -1.docx
Other-
Appendix C- Welcome Questions -1.docx
Other-
Appendix C- Welcome Questions -1.docx
Other-
Appendix D- Course Evaluation -1.docx
Other-
Appendix D- Course Evaluation -1.docx
Other-
Appendix E- Program Impact Evaluation- 1.docx
Other-
Appendix E- Program Impact Evaluation- 1.docx
Other-
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CN Program Operators - State Agency Staff
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-
Appendix A- Sample State Agency Letter -1.docx
Yes
Yes
Fillable Printable
Other-
Appendix B- Nomination Form -1.docx
Yes
Yes
Fillable Printable
Other-
Appendix C- Welcome Questions -1.docx
Yes
Yes
Fillable Printable
Other-
Appendix D- Course Evaluation -1.docx
Yes
Yes
Fillable Printable
Other-
Appendix E- Program Impact Evaluation- 1.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
130
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
264
0
264
0
0
0
Annual IC Time Burden (Hours)
44
0
44
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.