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School Nutrition Dietary Assessment Study - IV
School Nutrition Dietary Assessment Study - IV
OMB: 0584-0527
IC ID: 3142
OMB.report
USDA/FNS
OMB 0584-0527
ICR 200902-0584-001
IC 3142
( )
Documents and Forms
Document Name
Document Type
Appendix H Principal Survey.doc
Not Yet Available
Other-Principal Survey
Appendix C.doc
Other-Menu Survey Forms
Appendix G.doc
Other-School Food Service Manager Su
School Food Autority Director Survey.doc
Not Yet Available
Other-SFA Director Survey
Appendix D Menu Survey Instructions.doc
Instruction
Appendix E.docx
Appendix E- Procedures for Menu Survey Training
IC Document
Appendix H Cover and Email Communications with Principals.doc
Appendix H - Cover and Email Communication
IC Document
Appendix J Cover and Email Communications with SFA Directors.doc
Appendix J - Advance Letters and Other Communication
IC Document
Cover page attached Training Module for School Liaison Who.pptm
Appendix K - Training Module for School Liaison _Competitive Food Checklist
IC Document
Appendix D Daily Reminder List.doc
Appendix D - Daily Reminder List
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
School Nutrition Dietary Assessment Study - IV
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Principal Survey
Appendix H Principal Survey.doc
Not Yet Available
Yes
Yes
Fillable Fileable Signable
Other-Menu Survey Forms
Appendix C.doc
No
Paper Only
Other-School Food Service Manager Survey
Appendix G.doc
No
Paper Only
Other-SFA Director Survey
School Food Autority Director Survey.doc
Not Yet Available
Yes
Yes
Fillable Fileable Signable
Instruction
Appendix D Menu Survey Instructions.doc
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:
FR Citation:
Number of Respondents:
3,725
Number of Respondents for Small Entity:
300
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
60 %
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
3,725
0
3,725
0
0
0
Annual IC Time Burden (Hours)
7,111
0
7,111
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix E- Procedures for Menu Survey Training
Appendix E.docx
06/18/2009
Appendix H - Cover and Email Communication
Appendix H Cover and Email Communications with Principals.doc
06/18/2009
Appendix J - Advance Letters and Other Communication
Appendix J Cover and Email Communications with SFA Directors.doc
06/18/2009
Appendix K - Training Module for School Liaison _Competitive Food Checklist
Cover page attached Training Module for School Liaison Who.pptm
06/18/2009
Appendix D - Daily Reminder List
Appendix D Daily Reminder List.doc
06/18/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.