OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SNMCS Individuals

IC 211124 under ICR 201404-0584-003 · OMB 0584-0596.

Documents and Forms
Document Name
Document Type
Other-N1. Child's Food Diary, Day 1
Other-N2. Child's Food Diary, Day 1
Other-N3. Child-Youth Interview (In-
Other-N4. Child-Youth Interview (In-
Other-N5. Parent Interview (In-Perso
Other-N6 Parent Interview (In-Person
Other-N7. Automated Multiple Pass Me
Other-O. Student Height and Weight M
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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IC Document
Information Collection (IC) Details

View Information Collection (IC)

SNMCS Individuals
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-N1. Child's Food Diary, Day 1 and Day 2 N1. Child's Food Diary, Day 1 and Day 2.docx No   Paper Only
Other-N2. Child's Food Diary, Day 1 and Day 2 (Spanish) N2. Child's Food Diary, Day 1 and Day 2 (Spanish).docx No   Paper Only
Other-N3. Child-Youth Interview (In-Person Interview) N3. Child-Youth Interview (In-Person Interview).docx No   Paper Only
Other-N4. Child-Youth Interview (In-Person Interview) (Spanish) N4. Child-Youth Interview (In-Person Interview) (Spanish).docx No   Paper Only
Other-N5. Parent Interview (In-Person or Telephone Interview) 2014.04.02 N5. Parent Interview (In-Person or Telephone Interview) 2014.04.02.docx No   Paper Only
Other-N6 Parent Interview (In-Person or Telephone Interview) (Spanish) N6 Parent Interview (In-Person or Telephone Interview) (Spanish) (2).docx No   Paper Only
Other-N7. Automated Multiple Pass Method (AMPM) N7. Automated Multiple Pass Method (AMPM).docx No   Paper Only
Other-O. Student Height and Weight Measurement Form O. Student Height and Weight Measurement Form.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 FNS Studies and Reports  56 FR 19078

22,984 0
   
Individuals or Households
 
   20 %

  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 22,984 0 22,984 0 0 0
Annual IC Time Burden (Hours) 5,956 0 5,956 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
L1. School Endorsement Letter L1. School Endorsement Letter.docx 04/04/2014
L2. School Endorsement Letter (Spanish) L2. School Endorsement Letter (Spanish).docx 04/04/2014
L3. Elementary School Parent (Household) Advance Letter L3. Elementary School Parent (Household) Advance Letter.docx 04/04/2014
L4. Elementary School Parent (Household) Advance Letter (Spanish) L4. Elementary School Parent (Household) Advance Letter (Spanish).docx 04/04/2014
L5. Household Elementary Brochure 2014.04.01 L5. Household Elementary Brochure 2014.04.01.docx 04/04/2014
L6. Household Elementary Brochure (Spanish) 2014.04.01 L6. Household Elementary Brochure (Spanish) 2014.04.01.docx 04/04/2014
L7. Middle and High School Parent (Household) Advance Letter L7. Middle and High School Parent (Household) Advance Letter.docx 04/04/2014
L8. Middle and High School Parent (Household) Advance Letter (Spanish) L8. Middle and High School Parent (Household) Advance Letter (Spanish).docx 04/04/2014
L9. Household Middle and High School Brochure 2014.04.01 L9. Household Middle and High School Brochure 2014.04.01.docx 04/04/2014
L10. Household Middle and High School Brochure (Spanish) 2014.04.01 L10. Household Middle and High School Brochure (Spanish) 2014.04.01.docx 04/04/2014
L11. Facebook Page Screen Shot L11. Facebook Page Screen Shot.png 04/04/2014
M1. Parent Passive Consent Response Form M1. Parent Passive Consent Response Form.docx 04/04/2014
M2. Parent Passive Consent Response Form (Spanish) M2. Parent Passive Consent Response Form (Spanish).docx 04/04/2014
M3. Student Assent Form M3. Student Assent Form.docx 04/04/2014
M4. Student Assent Form (Spanish) M4. Student Assent Form (Spanish).docx 04/04/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.