Information Collection

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

IC 237922 under ICR 201906-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix F_Follow up call to screened research participants.docx Other-Appendix F: Follow up Call to
Appendix K_Consent form for research participation.pdf Other-Appendix K: Consent Form for R
Appendix L - Screener for research participation clean 09062019.pdf Other-Appendix L: Screener for Resea
Appendix N_Guideline for in depth interview English.docx Other-Appendix N: Guideline for In-d
Appendix O_Guideline for in depth interview Spanish.docx Other-Appendix O: Guideline for In-d
Appendix A_Mailing flyer for child care site directaors.docx Appendix A: Mailing flyer for Child Care Site Directors IC Document
Appendix B_Mailing flyer for child care site providers.docx Appendix B: Mailing Flyer for Child Care Site Providers IC Document
Appendix C_Initial call script for child care site directors and providers.docx Appendix C: Initial Call Script for Child Care Site Directors and Providers IC Document
Appendix D_Initial email for child care site directors.docx Appendix D: Initial Email for Child Care Site Directors IC Document
Appendix E_Email instructions for child care site directors and providers.docx Appendix E: Email Instructions for Child Care Site Directors and Providers IC Document
Appendix G_Scheduling confirmation email for research participant.docx Appendix G: Scheduling Confirmation Email for Research Participant IC Document
Appendix H_Scheduling reminder call for research participant.docx Appendix H: Scheduling Reminder Call for Research Participant IC Document
Appendix I_Scheduling reminder email for research participant.docx Appendix I: Scheduling Reminder Email for Research Participant IC Document
Appendix J_Scheduling reminder text for research participant.docx Appendix J: Scheduling Reminder Text for Research Participant IC Document
Appendix M_Research introduction.docx Appendix M: Research Introduction IC Document
Appendix P_IRB exempt letter.pdf Appendix P: IRB Exempt Letter IC Document
Appendix Q_English Handouts_Revised 082619.pdf Appendix Q: English Handouts IC Document
Appendix R_Spanish Handouts_Revised 082619.pdf Appendix R: Spanish Handouts IC Document
Appendix S_English Video Scripts_Revised (1).pdf Appendix S: English Video Scripts IC Document
Appendix T_Spanish Video Scripts_Revised (1).pdf Appendix T: Spanish Video Scripts IC Document
Appendix U_Audition Clips_Revised.docx Appendix U: Audition Clips IC Document
Appendix U1.a English Audition - Alexis Smith.mp4 Appendix U1.a: English Audition - Alexis Smith IC Document
Appendix U1.b English Audition - Anita Horwath.mp4 Appendix U1.b: English Audition - Anita Horwath IC Document
Appendix U1.c English Audition - Devin Nikki Thomas.mp4 Appendix U1.c: English Audition - Devin Nikki Thomas IC Document
Appendix U1.d English Audition - Karyn-Siobhán Robinson.mp4 Appendix U1.d: English Audition - Karyn-Siobhan Robinson IC Document
Appendix U1.e English Audition - Lynette Rathnam.mp4 Appendix U1.e: English Audition - Lynette Rathnam IC Document
Appendix U1.f English Audition - Rochelle Simeon.mp4 Appendix U1.f: English Audition - Rochelle Simeon IC Document
Appendix U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4 Appendix U2.a: Spanish Audition - Dominique Ravelo-Napoli IC Document
Appendix U2.b Spanish Audition - Sussy Tomer.mp4 Appendix U2.b: Spanish Audition - Sussy Tomer IC Document
Appendix U2.c Spanish Audition - Tanairi Zarazua.mp4 Appendix U2.c: Spanish Audition - Tanairi Zarazua IC Document
Appendix U3.a English and Spanish Audition - Alina Collins Maldonado.mp4 Appendix U3.a: English and Spanish Audition - Alina Collins Maldonado IC Document
Appendix U3.b English and Spanish Audition - Arami McCloske.mp4 Appendix U3.b: English and Spanish Audition - Arami McCloske IC Document
Appendix U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4 Appendix U3.c: English and Spanish Audition - Nina-Sophis Pacheco IC Document
Appendix V_Key Frames_Revised (1).pdf Appendix V: Key Frames IC Document
Mealtime with Toddlers in CACFP_OMB Memo_ Revised 9.29.19.docx Mealtime with Toddlers in CACFP_OMB Memo_ Revised 9.29.19 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-Appendix F: Follow up Call to Screened Research Participants	Appendix F_Follow up call to screened research participants.docx	No		Paper Only
Other-Appendix K: Consent Form for Research Participation	Appendix K_Consent form for research participation.pdf	Yes	Yes	Fillable Fileable
Other-Appendix L: Screener for Research Participation	Appendix L - Screener for research participation clean 09062019.pdf	Yes	Yes	Fillable Fileable
Other-Appendix N: Guideline for In-depth Interviews (English)	Appendix N_Guideline for in depth interview English.docx	No		Paper Only
Other-Appendix O: Guideline for In-depth Interviews (Spanish)	Appendix 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 %

	Requested	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
Appendix A: Mailing flyer for Child Care Site Directors	Appendix A_Mailing flyer for child care site directaors.docx	09/29/2019
Appendix B: Mailing Flyer for Child Care Site Providers	Appendix B_Mailing flyer for child care site providers.docx	09/29/2019
Appendix C: Initial Call Script for Child Care Site Directors and Providers	Appendix C_Initial call script for child care site directors and providers.docx	09/29/2019
Appendix D: Initial Email for Child Care Site Directors	Appendix D_Initial email for child care site directors.docx	09/29/2019
Appendix E: Email Instructions for Child Care Site Directors and Providers	Appendix E_Email instructions for child care site directors and providers.docx	09/29/2019
Appendix G: Scheduling Confirmation Email for Research Participant	Appendix G_Scheduling confirmation email for research participant.docx	09/29/2019
Appendix H: Scheduling Reminder Call for Research Participant	Appendix H_Scheduling reminder call for research participant.docx	09/29/2019
Appendix I: Scheduling Reminder Email for Research Participant	Appendix I_Scheduling reminder email for research participant.docx	09/29/2019
Appendix J: Scheduling Reminder Text for Research Participant	Appendix J_Scheduling reminder text for research participant.docx	09/29/2019
Appendix M: Research Introduction	Appendix M_Research introduction.docx	09/29/2019
Appendix P: IRB Exempt Letter	Appendix P_IRB exempt letter.pdf	09/29/2019
Appendix Q: English Handouts	Appendix Q_English Handouts_Revised 082619.pdf	09/29/2019
Appendix R: Spanish Handouts	Appendix R_Spanish Handouts_Revised 082619.pdf	09/29/2019
Appendix S: English Video Scripts	Appendix S_English Video Scripts_Revised (1).pdf	09/29/2019
Appendix T: Spanish Video Scripts	Appendix T_Spanish Video Scripts_Revised (1).pdf	09/29/2019
Appendix U: Audition Clips	Appendix U_Audition Clips_Revised.docx	09/29/2019
Appendix U1.a: English Audition - Alexis Smith	Appendix U1.a English Audition - Alexis Smith.mp4	09/29/2019
Appendix U1.b: English Audition - Anita Horwath	Appendix U1.b English Audition - Anita Horwath.mp4	09/29/2019
Appendix U1.c: English Audition - Devin Nikki Thomas	Appendix U1.c English Audition - Devin Nikki Thomas.mp4	09/29/2019
Appendix U1.d: English Audition - Karyn-Siobhan Robinson	Appendix U1.d English Audition - Karyn-SiobhaÌn Robinson.mp4	09/29/2019
Appendix U1.e: English Audition - Lynette Rathnam	Appendix U1.e English Audition - Lynette Rathnam.mp4	09/29/2019
Appendix U1.f: English Audition - Rochelle Simeon	Appendix U1.f English Audition - Rochelle Simeon.mp4	09/29/2019
Appendix U2.a: Spanish Audition - Dominique Ravelo-Napoli	Appendix U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4	09/29/2019
Appendix U2.b: Spanish Audition - Sussy Tomer	Appendix U2.b Spanish Audition - Sussy Tomer.mp4	09/29/2019
Appendix U2.c: Spanish Audition - Tanairi Zarazua	Appendix U2.c Spanish Audition - Tanairi Zarazua.mp4	09/29/2019
Appendix U3.a: English and Spanish Audition - Alina Collins Maldonado	Appendix U3.a English and Spanish Audition - Alina Collins Maldonado.mp4	09/29/2019
Appendix U3.b: English and Spanish Audition - Arami McCloske	Appendix U3.b English and Spanish Audition - Arami McCloske.mp4	09/29/2019
Appendix U3.c: English and Spanish Audition - Nina-Sophis Pacheco	Appendix U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4	09/29/2019
Appendix V: Key Frames	Appendix V_Key Frames_Revised (1).pdf	09/29/2019
Mealtime with Toddlers in CACFP_OMB Memo_ Revised 9.29.19	Mealtime with Toddlers in CACFP_OMB Memo_ Revised 9.29.19.docx	09/29/2019

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