APPENDIX D01. SCHOOL ROSTER DATA REQUEST (GROUP 2A and 2B)
This page has been left blank for double-sided copying.
OMB
Number: 0584-xxxx
Expiration
Date: xx/xx/20xx
This
information is being collected to assist the Food and Nutrition
Service in understanding school food purchasing practices, the
nutritional quality of school meals and snacks, the cost to produce
school meals, and student participation and dietary intakes. This is
a mandatory collection and FNS will use the information to monitor
program operations. This collection does request any personally
identifiable information under the Privacy Act of 1974. According to
the Paperwork Reduction Act of 1995, an agency may not conduct or
sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0584-[xxxx].
The time required to complete this information collection is
estimated to average 1 hour per response, including the time for
reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to: U.S. Department
of Agriculture, Food and Nutrition Service, Office of Policy
Support, 1320 Braddock Place, 5th Floor, Alexandria, VA 22314 ATTN:
PRA (0584-xxxx). Do not return the completed form to this address.
Conducted on behalf of the USDA Food and Nutrition Service
DATA FILE REQUEST |
Thank you for participating in the 2024-2025 National School Foods Study! As part of the study we will need to collect a list of students in your school. The list will be used to randomly select students to participate in the study. Lists should reflect your most current roster information and include [Group 2A only: all students currently enrolled in grades 1 through 12] [Group 2B only: all students currently enrolled in grades 1 through 6], excluding preschool and kindergarten students when applicable. Please provide the roster information listed on the following page for each student. For some fields we have provided recommended values in italics. If you use different values, please provide documentation. You may upload the roster data in Excel, .csv, or .txt format.
Please provide this file by [DATE], to allow time for us to select students for participation in the study and send study materials to parents/guardians before your school visit.
Once completed, please upload the data file to our secure file transfer website: [LINK]
To securely upload: Navigate to the above site and choose [FILL INSTRUCTIONS]. Then login with the following user name. Your password will be sent in a separate email for security purposes.
Username:
After logging in, click on your folder (labeled with your school name), click “+ new document,” browse to find and open the file saved on your computer, then select OK. You should see the file listed after it is uploaded.
This is a secure site that will help protect the privacy of the data, which will not be shared outside of this study. If you have any questions about completing this data request, please contact [DCC NAME] at [DCC PHONE NUMBER], or email schoolmeals@mathematica-mpr.com.
***Please DO NOT email the data file*** |
REQUESTED DATA ITEMS |
Current Student-Level Roster Information
Please provide the roster information listed below for each student. This information will be used only to select students to invite to participate in the study. Students and their families will have the option not to participate in the study. No roster information will be retained on students who do not consent to participate in the study.
While students will be interviewed during the school day, obtaining parent feedback about school meals is also an important part of the study. Therefore, we need parent/guardian phone numbers to contact parents after the school visit. The Memorandum of Understanding with your school district permits the release of this information.
All students Grades 1 through [G2a: 12; G2b: 6] (exclude PK and Kindergarten students):
Required fields for each student:
School Student ID Number
Student First Name
Student Last Name
Grade (1-12)
Parent/Guardian1 First Name
Parent/Guardian1 Last Name
Parent/Guardian1 Address (Street Address, City, State, and Zip Code)
Parent/Guardian1 Primary Telephone Number
If available, please also include:
Gender
Race/Ethnicity
Date of Birth
Student Certification Status (Free, Reduced-Price, or Paid/Full-Price)
Student Language (English/Spanish/Other)
Student's Address (Street Address, City, State, and Zip Code)
Student Telephone Number
Student Email Address
Parent/Guardian1 Secondary Telephone Number
Parent/Guardian1 Email Address
Parent/Guardian1 Language (English/Spanish/Other)
Parent/Guardian2 First and Last Name
Parent/Guardian2 Address (Street Address, City, State, and Zip Code)
Parent/Guardian2 Primary Telephone Number
Parent/Guardian2 Secondary Telephone Number
Parent/Guardian2 Email Address
Parent/Guardian2 Language (English/Spanish/Other)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | SNMCS-II School Roster Data Request |
Author | Mathematica Policy Research |
File Modified | 0000-00-00 |
File Created | 2024-08-06 |