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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 (SLT - Site Directors and Classroom Providers)
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: Recruitment Communications for Child Care Providers and Directors
Attachment A_Recruitment Communications for Providers_Directors.docx
Yes
No
Fillable Printable
Other-Attachment B: Consent for Child Care Providers
Attachment B_Consent for Child Care Providers_ Site.docx
No
Paper Only
Other-Attachment C: Site Confirmation Letter
Attachment C_Site Confirmation Letter.docx
No
Paper Only
Other-Attachment E: Research Introduction and Overview for Providers
Attachment E_Research Introduction and Overview for Providers.docx
No
Paper Only
Other-Attachment F: Child Care Provider Interview Guideline
Attachment F_Child Care Provider Interview Guide_Revised.docx
No
Paper Only
Other-Attachment G: Child Care Provider Journal
Attachment G_Child Care Provider Journal.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 M.1: Child Care Director Consent Letter and Survey, Print Version
Attachment M.1_Child Care Director Consent Letter and Survey_Print Version.docx
No
Paper Only
Other-Attachment M.2: Child Care Director Email, Consent Letter, and Survey - Web Version
Attachment M.2_Child Care Director Email Consent Letter and Survey_Web Version.pdf
Yes
Yes
Fillable Fileable
Other-Attachment V: Provider Follow Up Interview
Attachment V_Provider Follow Up Interview.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:
1,250
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
8 %
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
2,088
0
2,088
0
0
0
Annual IC Time Burden (Hours)
322
0
322
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment O: Research Stimulus: Cooking Video Audition Clips
Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx
08/28/2018
Attachment O.1: Audition Clip Africa Female
O.1_Audition Clip_Africa Female.mp4
08/28/2018
Attachment O.2: Audition Clip Africa Male
O.2_FNS_MC_Audition Clip_Africa Male.m4v
08/28/2018
Attachment O.3: Audition Clip Asia Female
O.3_Audition Clip_Asia Female.mp4
08/28/2018
Attachment O.4: Audition Clip Asia Male
O.4_Audition Clip_Asia Male.mp4
08/28/2018
Attachment O.5: Audition Clip Central and South America Female
O.5_Audition Clip_Central and South America Female.mp4
08/28/2018
Attachment O.6: Audition Clip Central and South America Male
O.6_Audition Clip_Central and South America Male.m4v
08/28/2018
Attachment O.7: Audition Clip Europe Female
O.7_Audition Clip_Europe Female.m4v
08/28/2018
Attachment O.8: Audition Clip Europe Male
O.8_Audition Clip_Europe Male.mp4
08/28/2018
Attachment O.9: Audition Clip North America Female
O.9_Audition Clip_North America Female.m4v
08/28/2018
Attachment O.10 Audition Clip North America Male
O.10_Audition Clip_North America Male.m4v
08/28/2018
Attachment P: Research StimulusL Cooking Video Scripts
Attachment P - Research Stimululs - Cooking Video Scripts.pdf
08/28/2018
Attachment Q: Research Stimulus: Cooking Video Storyboards
Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf
08/28/2018
Attachment R: Research Stimulus: Food Explorers: Tasting the World! Nutrition Education Guide
Attachment R_Research Stimulus- Food Explorers_Tasting the World! Nutrition Education Guide.pdf
08/28/2018
Attachment T: Research Stimulus: Food Explorers Poster
Attachment T_Research Stimulus_Food Explorers Poster.pdf
08/28/2018
Attachment U: Stipend Justification for Child Care Sites
Attachment U_Stipend Justification for Child Care Sites.docx
08/28/2018
Attachment W: Research Stimulus: Recipe Review
Attachment W_Research Stimulus_Recipe Review.pdf
08/28/2018
Attachment X: IRB Letter
Attachment X IRB Letter.pdf
08/28/2018
FNS_Multicultural_OMB Memo Final 07262018
FNS_Multicultural_OMB Memo Final 07262018.docx
08/28/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.