Information Collection

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

IC 208496 under ICR 201606-0584-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 www.notyetcreated.com	Other-Attachment C CACFP Master Surv
Attachment C-SPANISH_HHFKA CACFP Section 221 Master Survey 7 26 13.docx www.notyetcreated.com	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: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS	Attachment A_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx		No		Paper Only
Other-Attachment A Spanish PRE-NOTIFICATION MESSAGE FOR CHILD CARE CENTERS	Attachment A-SPANISH_HHFKA Section 221 CACFP Phase 1_Pre-Notification to Participants_7 26 13.docx		No		Paper Only
Other-Attachment B REMINDER MESSAGE FOR CHILD CARE CENTERS	Attachment B_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx		No		Paper Only
Other-Attachment C CACFP Master Survey	Attachment C_HHFKA Section 221 CACFP Master Survey 7 26 13.docx	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Attachment C Spanish CACFP Master Survey	Attachment C-SPANISH_HHFKA CACFP Section 221 Master Survey 7 26 13.docx	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
Other-Attachment D CACFP FAQs	Attachment D_HHFKA Section 221 CACFP FAQs 7 26 13.docx		No		Paper Only
Other-Attachment D Spanish CACFP FAQs	Attachment D-SPANISH_HHFKA Section 221 CACFP FAQs 7 26 13.docx		No		Paper Only
Other-Attachment E Master Focus Group Screener	Attachment E_HHFKA CACPF Section 221 Master Focus Group Screener 7 26 13.docx		No		Paper Only
Other-Attachment F Master FG Discussion Guide	Attachment F_HHFKA Section 221 CACFP Master FG Discussion Guide 7 26 13.docx		No		Paper Only
Other-Attachment G Project Verification Letter to Participants	Attachment G_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx		No		Paper Only
Other-Attachment G Spanish Project Verification Letter to Participants	Attachment G-SPANISH_HHFKA Section 221 CACFP Project Verification Letter to Participants 7 26 13.docx		No		Paper Only
Other-Attachment H Telephone Contact Script for Survey	Attachment H_HHFKA Section 221 CACFP Telephone Contact Script for Survey 7 26 13.docx		No		Paper Only
Other-Attachment H Spanish Telephone Contact Script for Survey	Attachment H-SPANISH_HHFKA Section 221 CACFP Telephone Contact Script for Survey 8 2 13.docx		No		Paper Only
Other-Non Respondent Place Holder	NON RESPONDENT PLACE HOLDER.docx		No		Paper Only
Other-Attachment B-Spanish Reminder Notification	Attachment B-SPANISH_HHFKA Section 221 CACFP Reminder Notification to Participants 7 26 13.docx		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
	Requested	Previously Approved
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	HHFKA Section 221 CACFP Formative Research OMB Package_8 02 13.docx	09/05/2013
Burden Estimates Excel Chart	Burden Estimates HHFKS Section 221 CACFP 0524 7-29-13.xlsx	09/05/2013

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