Information Collection

Core Nutrition Messages - Revised

IC 194845 under ICR 201207-0584-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
A - FNS screener_mothers form 8-11-10.doc	Other-Triad Screening questionnaire
B - FNS screener_children form and eval 8-11-10-.doc	Other-Mini Group Screening questionn
G - FNS screener_mothers eva 8-10-10.doc	Other-Focus Group Screening question
M - Agreement on Security of Comments_adult9.28.10.doc	Other-Confidentiality Agreement
N - Agreement on Security of Comments_parents9.28.10.doc	Other-Confidentiality Agreement
O - Parental consent form 8-11-10.doc	Other-Consent Form
Core Nutrition Education Messages OMB Justification Request FINAL_Revised 10 25 10.doc Justification memo	IC Document
C - Low-Income Mom of kids 2-5 Guide_milk and whole grains_form. Attachments 9.28.10C1-C.DOCX Moderator Guide for Mothers 2-5 Years	IC Document
D - Low-Income Mom of kids 6-10 Guide_milk and whole grains_form Attachments D1-9 28 10-.doc Moderator Guide Mothers of Children 6-10 Years	IC Document
E - Child Feeding Practices_Form. Attachments E1-E4-9.28.10.docx Moderator Guide 2-5 YR Feeding Responsibility	IC Document
F - Kids ages 8 to 10 Guide_supporting content_form. Attachment F19.28.10.doc Moderator Guide Childre 8-10 Years	IC Document
I - Low-Income Mom of kids 6-10 Guide_milk and whole grains_eval.8-10-10.docx Moderator Guide (Evaluation) Mothers of 6-10 Years	IC Document
J - Child Feeding Practices_eval.8-10-10.docx Moderator Guide (Evaluation) Mothers 2-5 Years	IC Document
K - Kids ages 8-10 Guide_communications tools_eval 8-10-10.docx Moderator Guide (Evaluation) Communications Tools	IC Document
L - Low-Income Mom Guide_communications tools_eval 8-10-10.docx Moderator Guide (Evaluation) Communications Tools Children 2-5/6-10 Years	IC Document
H - Low-Income Mom of kids 2-5 Guide_milk and whole grains_eval 8-10-10.docx Moderator Guide (Evaluation) Mothers of Children 2-5 Years	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Core Nutrition Messages - Revised

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Triad Screening questionnaire Low-Income Mothers	A - FNS screener_mothers form 8-11-10.doc	No	Paper Only
Other-Mini Group Screening questionnaire	B - FNS screener_children form and eval 8-11-10-.doc	No	Paper Only
Other-Focus Group Screening questionnaire	G - FNS screener_mothers eva 8-10-10.doc	No	Paper Only
Other-Confidentiality Agreement	M - Agreement on Security of Comments_adult9.28.10.doc	No	Paper Only
Other-Confidentiality Agreement	N - Agreement on Security of Comments_parents9.28.10.doc	No	Paper Only
Other-Consent Form	O - Parental consent form 8-11-10.doc	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:

FR Citation:

Number of Respondents: 6,744

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	7,014	7,014
Annual IC Time Burden (Hours)	1,671	1,671
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification memo	Core Nutrition Education Messages OMB Justification Request FINAL_Revised 10 25 10.doc	10/25/2010
Moderator Guide for Mothers 2-5 Years	C - Low-Income Mom of kids 2-5 Guide_milk and whole grains_form. Attachments 9.28.10C1-C.DOCX	10/14/2010
Moderator Guide Mothers of Children 6-10 Years	D - Low-Income Mom of kids 6-10 Guide_milk and whole grains_form Attachments D1-9 28 10-.doc	10/14/2010
Moderator Guide 2-5 YR Feeding Responsibility	E - Child Feeding Practices_Form. Attachments E1-E4-9.28.10.docx	10/14/2010
Moderator Guide Childre 8-10 Years	F - Kids ages 8 to 10 Guide_supporting content_form. Attachment F19.28.10.doc	10/14/2010
Moderator Guide (Evaluation) Mothers of 6-10 Years	I - Low-Income Mom of kids 6-10 Guide_milk and whole grains_eval.8-10-10.docx	10/14/2010
Moderator Guide (Evaluation) Mothers 2-5 Years	J - Child Feeding Practices_eval.8-10-10.docx	10/14/2010
Moderator Guide (Evaluation) Communications Tools	K - Kids ages 8-10 Guide_communications tools_eval 8-10-10.docx	10/14/2010
Moderator Guide (Evaluation) Communications Tools Children 2-5/6-10 Years	L - Low-Income Mom Guide_communications tools_eval 8-10-10.docx	10/14/2010
Moderator Guide (Evaluation) Mothers of Children 2-5 Years	H - Low-Income Mom of kids 2-5 Guide_milk and whole grains_eval 8-10-10.docx	10/14/2010

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