OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SNAP Teen Nutrition Pilot Test (State Agencies - Teachers)

IC 221756 under ICR 201503-0584-004 · OMB 0584-0606.

Documents and Forms
Document Name
Document Type
Other-Attachment A - Quantitative Ev
Other-Attachment B - Moderator PRE -
Other-Attachment C - Moderator POST
Other-Attachment D - Moderator PRE -
Other-Attachment E- Moderator POST -
Other-Attachment F - Parent Guardian
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SNAP Teen Nutrition Pilot Test (State Agencies - Teachers)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B - Moderator PRE - Discussion Guide for Focus Groups with Hi... Attachment B - Moderator PRE - Discussion Guide for Focus Groups with Hi....docx No   Paper Only
Other-Attachment C - Moderator POST - Discussion Guide for Focus Groups with High School Students 060116 Attachment C - Moderator POST - Discussion Guide for Focus Groups with High School Students060116.docx No   Paper Only
Other-Attachment D - Moderator PRE - Discussion Guide for Focus Groups with High School Teachers 052516 Attachment D - Moderator PRE - Discussion Guide for Focus Groups with High School Teachers 060116.docx No   Paper Only
Other-Attachment E- Moderator POST - Discussion Guide for Focus Groups with High School Teachers 060116 Attachment E- Moderator POST - Discussion Guide for Focus Groups with High School Teachers 060116.docx No   Paper Only
Other-Attachment A - Quantitative Evaluation Survey for High School Students 0...-1 Attachment A - Quantitative Evaluation Survey for High School Students 0...-1.docx https://krcresearch.az1.qualtrics.com/SE/?SID=SV_czIsBramP7KBuPb Yes Yes Fillable Fileable Signable
Other-Attachment F - Parent Guardian Focus Group Consent Form for Student Participation 060116 Attachment F - Parent Guardian Focus Group Consent Form for Student Participation 060116.docx No   Paper Only

Income Security Food and Nutrition Assistance

 

11 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 33 0 33 0 0 0
Annual IC Time Burden (Hours) 55 0 55 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0584-0606 FNS SNAP Teen Nutrition Pilot Test OMB Package Memo 6-2-16 clean version 0584-0606 FNS SNAP Teen Nutrition Pilot Test OMB Package Memo 6-2-16 clean version-1.docx 06/02/2016
Attachment G - Teen Nutrition and Physical Activity Program 060216 Attachment G - Teen Nutrition and Physical Activity Program 060216.pdf 06/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.