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Federal forms, ICRs, and supporting documents

Information Collection

Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)

IC 227531 under ICR 201606-0584-008 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment C: Screener: Child
Other-Attachment D: Screener: Child
Other-Attachment I: Consent Form: Ch
Other-Attachment J: Consent Form: Ch
Other-Attachment K: Consent Form: CA
Other-Attachment N: Interview Facili
Other-Attachment O: Interview Facili
Other-Attachment U: Screener for CAC
Other-Attachment V: CACFP Site Scree
Other-Attachment W: CACFP Site Confi
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)

Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)
 
New
 
Required to Obtain or Retain Benefits
 

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

Income Security Food and Nutrition Assistance

FNS-8, FNS Studies and Reports  56 FR 19078

36 0
   
State, Local, and Tribal Governments
 
   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

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.