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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 207242 under ICR 201201-0584-026 · OMB 0584-0523.

Documents and Forms
Document Name
Document Type
Other-Attachment B: Parent Consent P
Other-Attachment F: Moderators Guide
Other-Attachment G Parent Caregiver
Other-Attachment H Interview Guideli
Other-Attachment I Individual Interv
Other-Attachment K Parent Caregiver
Other-Non Respondent Placeholder
Other-Attachment L_Parent Take Home
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Parent/Caregiver or Children - Club MyPlate Kindergarten Curriculum Formative Research
 
New
 
Voluntary
 
42 CFR 1755(a)(3)  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted 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

Income Security Food and Nutrition Assistance

USDA/FNS 8 Report and Studies  56 FR 19078

240 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 480 0 480 0 0 0
Annual IC Time Burden (Hours) 1,553 0 1,553 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.