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Federal forms, ICRs, and supporting documents

Information Collection

Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)

IC 232369 under ICR 201606-0584-008 · OMB 0584-0524.

Documents and Forms
Document Name
Document Type
Other-Attachment D.1: Questionnaire
Other-Attachment D.2: Questionnaire
Other-Attachment H: Parent/Caregiver
Other-Attachment I: Storybook Interv
Other-Attachment J: Storybook Measur
Other-Attachment K: Survey for 6-12
Other-Attachment L: Child Taste Test
Other-Attachment D- Recruitment Comm
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IC Document
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Information Collection (IC) Details

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Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
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.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 D- Recruitment Communications and Consent Document for Parents/Caregivers Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8, FNS Studies and Reports  56 FR 19078

664 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 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

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.