Information Collection

Revised - SLT - Preparation for the Launch of the Summer Meals Study

IC 227336 under ICR 201503-0584-004 · OMB 0584-0606.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0606 can be found here:

Documents and Forms

Document Name Document Type
Appendix A.3. Sponsor Survey.docx Other-Appendix A.3. Sponsor Survey.d
Appendix A.5.Menu Planning Survey.docx Other-Appendix A.5.Menu Planning Sur
Appendix A.6.Menu Followup Report.docx Other-Appendix A.6.Menu Followup Rep
Appendix B.1. Former Sponsor QI.docx Other-Appendix B.1. Former Sponsor Q
Appendix C.1. Site Supervisor Survey.docx Other-Appendix C.1. Site Supervisor
Appendix C.2. Site Supervisor QI.docx Other-Appendix C.2. Site Supervisor
SFSP Generic Clearance Package_revised_6.29docx.docx SFSP Generic Clearance Package_revised_6.29 IC Document
SFSP Burden Table Revised 6-28-17_aag.xlsx SFSP Burden Table Revised 6-28-17_aag IC Document
Appendix A.1.Sponsor and Site recruitment script.docx Appendix A.1.Sponsor and Site recruitment script.docx IC Document
Appendix A.2. Email sponsor or site surveys.docx Appendix A.2. Email sponsor or site surveys.docx IC Document
Appendix A.4 Menu Survey Initial Letter.docx Appendix A.4 Menu Survey Initial Letter.docx IC Document
Appendix A.7. Email thank you for testing.docx Appendix A.7. Email thank you for testing.docx IC Document
Appendix D.1 Sponsor and Site Survey Pretest Verbal Consent.docx Appendix D.1 Sponsor and Site Survey Pretest Verbal Consent.docx IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Revised - SLT - Preparation for the Launch of the Summer Meals Study	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix A.3. Sponsor Survey.docx	Appendix A.3. Sponsor Survey.docx	No	Paper Only
Other-Appendix A.5.Menu Planning Survey.docx	Appendix A.5.Menu Planning Survey.docx	No	Paper Only
Other-Appendix A.6.Menu Followup Report.docx	Appendix A.6.Menu Followup Report.docx	No	Paper Only
Other-Appendix B.1. Former Sponsor QI.docx	Appendix B.1. Former Sponsor QI.docx	No	Paper Only
Other-Appendix C.1. Site Supervisor Survey.docx	Appendix C.1. Site Supervisor Survey.docx	No	Paper Only
Other-Appendix C.2. Site Supervisor QI.docx	Appendix C.2. Site Supervisor QI.docx	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SFSP Generic Clearance Package_revised_6.29	SFSP Generic Clearance Package_revised_6.29docx.docx	06/29/2017
SFSP Burden Table Revised 6-28-17_aag	SFSP Burden Table Revised 6-28-17_aag.xlsx	06/29/2017
Appendix A.1.Sponsor and Site recruitment script.docx	Appendix A.1.Sponsor and Site recruitment script.docx	06/29/2017
Appendix A.2. Email sponsor or site surveys.docx	Appendix A.2. Email sponsor or site surveys.docx	06/29/2017
Appendix A.4 Menu Survey Initial Letter.docx	Appendix A.4 Menu Survey Initial Letter.docx	06/29/2017
Appendix A.7. Email thank you for testing.docx	Appendix A.7. Email thank you for testing.docx	06/29/2017
Appendix D.1 Sponsor and Site Survey Pretest Verbal Consent.docx	Appendix D.1 Sponsor and Site Survey Pretest Verbal Consent.docx	06/29/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.