OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NSLP/SBP Access, Participation, Eligibility, and Certification Study

IC 3145 under ICR 201204-0584-007 · OMB 0584-0530.

Documents and Forms
Document Name
Document Type
Other-Attachment C.1-SFA District Di
Other-Attachment D.1-SFA Reimburseme
Other-Attachment D.2-SFA Reimburseme
Other-Attachment D.3-SFA Reimburseme
Other-Attachment E.1-Application Dat
Other-Attachment F.1-Student Sample
Other-Attachment F.2-Newly Cert FRP
Other-Attachment H.1-School Meal Cou
Other-Attachment H.2-School Meal Cou
Other-Attachment H.3-School Meal Cou
Other-Attachment H.4-Supplemental Re
Other-Attachment O.3-Administrative
Other-Attachment G.1-CEO Student Sam
Other-Attachment I.1-Meal Transactio
Other-Attachment I.2-Meal Transactio
Other-Attachment J.1-Changes in Stud
Other-Attachment K.1-Participation D
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

NSLP/SBP Access, Participation, Eligibility, and Certification Study
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment C.1-SFA District Director Questionnaire rev062112 Attachment C.1-SFA District Director Questionnaire.doc No   Paper Only
Other-Attachment D.1-SFA Reimbursement Claim Verif Form-Month rev062112 Attachment D.1-SFA Reimbursement Claim Verif Form-Month.doc No   Paper Only
Other-Attachment D.2-SFA Reimbursement Claim Verif Form-Week rev062112 Attachment D.2-SFA Reimbursement Claim Verif Form-Week.doc No   Paper Only
Other-Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools rev062112 Attachment D.3-SFA Reimbursement Claim Verif Form-For All Schools.doc No   Paper Only
Other-Attachment E.1-Application Data Abstraction Form rev062112 Attachment E.1-Application Data Abstraction Form.doc No   Paper Only
Other-Attachment F.1-Student Sample Contact Info Form rev062112 Attachment F.1-Student Sample Contact Info Form.docm No   Paper Only
Other-Attachment F.2-Newly Cert FRP rev062112 Attachment F.2-Newly Cert FRP.doc No   Paper Only
Other-Attachment H.1-School Meal Count Form-Day rev062112 Attachment H.1-School Meal Count Form-Day.doc No   Paper Only
Other-Attachment H.2-School Meal Count Form-Week rev062112 Attachment H.2-School Meal Count Form-Week.doc No   Paper Only
Other-Attachment H.3-School Meal Count Verification Form-Target Month rev062112 Attachment H.3-School Meal Count Verification Form-Target Month.doc No   Paper Only
Other-Attachment H.4-Supplemental Reporting Form (for Sampled School) rev062112 Attachment H.4-Supplemental Reporting Form (for Sampled School).doc No   Paper Only
Other-Attachment O.3-Administrative Data Items Being Rqst from State Agencies rev062112 Attachment O.3-Administrative Data Items Being Rqst from State Agencies.doc No   Paper Only
Other-Attachment G.1-CEO Student Sampling File Documentation Form rev062112 Attachment G.1-CEO Student Sampling File Documentation Form.doc No   Paper Only
Other-Attachment I.1-Meal Transaction Observation Form rev062112 Attachment I.1-Meal Transaction Observation Form - For All Schools.doc No   Paper Only
Other-Attachment I.2-Meal Transaction Observation Form rev062112 Attachment I.2-Meal Transaction Observation Form - For All Schools.doc No   Paper Only
Other-Attachment J.1-Changes in Student Certification and Enrollment Form rev062112 Attachment J.1-Changes in Student Certification and Enrollment Form - For All Schools.doc No   Paper Only
Other-Attachment K.1-Participation Data Protocol rev062112 Attachment K.1-Participation Data Protocol- For All Schools.doc No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports   65 FR 63

2,436 236
   
State, Local, and Tribal Governments
 
   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 2,944 0 2,944 0 0 0
Annual IC Time Burden (Hours) 2,156 0 2,156 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment B.1-Superintendent Letter rev062112 Attachment B.1-Superintendent Letter.docx 06/27/2012
Attachment B.2-SFA Letter rev062112 Attachment B.2-SFA Letter.docx 06/27/2012
Attachment B.3-Study Overview rev062112 Attachment B.3-Study Overview.docx 06/27/2012
Attachment B.4-Suggested Text for Recruiting Call rev062112 Attachment B.4-Suggested Text for Recruiting Call.docx 06/27/2012
Attachment B.5-Initial Email to SFA Directors rev062112 Attachment B.5-Initial Email to SFA Directors.docx 06/27/2012
Attachment B.6-Reminder Email to SFA Directors rev062112 Attachment B.6-Reminder Email to SFA Directors.docx 06/27/2012
Attachment O.1-Advance Letter to State rev062112 Attachment O.1-Advance Letter to State.doc 06/27/2012
Attachment O.2-State Agency Director Protocol rev062112 Attachment O.2-State Agency Director Protocol.doc 06/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.