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Federal forms, ICRs, and supporting documents

Information Collection

NSLP Verification II - SLT IC (IC 1 of 2)

IC 221130 under ICR 201407-0584-002 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment A - Verification Le
Other-Attachment B - Reminder Letter
Other-Attachment C - Intervention Re
Other-Attachment D - Protocol for Pa
Other-Attachment E - Rolling Assignm
Other-Attachment F - Report Template
Other-Attachment G - State Recruitme
Other-Attachment H - LEA Recruitment
IC Document
Information Collection (IC) Details

View Information Collection (IC)

NSLP Verification II - SLT IC (IC 1 of 2)
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A - Verification Letter_Simplified Attachment A - Verification Letter_Simplifiedv2.docx No   Paper Only
Other-Attachment B - Reminder Letter Attachment B - Reminder Letterv2.docx No   Paper Only
Other-Attachment C - Intervention Reminder Call Script Attachment C - Intervention Reminder Call Scriptv2.docx No   Paper Only
Other-Attachment D - Protocol for Participating LEAs Attachment D - Protocol for Participating LEAs.docx No   Paper Only
Other-Attachment E - Rolling Assignment Procedure Logic Model Attachment E - Rolling Assignment Procedure Logic Model v2.docx No   Paper Only
Other-Attachment F - Report Template for HH Contact & Responses Attachment F - Report Template for HH Contact & Responses.xlsx No   Paper Only
Other-Attachment G - State Recruitment Letter Attachment G - State Recruitment Letter.docx No   Paper Only
Other-Attachment H - LEA Recruitment Letter v2 Attachment H - LEA Recruitment Letter v2.docx No   Paper Only

Income Security Food and Nutrition Assistance

 

19 0
   
State, Local, and Tribal Governments
 
   0 %

  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 11,378 0 11,378 0 0 0
Annual IC Time Burden (Hours) 502 0 502 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NSLP Verification Year 2 - OMB Memo OMB package- FNS NSLP verification RCT v3.pdf 05/03/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.