Schools Principals, Teachers, State Directors, SFA, SFSM

Food and Nutrition Service Evaluation of the Fresh Fruit and Vegetable Program (FFVP)

Documents and Forms

Document Name Document Type
AppendixC CNA survey.doc Other-Survey
AppendixD SFA survey 1-6-10.doc Other-Survey
AppendixE Principal survey 1-5-10.doc Other-Survey
AppendixF Food environment assessment.doc Other-Survey
AppendixG Food Mgr interview.doc Other-Survey
AppendixH Teacher survey.doc Other-Survey

Information Collection (IC) Details

IC Title:	Schools Principals, Teachers, State Directors, SFA, SFSM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	AppendixC CNA survey.doc	Yes	Yes	Fillable Fileable Signable
Other-Survey	AppendixD SFA survey 1-6-10.doc	Yes	Yes	Fillable Fileable Signable
Other-Survey	AppendixE Principal survey 1-5-10.doc	Yes	Yes	Fillable Fileable Signable
Other-Survey	AppendixF Food environment assessment.doc	No		Paper Only
Other-Survey	AppendixG Food Mgr interview.doc	No		Paper Only
Other-Survey	AppendixH Teacher survey.doc	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,726	Number of Respondents for Small Entity: 40

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,050	3,050
Annual IC Time Burden (Hours)	891	891
Annual IC Cost Burden (Dollars)	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.