FNS Core Nutrition Messages and Supporting Content Testing-Phase 2

Generic Clearance to Conduct Formative Research

OMB: 0584-0524

IC ID: 184699

Documents and Forms
Document Name
Document Type
Other-Screening Questionnaire-Low In
Other-Screening Questionnaire Low In
Other-Screening Questionnaire for Lo
IC Document
IC Document
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Information Collection (IC) Details

View Information Collection (IC)

FNS Core Nutrition Messages and Supporting Content Testing-Phase 2
 
New
 
Voluntary
 
7 CFR 2.19

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screening Questionnaire for Low-Income Children AttachmentB_Instrument_revkidscreener.doc No   Paper Only
Other-Screening Questionnaire-Low Income Mother (May 2008) attachmentA_screeners3-24.doc No   Paper Only
Other-Screening Questionnaire Low Income Mother-June 2008 attachment A_Screener LIM-June 2008.doc No   Paper Only

Health Public Health Monitoring

 

3,960 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 3,960 0 0 0 0 0
Annual IC Time Burden (Hours) 945 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Focus Group Guide Low-income Mother of 2-5 years old attachmentC_pmomguide1-MAR-24.doc 04/30/2008
Attachment C-Handout 1 attachC_Handout 1.doc 04/30/2008
Attachment C-Handout 2 attachC_Handout 2.doc 04/30/2008
Attachment C-Handout 3 attachC_Handout 3.doc 04/30/2008
Attachment D-Gocus Group Guide (Low-income Mothers) attachmentD_pmomguide2-MAR-24.doc 04/30/2008
Attachment D-Handout 1 attachD_Handout 1 comb.pdf 04/30/2008
Attachment D-Handout 2 attachD_Handout 2.doc 04/30/2008
Attachment D-Handout 3 attachD_Handout 3.doc 04/30/2008
Attachment D-Handout 4 attachD_Handout 4.doc 04/30/2008
Attachment E (Low-income Mothers 6-10 years old) attachmentE_emomguide-MAR-24.doc 04/30/2008
Attachment E-Handout 1 attachE_Handout 1.doc 04/30/2008
Attachment E-Handout 2 attachE_Handout 2.doc 04/30/2008
Attachment E-Handout 3 attachE_Handout 3.doc 04/30/2008
Attachment F: Moderator's Guide In-person Kid Focus group attachmentF_kidguide-MAR-24.doc 04/30/2008
Attachment F Handouts 1-8 attachF_visuals.pdf 04/30/2008
Attachment G: Focus Group Guide (Low-income Mothers) attachmentG_pmomguidejune-APR7.doc 04/30/2008
Attachment G-Handout 1 attachG_Handout 1 comb.pdf 04/30/2008
Attachment G: Handout 2 attachG_Handout 2.doc 04/30/2008
Attachment G: Handout 3 attachG_Handout 3.doc 04/30/2008
Attachment H: Confidentiality Agreement attachmentH_mconfident3-24.doc 04/30/2008
Attachment I: Confidentiality Agreement (Mothers of Children) attachmentI_pconfident3-24.docx 04/30/2008
Attachment J: Parent Permission Form AttachmentJ_parentconsent-MAR-24.doc 04/30/2008
Burden Table Core Nutrition Phase II burden hours.xls 04/30/2008
Divison of Feeding Attachment G sub handout Division of Feeding Responsibiltiy Eval_Sub-AttachG-Handout 3.doc 04/30/2008
Division of Feeding Attach G sub-handout 2 Division of Feeding Responsibiltiy Eval_Sub-Attach G-Handout 2 (2).doc 04/30/2008
Division of Feeding Attachment G-Sub Handout 1 Division of Feeding Responsibiltiy Eval_Sub-Attach G-Handout 1.pdf 04/30/2008
Supporting Statement Memo coremessagesomb4-7.doc 04/30/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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