Parent/Caregiver or Children - Club MyPlate Kindergarten Curriculum Formative Research

Generic Clearance to Conduct Formative Research/CNPP

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0523 can be found here:

Documents and Forms

Document Name Document Type
Attachment B_Parent Consent Package_FINAL.docx Other-Attachment B: Parent Consent P
Attachment F_Moderators Guide for Parent Caregiver Focus Group_English and Spanish 08082013.docx Other-Attachment F: Moderators Guide
Attachment G - Parent Caregiver Survey 06242013-2.docx Other-Attachment G Parent Caregiver
Attachment H_Interview Guideline Children 06242013-1.docx Other-Attachment H Interview Guideli
Attachment I_Individual Interview Storybook for Children_FINAL (2).pdf Other-Attachment I Individual Interv
Attachment K_Parent Caregiver Follow Up Phone Call Script_06242013.docx Other-Attachment K Parent Caregiver
Non Respondent Placeholder for Individual and Households.docx Other-Non Respondent Placeholder
Attachment L_Parent Take Home Stimulus_English_Spanish.pdf Other-Attachment L_Parent Take Home
CNY KG OMB Proposal_08052013 OCIO comments 8-22-13.docx CNY KG OMB Proposal_08052013 IC Document

Information Collection (IC) Details

IC Title:	Parent/Caregiver or Children - Club MyPlate Kindergarten Curriculum Formative Research	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 1755(a)(3) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment B: Parent Consent Package	Attachment B_Parent Consent Package_FINAL.docx	No	Paper Only
Other-Attachment F: Moderators Guide for Parent/Caregiver Focus Group	Attachment F_Moderators Guide for Parent Caregiver Focus Group_English and Spanish 08082013.docx	No	Paper Only
Other-Attachment G Parent Caregiver Survey	Attachment G - Parent Caregiver Survey 06242013-2.docx	No	Paper Only
Other-Attachment H Interview Guideline Children	Attachment H_Interview Guideline Children 06242013-1.docx	No	Paper Only
Other-Attachment I Individual Interview Storybook for Children	Attachment I_Individual Interview Storybook for Children_FINAL (2).pdf	No	Paper Only
Other-Attachment K Parent Caregiver Follow Up Phone Call Script	Attachment K_Parent Caregiver Follow Up Phone Call Script_06242013.docx	No	Paper Only
Other-Non Respondent Placeholder	Non Respondent Placeholder for Individual and Households.docx	No	Paper Only
Other-Attachment L_Parent Take Home Stimulus_English_Spanish	Attachment L_Parent Take Home Stimulus_English_Spanish.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS 8 Report and Studies	FR Citation: 56 FR 19078

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	1,553	1,553
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CNY KG OMB Proposal_08052013	CNY KG OMB Proposal_08052013 OCIO comments 8-22-13.docx	08/23/2013

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