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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Team Nutrition Cooks - Individuals and Households
Agency IC Tracking Number:
Team Nutrition Cooks
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 Parent/Caregiver Informed Consent for Child Participation
Attachment A-USDA Team Nutrition Cooks_Parent Caregiver Informed Consent for Child Participation Final.docx
No
Paper Only
Other-Attachment C Questionnaaire for Student Pre-/Post-Intervention Survey
Attachment C - USDA Team Nutrition Cooks_Questionnaire for Student Pre-post Survey Final.docx
Yes
Yes
Fillable Fileable
Other-Attachment D Lesson Feedback Worksheet for Students
Attachment D - USDA Team Nutrition Cooks_Lesson Feedback Worksheet for Students Final.docx
No
Paper Only
Other-Attachment G Discussion Guide for Focus Groups with Parents/Caregivers
Attachment G - USDA Team Nutrition Cooks_Discussion Guide for Focus Groups with Parents Final.docx
No
Paper Only
Other-Attachment H Demographics for Parents and Program Operators
Attachment H - USDA Team Nutrition Cooks_Demographics for Parents and Program Operators Final.docx
No
Paper Only
Other-Attachment N Parent/Caregiver Informed Consent for Focus Group
Attachment N - USDA Team Nutrition Cooks_Parent Caregiver Informed Consent for Focus Group Final.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:
120
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
690
0
690
0
0
0
Annual IC Time Burden (Hours)
111
0
111
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment I Sample Informational Email to Parents/Caregivers
Attachment I - USDA Team Nutrition Cooks_Sample Informational Email to Parents Final.docx
01/20/2017
Attachment J Sample Recruitment Email for Parent/Caregiver Focus Group
Attachment J - USDA Team Nutrition Cooks_Sample Recruitment Email for Parent Focus Group Final.docx
01/20/2017
Attachment O Stimuli for Focus Groups - Team Nutrition Cooks! Family Handbouts
Attachment O Stimuli for Focus Groups.pdf
01/20/2017
USDA Team Nutrition Cooks OMB Memo Final 02217
USDA Team Nutrition Cooks_OMB Memo_Final 02217.pdf
02/02/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.