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District Food Service Administrator/Manager
The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)
OMB: 0925-0649
IC ID: 205974
OMB.report
HHS/NIH
OMB 0925-0649
ICR 201302-0925-008
IC 205974
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0649 can be found here:
2013-07-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 11
District Food Service Administrator/Manager
Form and Instruction
11 School Food Environment Instrument
FINAL_HCS_SSA_ATTACH 18_SCHOOL FOOD ENV SURVEY_Jan 2013.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
District Food Service Administrator/Manager
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
Form and Instruction
11
School Food Environment Instrument
FINAL_HCS_SSA_ATTACH 18_SCHOOL FOOD ENV SURVEY_Jan 2013.docx
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
88
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
88
0
0
88
0
0
Annual IC Time Burden (Hours)
44
0
0
44
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.