View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Attachment C: Screener: Child Care Provider (English)
AttC_Nibbles_Screener_ChildCareProvider_Eng Final (rev).doc
No
Paper Only
Other-Attachment D: Screener: Child Care Provider (Spanish)
AttD_Nibbles_Screener_ChildCareProvider_Span Final (rev).doc
No
Paper Only
Other-Attachment I: Consent Form: Child Care Provider (English)
AttI_Nibbles_Consent Form_ChildCareProvider_Eng.docx
No
Paper Only
Other-Attachment J: Consent Form: Child Care Provider (Spanish)
AttJ_Nibbles_Consent Form_ChildCareProvider_Spa.docx
No
Paper Only
Other-Attachment K: Consent Form: CACFP Site
AttK_Nibbles Consent Form_CACFPSite.docx
No
Paper Only
Other-Attachment N: Interview Facilitator's Guide: Child Care Provider (English)
AttN_Nibbles_IntervFacGuide_Provider_Eng.docx
No
Paper Only
Other-Attachment O: Interview Facilitator's Guide: Child Care Provider (Spanish)
AttO_Nibbles_IntervFacGuide_Provider_Span.doc
No
Paper Only
Other-Attachment U: Screener for CACFP Sites
AttU_Nibbles_Screener for CACFP Sites.docx
No
Paper Only
Other-Attachment V: CACFP Site Screener - Follow-up
AttV_Nibbles_FollowUpScreener for CACFP Sites.docx
No
Paper Only
Other-Attachment W: CACFP Site Confirmation Email
AttW_CACFP Site Email Confirmation.docx
Yes
No
Fillable Printable
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:
36
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
108
0
108
0
0
0
Annual IC Time Burden (Hours)
54
0
54
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment E: Recruitment Flyer: Parent/Caregiver Triad (English)
AttE_Nibbles_RecruitmentFlyer_Eng.pdf
07/14/2017
Attachment F: Recruitment Flyer: Parent/Cargiver Triad (Spanish)
AttF_Nibbles_RecruitmentFlyer_Spa.pdf
07/14/2017
Attachment P: Stimulus: Nibbles for Health Newsletters (English)
AttP_Nibbles_Stimulus_NibblesNewsletters_Eng.pdf
07/14/2017
Attachment Q: Stimulus: Nibbles for Health Newsletters (Spanish)
AttQ_Stimulus_NibblesforHealthNewsletters_Spa.pdf
07/14/2017
Attachment R: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP) (English)
AttR_Stimulus_ProviderHandbookTips_Eng.pdf
07/14/2017
Attachment S: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP) (Spanish)
AttS_Stimulus_ProviderHandbookTips_Spa.pdf
07/14/2017
Attachment T: Stimulus: Sample illustrations for use in Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP)
AttT_Stimulus_ProviderHandbookIllustrations.pdf
07/14/2017
Attachment X: IRB Approval
AttX_ICF_IRB Approval.pdf
07/14/2017
Attachment Y: Sample illustrations for use in Nibbles for Health Newsletters
AttY_Stimulus_SampleIllustrationsNibbles.pdf
07/14/2017
Nibbles_OMB Memo_Final (rev)
Nibbles_OMB Memo_Final (rev).pdf
07/14/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.