Information Collection

Mealtimes with Toddlers in the Child and Adult Care Food Program (SLT)

IC 236879 under ICR 201606-0584-008 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
Attachment F_Follow up call to screened research participants.docx Other-Attachment F: Follow Up Call t
Attachment K_Consent form for research participation.pdf Other-Attachment K: Consent Form for
Attachment L - Screener for research participation clean 09062019.pdf Other-Attachment L: Screener for Res
Attachment N_Guideline for in depth interview English.docx Other-Attachment N: Guideline for In
Attachment O_Guideline for in depth interview Spanish.docx Other-Attachment O: Guideline for In
Attachment L - Screener for research participation clean 09062019.pdf Other-Screener
Attachment A_Mailing flyer for child care site directors.docx Attachment A: Mailing Flyer for Child Care Site Directors IC Document
Attachment B_Mailing flyer for child care site providers.docx Attachment B: Mailing Flyer for Child Care Site Providers IC Document
Attachment C_Initial call script for child care site directors and providers.docx Attachment C: Initial Call Script for Child Care Site Directors and Providers IC Document
Attachment D_Initial email for child care site directors.docx Attachment D: Initial Email for Child Care Site Directors IC Document
Attachment E_Email instructions for child care site directors and providers.docx Attachment E: Email Instructions for Child Care Site Directors and Providers IC Document
Attachment G_Scheduling confirmation email for research participant.docx Attachment G: Scheduling Confirmation Email for Research Participant IC Document
Attachment H_Scheduling reminder call for research participant.docx Attachment H: Scheduling Reminder Call for Research Participant IC Document
Attachment I_Scheduling reminder email for research participant.docx Attachment I: Scheduling Reminder Email for Research Participant IC Document
Attachment J_Scheduling reminder text for research participant.docx Attachment J: Scheduling Reminder Text for Research Participant IC Document
Attachment M_Research introduction.docx Attachment M: Research Introduction IC Document
Attachment P_IRB exempt letter.pdf Attachment P: IRB Exempt Letter IC Document
Attachment Q_English Handouts_Revised.pdf Attachment Q: English Handouts IC Document
Attachment R_Spanish Handouts_Revised.pdf Attachment R: Spanish Handouts IC Document
Attachment S_English Video Scripts_Revised (1).pdf Attachment S: English Video Scripts IC Document
Attachment T_Spanish Video Scripts_Revised (1).pdf Attachment T: Spanish Video Scripts IC Document
Attachment V_Key Frames_Revised (1).pdf Attachment V: Key Frames IC Document
Attachment U_Audition Clips_Revised.docx Attachment U: Audition Clips IC Document
Attachment U1.a English Audition - Alexis Smith.mp4 Attachment U1.a: English Audition - Alexis Smith IC Document
Attachment U1.b English Audition - Anita Horwath.mp4 Attachment U1.b: English Audition - Anita Horwath IC Document
Attachment U1.c English Audition - Devin Nikki Thomas.mp4 Attachment U1.c: English Audition - Devin Nikki Thomas IC Document
Attachment U1.d English Audition - Karyn-Siobhán Robinson.mp4 Attachment U1.d: English Audition - Karyn-Siobhan Robinson IC Document
Attachment U1.e English Audition - Lynette Rathnam.mp4 Attachment U1.e: English Audition - Lynette Rathnam IC Document
Attachment U1.f English Audition - Rochelle Simeon.mp4 Attachment U1.f: English Audition - Rochelle Simeon IC Document
Attachment U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4 Attachment U2.a: Spanish Audition - Dominique Ravelo-Napoli IC Document
Attachment U2.b Spanish Audition - Sussy Tomer.mp4 Attachment U2.b: Spanish Audition - Sussy Tomer IC Document
Attachment U2.c Spanish Audition - Tanairi Zarazua.mp4 Attachment U2.c: Spanish Audition - Tanairi Zarazua IC Document
Attachment U3.a English and Spanish Audition - Alina Collins Maldonado.mp4 Attachment U3.a: English and Spanish Audition - Alina Collins Maldonado IC Document
Attachment U3.b English and Spanish Audition - Arami McCloske.mp4 Attachment U3.b: English and Spanish Audition - Arami McCloske IC Document
Attachment U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4 Attachment U3.c: English and Spanish Audition - Nina-Sophia Pacheco IC Document
Mealtime with Toddlers in CACFP_OMB Memo_ Revised 7.15.19.docx Mealtime with Toddlers in CACFP OMB Memo Final IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mealtimes with Toddlers in the Child and Adult Care Food Program (SLT)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment L: Screener for Research Participation	Attachment L - Screener for research participation clean 09062019.pdf	Yes	Yes	Fillable Fileable
Other-Attachment F: Follow Up Call to Screened Research Participants	Attachment F_Follow up call to screened research participants.docx	No		Paper Only
Other-Screener	Attachment L - Screener for research participation clean 09062019.pdf	Yes	Yes	Fillable Fileable
Other-Attachment K: Consent Form for Research Participation	Attachment K_Consent form for research participation.pdf	Yes	Yes	Fillable Fileable
Other-Attachment N: Guideline for In-Depth Interviews (English)	Attachment N_Guideline for in depth interview English.docx	No		Paper Only
Other-Attachment O: Guideline for In-Depth Interviews (Spanish)	Attachment O_Guideline for in depth interview Spanish.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: 720	Number of Respondents for Small Entity: 342

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,070	2,070
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A: Mailing Flyer for Child Care Site Directors	Attachment A_Mailing flyer for child care site directors.docx	07/15/2019
Attachment B: Mailing Flyer for Child Care Site Providers	Attachment B_Mailing flyer for child care site providers.docx	07/15/2019
Attachment C: Initial Call Script for Child Care Site Directors and Providers	Attachment C_Initial call script for child care site directors and providers.docx	07/15/2019
Attachment D: Initial Email for Child Care Site Directors	Attachment D_Initial email for child care site directors.docx	07/15/2019
Attachment E: Email Instructions for Child Care Site Directors and Providers	Attachment E_Email instructions for child care site directors and providers.docx	07/15/2019
Attachment G: Scheduling Confirmation Email for Research Participant	Attachment G_Scheduling confirmation email for research participant.docx	07/11/2019
Attachment H: Scheduling Reminder Call for Research Participant	Attachment H_Scheduling reminder call for research participant.docx	07/15/2019
Attachment I: Scheduling Reminder Email for Research Participant	Attachment I_Scheduling reminder email for research participant.docx	07/15/2019
Attachment J: Scheduling Reminder Text for Research Participant	Attachment J_Scheduling reminder text for research participant.docx	07/11/2019
Attachment M: Research Introduction	Attachment M_Research introduction.docx	07/15/2019
Attachment P: IRB Exempt Letter	Attachment P_IRB exempt letter.pdf	07/11/2019
Attachment Q: English Handouts	Attachment Q_English Handouts_Revised.pdf	07/11/2019
Attachment R: Spanish Handouts	Attachment R_Spanish Handouts_Revised.pdf	07/11/2019
Attachment S: English Video Scripts	Attachment S_English Video Scripts_Revised (1).pdf	07/11/2019
Attachment T: Spanish Video Scripts	Attachment T_Spanish Video Scripts_Revised (1).pdf	07/11/2019
Attachment V: Key Frames	Attachment V_Key Frames_Revised (1).pdf	07/11/2019
Attachment U: Audition Clips	Attachment U_Audition Clips_Revised.docx	07/11/2019
Attachment U1.a: English Audition - Alexis Smith	Attachment U1.a English Audition - Alexis Smith.mp4	07/11/2019
Attachment U1.b: English Audition - Anita Horwath	Attachment U1.b English Audition - Anita Horwath.mp4	07/11/2019
Attachment U1.c: English Audition - Devin Nikki Thomas	Attachment U1.c English Audition - Devin Nikki Thomas.mp4	07/11/2019
Attachment U1.d: English Audition - Karyn-Siobhan Robinson	Attachment U1.d English Audition - Karyn-SiobhaÌn Robinson.mp4	07/11/2019
Attachment U1.e: English Audition - Lynette Rathnam	Attachment U1.e English Audition - Lynette Rathnam.mp4	07/11/2019
Attachment U1.f: English Audition - Rochelle Simeon	Attachment U1.f English Audition - Rochelle Simeon.mp4	07/11/2019
Attachment U2.a: Spanish Audition - Dominique Ravelo-Napoli	Attachment U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4	07/11/2019
Attachment U2.b: Spanish Audition - Sussy Tomer	Attachment U2.b Spanish Audition - Sussy Tomer.mp4	07/11/2019
Attachment U2.c: Spanish Audition - Tanairi Zarazua	Attachment U2.c Spanish Audition - Tanairi Zarazua.mp4	07/11/2019
Attachment U3.a: English and Spanish Audition - Alina Collins Maldonado	Attachment U3.a English and Spanish Audition - Alina Collins Maldonado.mp4	07/11/2019
Attachment U3.b: English and Spanish Audition - Arami McCloske	Attachment U3.b English and Spanish Audition - Arami McCloske.mp4	07/11/2019
Attachment U3.c: English and Spanish Audition - Nina-Sophia Pacheco	Attachment U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4	07/11/2019
Mealtime with Toddlers in CACFP OMB Memo Final	Mealtime with Toddlers in CACFP_OMB Memo_ Revised 7.15.19.docx	07/15/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.