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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Team Nutrition Educational Materials for Summer Meals - Individuals/Households (IC 2 of 2)
Agency IC Tracking Number:
IC Status:
New
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 Active Consent Package for ParentsCaregivers_Final
Attachment A Active Consent Package for ParentsCaregivers_Final.docx
No
Paper Only
Other-Attachment B Passive Consent Package for ParentsCaregivers_Final
Attachment B Passive Consent Package for ParentsCaregivers_Final.docx
No
Paper Only
Other-Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final
Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final.docx
No
Paper Only
Other-Attachment E Worksheet for ParentCaregive Focus Groups_Final
Attachment E Worksheet for ParentCaregive Focus Groups_Final.docx
No
Paper Only
Other-Attachment F Focus Group Flyer for ParentsCaregivers
Attachment F Focus Group Flyer for ParentsCaregivers.docx
No
Paper Only
Other-Attachment F Focus Group Flyer for ParentsCaregivers
Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.docx
No
Paper Only
Other-Attachment J Taste Test Ballot and Site Operator Script_5_28
Attachment J Taste Test Ballot and Site Operator Script_5_28.docx
No
Paper Only
Other-Attachment K Child Survey_Final
Attachment K Child Survey_Final.docx
No
Paper Only
Other-Attachment L Verbal Child Assent Script_Final
Attachment L Verbal Child Assent Script_Final.docx
No
Paper Only
Other-Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28
Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.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:
FNS-8, FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
3,388
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
3,388
0
3,388
0
0
0
Annual IC Time Burden (Hours)
409
0
409
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Task 3 OMB Memo_Revised 061715
Task 3 OMB Memo_Revised 061715.docx
06/17/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.