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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)
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 D.1: Questionnaire for Participation in Focus Group Research (Print Version)
Attachment D.1_Questionnaire for Participation in Focus Groups_Print Version.docx
No
Paper Only
Other-Attachment D.2: Questionnaire for Participation in Focus Group Research (Online Version)
Attachment D.2_Questionnaire for Participation in Focus Groups_Online Version.pdf
Yes
Yes
Fillable Fileable
Other-Attachment H: Parent/Caregiver Focus Group Guideline
Attachment H_Parent Caregiver Focus Group Guidelines.docx
No
Paper Only
Other-Attachment I: Storybook Interview Form for Children 3-5
Attachment I_Storybook Interview Form for Children.docx
No
Paper Only
Other-Attachment J: Storybook Measure for Children 3-5
Attachment J_Storybook Measure for Children 3-5.pdf
No
Paper Only
Other-Attachment K: Survey for 6-12 Year Old Children
Attachment K_Survey for 6_12 Year Old Children.docx
No
Paper Only
Other-Attachment L: Child Taste Test Ballot: Instructions for Completing the Taste Test Ballots with Children, Taste Test Faces, Taste Test Records Sheet
Attachment L_Child Taste Test Ballot.docx
No
Paper Only
Other-Attachment D- Recruitment Communications and Consent Document for Parents/Caregivers
Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.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:
664
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
1,620
0
1,620
0
0
0
Annual IC Time Burden (Hours)
386
0
386
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment N: Incentive Justification for Focus Group Participants
Attachment N_Incentive Justification for Focus Group Participants_6.0.docx
07/26/2018
Attachment O: Research Stimulus: Cooking Video Audition Clips
Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx
07/26/2018
Attachment O.1: Audition Clip Africa Female
O.1_Audition Clip_Africa Female.mp4
07/26/2018
Attachment O.2: Audition Clip Africa Male
O.2_FNS_MC_Audition Clip_Africa Male.m4v
07/26/2018
Attachment O.3: Audition Clip Asia Female
O.3_Audition Clip_Asia Female.mp4
07/26/2018
Attachment O.4: Audition Clip Asia Male
O.4_Audition Clip_Asia Male.mp4
07/26/2018
Attachment O.5: Audition Clip Central and South America Female
O.5_Audition Clip_Central and South America Female.mp4
07/26/2018
Attachment O.6: Audition Clip Central and South America Male
O.6_Audition Clip_Central and South America Male.m4v
07/26/2018
Attachment O.7: Audition Clip Europe Female
O.7_Audition Clip_Europe Female.m4v
07/26/2018
Attachment O.8: Audition Clip Europe Male
O.8_Audition Clip_Europe Male.mp4
07/26/2018
Attachment O.9: Audition Clip North America Female
O.9_Audition Clip_North America Female.m4v
07/26/2018
Attachment O.10 Audition Clip North America Male
O.10_Audition Clip_North America Male.m4v
07/26/2018
Attachment P: Research Stimulus: Cooking Video Scripts
Attachment P - Research Stimululs - Cooking Video Scripts.pdf
07/26/2018
Attachment Q: Research Stimulus: Cooking Video Storyboards
Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf
07/26/2018
Attachment S: Research Stimulus: The Food Explorers: Tasting the World! Family Cookbook
Attachment S - Research Stimulus - The Food Explorers Tasting the World!.pdf
07/26/2018
FNS_Multicultural_OMB Memo Final 07262018
FNS_Multicultural_OMB Memo Final 07262018.pdf
07/26/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.