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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
FNS Core Nutrition Messages and Supporting Content Testing-Phase 2
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 2.19
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screening Questionnaire-Low Income Mother (May 2008)
attachmentA_screeners3-24.doc
No
Paper Only
Other-Screening Questionnaire Low Income Mother-June 2008
attachment A_Screener LIM-June 2008.doc
No
Paper Only
Other-Screening Questionnaire for Low-Income Children
AttachmentB_Instrument_revkidscreener.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,960
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,960
0
0
0
0
0
Annual IC Time Burden (Hours)
945
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Guide Low-income Mother of 2-5 years old
attachmentC_pmomguide1-MAR-24.doc
04/30/2008
Attachment C-Handout 1
attachC_Handout 1.doc
04/30/2008
Attachment C-Handout 2
attachC_Handout 2.doc
04/30/2008
Attachment C-Handout 3
attachC_Handout 3.doc
04/30/2008
Attachment D-Gocus Group Guide (Low-income Mothers)
attachmentD_pmomguide2-MAR-24.doc
04/30/2008
Attachment D-Handout 1
attachD_Handout 1 comb.pdf
04/30/2008
Attachment D-Handout 2
attachD_Handout 2.doc
04/30/2008
Attachment D-Handout 3
attachD_Handout 3.doc
04/30/2008
Attachment D-Handout 4
attachD_Handout 4.doc
04/30/2008
Attachment E (Low-income Mothers 6-10 years old)
attachmentE_emomguide-MAR-24.doc
04/30/2008
Attachment E-Handout 1
attachE_Handout 1.doc
04/30/2008
Attachment E-Handout 2
attachE_Handout 2.doc
04/30/2008
Attachment E-Handout 3
attachE_Handout 3.doc
04/30/2008
Attachment F: Moderator's Guide In-person Kid Focus group
attachmentF_kidguide-MAR-24.doc
04/30/2008
Attachment F Handouts 1-8
attachF_visuals.pdf
04/30/2008
Attachment G: Focus Group Guide (Low-income Mothers)
attachmentG_pmomguidejune-APR7.doc
04/30/2008
Attachment G-Handout 1
attachG_Handout 1 comb.pdf
04/30/2008
Attachment G: Handout 2
attachG_Handout 2.doc
04/30/2008
Attachment G: Handout 3
attachG_Handout 3.doc
04/30/2008
Attachment H: Confidentiality Agreement
attachmentH_mconfident3-24.doc
04/30/2008
Attachment I: Confidentiality Agreement (Mothers of Children)
attachmentI_pconfident3-24.docx
04/30/2008
Attachment J: Parent Permission Form
AttachmentJ_parentconsent-MAR-24.doc
04/30/2008
Burden Table
Core Nutrition Phase II burden hours.xls
04/30/2008
Divison of Feeding Attachment G sub handout
Division of Feeding Responsibiltiy Eval_Sub-AttachG-Handout 3.doc
04/30/2008
Division of Feeding Attach G sub-handout 2
Division of Feeding Responsibiltiy Eval_Sub-Attach G-Handout 2 (2).doc
04/30/2008
Division of Feeding Attachment G-Sub Handout 1
Division of Feeding Responsibiltiy Eval_Sub-Attach G-Handout 1.pdf
04/30/2008
Supporting Statement Memo
coremessagesomb4-7.doc
04/30/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.