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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
HHFKA CACFP Focus Group (Business Provider Group: CCC, FDC & SO)
Agency IC Tracking Number:
Version 2
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Attachment A PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS
Attachment A_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx
No
Paper Only
Other-Attachment A Spanish PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS
Attachment A-SPANISH_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx
No
Paper Only
Other-Attachment B REMINDER MESSAGE FOR CHILD CARE CENTERS
Attachment B_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx
No
Paper Only
Other-Attachment C CACFP Master Survey
Attachment C_HHFKA Section 221 CACFP Master Survey 7 26 13.docx
www.notyetcreated.com
Yes
Yes
Fillable Fileable Signable
Other-Attachment C Spanish CACFP Master Survey
Attachment C-SPANISH_HHFKA CACFP Section 221 Master Survey 7 26 13.docx
www.notyetcreated.com
Yes
Yes
Fillable Fileable Signable
Other-Attachment D CACFP FAQs
Attachment D_HHFKA Section 221 CACFP FAQs 7 26 13.docx
No
Paper Only
Other-Attachment D Spanish CACFP FAQs
Attachment D-SPANISH_HHFKA Section 221 CACFP FAQs 7 26 13.docx
No
Paper Only
Other-Attachment E Master Focus Group Screener
Attachment E_HHFKA CACPF Section 221 Master Focus Group Screener 7 26 13.docx
No
Paper Only
Other-Attachment F Master FG Discussion Guide
Attachment F_HHFKA Section 221 CACFP Master FG Discussion Guide 7 26 13.docx
No
Paper Only
Other-Attachment G Project Verification Letter to Participants
Attachment G_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx
No
Paper Only
Other-Attachment G Spanish Project Verification Letter to Participants
Attachment G-SPANISH_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx
No
Paper Only
Other-Attachment H Telephone Contact Script for Survey
Attachment H_HHFKA Section 221 CACFP Telephone Contact Script for Survey 7 26 13.docx
No
Paper Only
Other-Attachment H Spanish Telephone Contact Script for Survey
Attachment H-SPANISH_HHFKA Section 221 CACFP Telephone Contact Script for Survey 8 2 13.docx
No
Paper Only
Other-Non Respondent Place Holder
NON RESPONDENT PLACE HOLDER.docx
No
Paper Only
Other-Attachment B-Spanish Reminder Notification
Attachment B-SPANISH_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
USDA/FNS 8 Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
2,000
Number of Respondents for Small Entity:
1,900
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
10 %
Requested
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
4,492
0
0
0
0
4,492
Annual IC Time Burden (Hours)
337
0
0
0
0
337
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Generic Clearance Justification
HHFKA Section 221 CACFP Formative Research OMB Package_8 02 13.docx
09/05/2013
Burden Estimates Excel Chart
Burden Estimates HHFKS Section 221 CACFP 0524 7-29-13.xlsx
09/05/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.