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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (Individuals and Households)
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: Consent Package for Mothers and Expectant Mothers:Focus Group Flyer,Consent Cover Letter,Informed Consent Form,Questionnaire for Participation,and Focus Group Reminder Phone Call Script
Attachment A- Consent Package for Mothers Revised 031518.docx
No
Paper Only
Other-Attachment AA:Consent Package for Mothers and Expectant Mothers:Focus Group Flyer,Consent Cover Letter,Informed Consent Form,Questionnaire for Participation,Focus Group Reminder PhoneCallScript(Span)
Attachment AA –Consent Package for Mothers Spanish Revised 03152018.docx
No
Paper Only
Other-Attachment C: Current Breastfeeding Mothers Focus Group Guideline
Attachment C- Current Breastfeeding Mothers Guideline_v4.0.docx
No
Paper Only
Other-Attachment CC: Current Breastfeeding Mothers Focus Group Guideline (Spanish)
Attachment CC – Current Breastfeeding Mothers Guideline (Spanish)_v4.0.docx
No
Paper Only
Other-Attachment D: Expecting Mothers Focus Group Guideline
Attachment D - Expecting Mothers Guideline_v4.0.docx
No
Paper Only
Other-Attachment DD: Expecting Mothers Focus Group Guideline (Spanish)
Attachment DD – Expecting Mothers Guideline (Spanish)_v4.0.docx
No
Paper Only
Other-Attachment I: Research Stimuli for Parents - English
Attachment I - Research Stimuli for Parents21318 - English.pdf
No
Paper Only
Other-Attachment K: Research Stimuli for Parents - Spanish
Attachment K - Research Stimuli for Parents21318 - Spanish.pdf
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:
576
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
704
0
704
0
0
0
Annual IC Time Burden (Hours)
358
0
358
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment H: Incentive Justification for Focus Group Participants
Attachment H Incentive Justification for Focus Group Participants Revised 03152018.docx
03/16/2018
Feeding Infants OMB Package Memo
Feeding Infants OMB Package Memo Final 03152018.docx
03/16/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.