Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Consumer Research for Nutrition Education and Promotion Activities Modified 6000 3500 0 Form and Instruction FNS-781
Form and Instruction FNS-790
Form and Instruction FNS-791
Form and Instruction FNS-792
Form and Instruction FNS-793
Form FNS-807
Form FNS-808
Form FNS-811
Form FNS-816
Form FNS-817
Form FNS-854
Other-FNS 779-780 Screen Shots
Form and Instruction FNS 779
FDD Distribution Costs to District for USDA Foods New 54 16 0 Other-FDD Survey Distribution Costs to District for USDA Foods
FDD Qualitative Food Survey New 4680 1461 0 Other-USDA Foods Product Feedback Survey
Other-Unseasoned Chicken Strip Evaluation Survey
HHFKA CACFP Focus Group (Business Provider Group: CCC, FDC & SO) Unchanged 4492 337 0 Other-Attachment A PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS
Other-Attachment A Spanish PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS
Other-Attachment B REMINDER MESSAGE FOR CHILD CARE CENTERS
Other-Attachment C CACFP Master Survey
Other-Attachment C Spanish CACFP Master Survey
Other-Attachment D CACFP FAQs
Other-Attachment D Spanish CACFP FAQs
Other-Attachment E Master Focus Group Screener
Other-Attachment F Master FG Discussion Guide
Other-Attachment G Project Verification Letter to Participants
Other-Attachment G Spanish Project Verification Letter to Participants
Other-Attachment H Telephone Contact Script for Survey
Other-Attachment H Spanish Telephone Contact Script for Survey
Other-Non Respondent Place Holder
Other-Attachment B-Spanish Reminder Notification
HHFKA CACFP State Agencies Unchanged 250 46 0 Other-Attachment A1 Pre-Notification to SA
Other-Attachment B1 REMINDER MESSAGE FOR STATE AND TRIBAL AGENCIES
Other-Attachment E1 FOCUS GROUP SCREENING AND DEMOGRAPHIC QUESTIONS for SA
Other-Attachment F CACFP Master FG Discussion Guide
Other-Attachment D FAQ English
Other-Attachment D Spanish FAQs
Middle School Digital Nutrition (SLT) New 316 88 0 Other-Attachment A_Consent Package for Teacher Focus Groups
Other-Attachment K_Teacher Focus Group Flyer
Other-Attachment I_Initial_Contact_Email
Other-Attachment D_Teacher_Focus_Group_Guideline_Grade 6
Other-Attachment F_Teacher_Focus_Group_Guideline_Grade 7
Other-Attachment H_Teacher_Focus_Group_Guideline_Grade 8
Other-Attachment M_Focus Group Stimulus_Grade 6-rev
Other-Attachment N_Focus Group Stimulus_Grade 7-rev
Other-Attachment O_Focus Group Stimulus_Grade 8-rev
Other-Attachment L_Scheduling Email for Teacher Focus Groups
Other-Attachment J_Principal Letter of Agreement-rev2
Middle School Digital Nutrition I/H New 1992 380 0 Other-Attachment B_Consent Package for Parent_Caregivers
Other-Attachment C_Student_Focus_Group_Guideline_Grade 6
Other-Attachment E_Student_Focus_Group_Guideline_Grade 7
Other-Attachment G_Student_Focus_Group_Guideline_Grade 8-rev
Other-Attachment M_Focus Group Stimulus_Grade 6
Other-Attachment N_Focus Group Stimulus_Grade 7
Other-Attachment O_Focus Group Stimulus_Grade 8
NSLP Verification II - Business IC (IC 2 of 2) New 9 18 0 Other-Attachment E - Rolling Assignment Procedure Logic Model
NSLP Verification II - SLT IC (IC 1 of 2) New 11378 502 0 Other-Attachment A - Verification Letter_Simplified
Other-Attachment B - Reminder Letter
Other-Attachment C - Intervention Reminder Call Script
Other-Attachment D - Protocol for Participating LEAs
Other-Attachment E - Rolling Assignment Procedure Logic Model
Other-Attachment F - Report Template for HH Contact & Responses
Other-Attachment G - State Recruitment Letter
Other-Attachment H - LEA Recruitment Letter v2
Nutrition Education and Promotion Toolkit for Teens - Focus Group Testing New 5772 913 0 Other-Attachment B Parent & Guardian Consent Form for Student Participation
Other-Attachment C-Moderator Discussion Guide for FGs with High School Students
Other-Attachment D-Focus Group Teacher Participant Qualifying Questionnaire
Other-Attachment E-Moderator Discussion Guide for FGs with High School Teachers
Other-Attachment A-Focus Group Student Participant Qualifying Questionnaire
Perform Research for Loving Support Campaign Update (Phase 1) New 108 31 0 Other-Attachment A - WIC Peer Counselor In-Depth Interview Guide
Other-Attachment B - WIC State Breastfeeding Coordinators In-Depth Interview Guide
Other-Attachment C - WIC Local Breastfeeding Coordinators and Staff In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-28
Other-Attachment D - Breastfeeding Subject Matter Experts In-Depth Interview Guid
Other-Attachment E - Home-Visiting Nurses Midwives Doulas In-Depth Interview Guide
Request Approval to Perform Research for Team Nutrition Posters-Phase 2 Unchanged 5760 876 0 Other-A_FNS Screener_Student Focus Groups
Other-B_FNS Discussion Guide_Elementary School
Other-C_FNS Discussion Guide_Middle School
Other-D1 USDA CLN 1 Elementary Poster Prototypes Rnd 2
Other-D2 USDA CLN 2 Middle School Poster Prototypes Rnd 2
Other-E_Agreement on Security of Comments.doc
Other-F_Parent Consent Form
Team Nutrition Educational Materials for Summer Meals New 9740 910 0 Other-20150224 Attachment A Screener for ParentCaregivers - English
Other-20150224 Attachment A Screener for ParentCaregivers - Spanish
Other-20150511 Attachment B_Consent Form for ParentsCaregivers - English
Other-20150511 Attachment B_Consent Form for ParentsCaregivers - Spanish
Other-20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - English
Other-20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - Spanish
Other-20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - English
Other-20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - Spanish
Other-Attachment E_ParentHandout - English
Other-Attachment E_ParentHandout - Spanish
Other-Attachment F_Infographic - English
Other-Attachment F_Infographic - Spanish
Team Nutrition Educational Materials for Summer Meals - Individuals/Households (IC 2 of 2) New 3388 409 0 Other-Attachment A Active Consent Package for ParentsCaregivers_Final
Other-Attachment B Passive Consent Package for ParentsCaregivers_Final
Other-Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final
Other-Attachment E Worksheet for ParentCaregive Focus Groups_Final
Other-Attachment F Focus Group Flyer for ParentsCaregivers
Other-Attachment F Focus Group Flyer for ParentsCaregivers
Other-Attachment J Taste Test Ballot and Site Operator Script_5_28
Other-Attachment K Child Survey_Final
Other-Attachment L Verbal Child Assent Script_Final
Other-Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28
Team Nutrition Educational Materials for Summer Meals - SLT (IC1 of 2) New 84 137 0 Other-Attachment C Consent Package for Site Operators_Final
Other-Attachment H Individual Interview Guide for Site Operators_Final
Other-Attachment I Journal for Site Operators_Final
Team Nutrition Educational Technology Environmental Scan New 2980 501 0 Other- Attachment A_Consent Package for School Focus Groups
Other-Attachment B_Consent Package for SHAPE Conference Focus Groups
Other-Attachment C_Consent Package for Teacher of Health Education Survey
Other-Attachment D_Moderators Guide for Teacher Focus Groups
Other-Attachment E_Teacher of Health Education Survey
Other-Attachment F_Flyer for Focus Group Participation
Other-Attachment G_Introduction Email for School Focus Groups
Other-Attachment H_Scheduling Email for School Focus Groups
Other-Attachment I_Principal Letter of Agreement
Other-Attachment J_Introduction Email for Teacher of Health Education Survey
Test Modified Communication Protocols to Reduce Household Nonresponse in NSLP/SBP Verification Process - SLT New 42996 2114 0 Other-Attachment B - Reminder Letter Final 7.13.15
Other-Attachment C - Intervention-Reminder Call Script Final 7.13.15
Other-Attachment D - Protocol for Treatment LEAs Final 7.16.15
Other-Attachment E - Protocol for Control LEAs Final 7.16.15
Other-Attachment G - State Recruitment Letter Final 7.13.15
Other-Attachment H - LEA Recruitment Letter Final 7.13.15
Other-Attachment F - Rolling assignment procedure worksheet Final 7.22.15
Other-Attachment A - Modified Verification Letter 08-24
Yogurt Pilot Survey New 696 118 0 Other-SY15 Yogurt Pilot Survey 2. 24. 15
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 100695 12357 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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