Information Collection

HHFKA CACFP Focus Group (Business Provider Group: CCC, FDC & SO)

IC 208496 under ICR 201308-0584-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx	Other-Attachment A PRE-NOTIFICATION
Attachment A-SPANISH_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx	Other-Attachment A Spanish PRE-NOTIF
Attachment B_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx	Other-Attachment B REMINDER MESSAGE
Attachment C_HHFKA Section 221 CACFP Master Survey 7 26 13.docx	Other-Attachment C CACFP Master Surv
Attachment C-SPANISH_HHFKA CACFP Section 221 Master Survey 7 26 13.docx	Other-Attachment C Spanish CACFP Mas
Attachment D_HHFKA Section 221 CACFP FAQs 7 26 13.docx	Other-Attachment D CACFP FAQs
Attachment D-SPANISH_HHFKA Section 221 CACFP FAQs 7 26 13.docx	Other-Attachment D Spanish CACFP FAQ
Attachment E_HHFKA CACPF Section 221 Master Focus Group Screener 7 26 13.docx	Other-Attachment E Master Focus Grou
Attachment F_HHFKA Section 221 CACFP Master FG Discussion Guide 7 26 13.docx	Other-Attachment F Master FG Discuss
Attachment G_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx	Other-Attachment G Project Verificat
Attachment G-SPANISH_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx	Other-Attachment G Spanish Project V
Attachment H_HHFKA Section 221 CACFP Telephone Contact Script for Survey 7 26 13.docx	Other-Attachment H Telephone Contact
Attachment H-SPANISH_HHFKA Section 221 CACFP Telephone Contact Script for Survey 8 2 13.docx	Other-Attachment H Spanish Telephone
NON RESPONDENT PLACE HOLDER.docx	Other-Non Respondent Place Holder
Attachment B-SPANISH_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx	Other-Attachment B-Spanish Reminder
HHFKA Section 221 CACFP Formative Research OMB Package_8 02 13.docx OMB Generic Clearance Justification	IC Document
Burden Estimates HHFKS Section 221 CACFP 0524 7-29-13.xlsx Burden Estimates Excel Chart	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

HHFKA CACFP Focus Group (Business Provider Group: CCC, FDC & SO)

Agency IC Tracking Number:

Version 2

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS		No		Paper Only
Other-Attachment A Spanish PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS		No		Paper Only
Other-Attachment B REMINDER MESSAGE FOR CHILD CARE CENTERS		No		Paper Only
Other-Attachment C CACFP Master Survey	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Attachment C Spanish CACFP Master Survey	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Attachment D CACFP FAQs		No		Paper Only
Other-Attachment D Spanish CACFP FAQs		No		Paper Only
Other-Attachment E Master Focus Group Screener		No		Paper Only
Other-Attachment F Master FG Discussion Guide		No		Paper Only
Other-Attachment G Project Verification Letter to Participants		No		Paper Only
Other-Attachment G Spanish Project Verification Letter to Participants		No		Paper Only
Other-Attachment H Telephone Contact Script for Survey		No		Paper Only
Other-Attachment H Spanish Telephone Contact Script for Survey		No		Paper Only
Other-Non Respondent Place Holder		No		Paper Only
Other-Attachment B-Spanish Reminder Notification		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: USDA/FNS 8 Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 2,000

Number of Respondents for Small Entity: 1,900

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,492	4,492
Annual IC Time Burden (Hours)	337	337
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Generic Clearance Justification		09/05/2013
Burden Estimates Excel Chart		09/05/2013

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

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