OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Core Nutrition Messages - Revised

IC 194845 under ICR 201008-0584-001 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Triad Screening questionnaire
Other-Mini Group Screening questionn
Other-Focus Group Screening question
Other-Confidentiality Agreement
Other-Confidentiality Agreement
Other-Consent Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Core Nutrition Messages - Revised
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Triad Screening questionnaire Low-Income Mothers A - FNS screener_mothers form 8-11-10.doc No   Paper Only
Other-Mini Group Screening questionnaire B - FNS screener_children form and eval 8-11-10-.doc No   Paper Only
Other-Focus Group Screening questionnaire G - FNS screener_mothers eva 8-10-10.doc No   Paper Only
Other-Confidentiality Agreement M - Agreement on Security of Comments_adult9.28.10.doc No   Paper Only
Other-Confidentiality Agreement N - Agreement on Security of Comments_parents9.28.10.doc No   Paper Only
Other-Consent Form O - Parental consent form 8-11-10.doc No   Paper Only

Income Security Food and Nutrition Assistance

 

6,744 0
   
Individuals or Households
 
   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 7,014 0 7,014 0 0 0
Annual IC Time Burden (Hours) 1,671 0 1,671 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification memo Core Nutrition Education Messages OMB Justification Request FINAL_Revised 10 25 10.doc 10/25/2010
Moderator Guide for Mothers 2-5 Years C - Low-Income Mom of kids 2-5 Guide_milk and whole grains_form. Attachments 9.28.10C1-C.DOCX 10/14/2010
Moderator Guide Mothers of Children 6-10 Years D - Low-Income Mom of kids 6-10 Guide_milk and whole grains_form Attachments D1-9 28 10-.doc 10/14/2010
Moderator Guide 2-5 YR Feeding Responsibility E - Child Feeding Practices_Form. Attachments E1-E4-9.28.10.docx 10/14/2010
Moderator Guide Childre 8-10 Years F - Kids ages 8 to 10 Guide_supporting content_form. Attachment F19.28.10.doc 10/14/2010
Moderator Guide (Evaluation) Mothers of 6-10 Years I - Low-Income Mom of kids 6-10 Guide_milk and whole grains_eval.8-10-10.docx 10/14/2010
Moderator Guide (Evaluation) Mothers 2-5 Years J - Child Feeding Practices_eval.8-10-10.docx 10/14/2010
Moderator Guide (Evaluation) Communications Tools K - Kids ages 8-10 Guide_communications tools_eval 8-10-10.docx 10/14/2010
Moderator Guide (Evaluation) Communications Tools Children 2-5/6-10 Years L - Low-Income Mom Guide_communications tools_eval 8-10-10.docx 10/14/2010
Moderator Guide (Evaluation) Mothers of Children 2-5 Years H - Low-Income Mom of kids 2-5 Guide_milk and whole grains_eval 8-10-10.docx 10/14/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.