OMB control number

Evaluation of the DP18-1801 Healthy Schools Program

OMB 0920-1302 · HHS/CDC.

OMB 0920-1302

The purpose of this evaluation activity is to inform stakeholders about implementation and impact of the DP18-1801 program within SEAs, LEAs, and schools, and will be used to improve the quality of programming implemented to enhance nutrition, physical activity, and management of chronic health conditions in schools. The Centers for Disease Control and Prevention's (CDC) School Health Branch (SHB) will use the resulting data to (1) inform stakeholders about implementation and impact of the 1801 program within State Education Agencies (SEAs), Local Education Agencies (LEAs), and schools, and (2) improve the quality of programming implemented to enhance nutrition, physical activity, and management.

The latest form for Evaluation of the DP18-1801 Healthy Schools Program expires 2023-06-30 and is listed under ICR 201910-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Wave 2 - School Staff Key Informant Interview	Form and Instruction
Wave 2 - School Staff Web Survey	Form and Instruction
Wave 2 - LEA Staff Key Informant Interview	Form and Instruction
Wave 2 - LEA Staff Web Survey	Form and Instruction
Wave 2 - SEA Staff Key Informant Interview	Form and Instruction
Wave 2 - SEA Staff Web Survey	Form and Instruction
Wave 1 - School Staff Key Informant Interview	Form and Instruction
Wave 1 - School Staff Web Survey	Form and Instruction
Wave 1 - LEA Staff Key Informant Interview	Form and Instruction
Wave 1 - LEA Staff Web Survey	Form and Instruction
Wave 1 - SEA Staff Key Informant Interview	Form and Instruction
Wave 1 - SEA Staff Web Survey	Form and Instruction
1801 Evaluation_Supporting Statement Part B_6.8.2020 CLEAN.DOCX	Supporting Statement B
1801 Evaluation_Supporting Statement Part A_6.8.2020 CLEAN.DOCX	Supporting Statement A
Attachment L - School Survey Reminder Email.docx	Supplementary Document
Attachment K - LEA Survey Reminder Email.docx	Supplementary Document
Attachment J- SEA Survey Reminder Email.docx	Supplementary Document
Attachment I - School Interview Scheduling Email 6.8.2020_CLEAN.DOCX	Supplementary Document
Attachment H - LEA Interview Scheduling Email.docx	Supplementary Document
Attachment G - SEA Interview Scheduling Email.docx	Supplementary Document
Attachment F - School Survey Responded First Email.docx	Supplementary Document
Attachment E - LEA Survey Respondent First Email.docx	Supplementary Document
Attachment D - SEA Survey Respondent First Email.docx	Supplementary Document
Attachment C - School Initial Contact Approval Request Email.docx	Supplementary Document
Attachment B - LEA Initial Contact Approval Request Email.docx	Supplementary Document
Attachment A - SEA Initial Contact Approval Request Email.docx	Supplementary Document
Attachment 10 - ICF Institutional Review Board Approval Memorandum.pdf	Supplementary Document
Attachment 2a - 60-day Federal Register Notice Response to Comments.docx	Supplementary Document
Attachment 2 - 60-day Federal Register Notice.pdf	Supplementary Document
Attachment 1 - Authorizing Legislation.docx	Supplementary Document
Wave 2 - School Staff Key Informant Interview	Form and Instruction
Wave 2 - School Staff Web Survey	Form and Instruction
Wave 2 - LEA Staff Key Informant Interview	Form and Instruction
Wave 2 - LEA Staff Web Survey	Form and Instruction
Wave 2 - SEA Staff Key Informant Interview	Form and Instruction
Wave 2 - SEA Staff Web Survey	Form and Instruction
Wave 1 - School Staff Key Informant Interview	Form and Instruction
Wave 1 - School Staff Web Survey	Form and Instruction
Wave 1 - LEA Staff Key Informant Interview	Form and Instruction
Wave 1 - LEA Staff Web Survey	Form and Instruction
Wave 1 - SEA Staff Key Informant Interview	Form and Instruction
Wave 1 - SEA Staff Web Survey	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201910-0920-010	New collection (Request for a new OMB Control Number)	2019-12-03		Approved with change

OMB Details

Wave 1 - SEA Staff Web Survey

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form NA	SEA Implementation Survey	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.