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Federal forms, ICRs, and supporting documents

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

IC 227532 under ICR 201606-0584-008 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment A: Screener: Parent
Other-Attachment B: Parent/Caregiver
Other-Attachment G: Consent Form: Pa
Other-Attachment H: Consent Form: Pa
Other-Attachment L: Triad Moderator'
Other-Attachment M: Triad Moderator'
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 (Individuals/Households)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A: Screener: Parent/Caregiver Triad (English) AttA_Nibbles_Screener_ParentCaregiver_Triad_Eng Final (rev).doc No   Paper Only
Other-Attachment B: Parent/Caregiver Triad (Spanish) AttB_Nibbles_Screener_ParentCaregiver_Triad_Span Final (rev) .doc No   Paper Only
Other-Attachment G: Consent Form: Parent/Caregiver Triads (English) AttG_Nibbles Consent Form_ParentCaregiver_Triads_Eng.docx No   Paper Only
Other-Attachment H: Consent Form: Parent/Caregiver Triads (Spanish) AttH_Nibbles Consent Form_ParentCaregiver_Triads_Spanish.docx No   Paper Only
Other-Attachment L: Triad Moderator's Guide: Parent/Caregiver (English) AttL_Nibbles_TriadModGuide_ParentCaregiver_Eng.docx No   Paper Only
Other-Attachment M: Triad Moderator's Guide: Parent/Caregiver (Spanish) AttM_Nibbles_TriadModGuide_ ParentCaregiver_Span.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8, FNS Studies and Reports  56 FR 19078

75 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 195 0 195 0 0 0
Annual IC Time Burden (Hours) 101 0 101 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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
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.