Information Collection

Team Nutrition Educational Materials for Summer Meals

IC 216551 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⚠️ Notice: This information collection may be referencing outdated material.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
20150224 Attachment A Screener for ParentCaregivers - English.docx	Other-20150224 Attachment A Screener
20150224 Attachment A Screener for ParentCaregivers - Spanish.docx	Other-20150224 Attachment A Screener
20150511 Attachment B_Consent Form for ParentsCaregivers - English.docx	Other-20150511 Attachment B_Consent
20150511 Attachment B_Consent Form for ParentsCaregivers - Spanish.docx	Other-20150511 Attachment B_Consent
20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - English.docx	Other-20150224 Attachment C Moderato
20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - Spanish.docx	Other-20150224 Attachment C Moderato
20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - English.docx	Other-20150224 Attachment D_Workshee
20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - Spanish.docx	Other-20150224 Attachment D_Workshee
Attachment E_ParentHandout - English.pdf	Other-Attachment E_ParentHandout - E
Attachment E_ParentHandout - Spanish.pdf	Other-Attachment E_ParentHandout - S
Attachment F_Infographic - English.pdf	Other-Attachment F_Infographic - Eng
Attachment F_Infographic - Spanish.pdf	Other-Attachment F_Infographic - Spa
20150511 FNS Summer Meals_Task 1 Research_OMB Application[1].docx Request for Approval to Perform Formative Research for Team Nutrition Educational Materials for Summer Meals	IC Document
20150511 Attachment G Incentive Justification1_edits.docx 20150511 Attachment G Incentive Justification1_edits	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Team Nutrition Educational Materials for Summer Meals

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-20150224 Attachment A Screener for ParentCaregivers - English	20150224 Attachment A Screener for ParentCaregivers - English.docx	No	Paper Only
Other-20150224 Attachment A Screener for ParentCaregivers - Spanish	20150224 Attachment A Screener for ParentCaregivers - Spanish.docx	No	Paper Only
Other-20150511 Attachment B_Consent Form for ParentsCaregivers - English	20150511 Attachment B_Consent Form for ParentsCaregivers - English.docx	No	Paper Only
Other-20150511 Attachment B_Consent Form for ParentsCaregivers - Spanish	20150511 Attachment B_Consent Form for ParentsCaregivers - Spanish.docx	No	Paper Only
Other-20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - English	20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - English.docx	No	Paper Only
Other-20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - Spanish	20150224 Attachment C Moderator's Guide for ParentCaregiver Focus Groups - Spanish.docx	No	Paper Only
Other-20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - English	20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - English.docx	No	Paper Only
Other-20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - Spanish	20150224 Attachment D_Worksheet for ParentCaregiver Focus Groups - Spanish.docx	No	Paper Only
Other-Attachment E_ParentHandout - English	Attachment E_ParentHandout - English.pdf	No	Paper Only
Other-Attachment E_ParentHandout - Spanish	Attachment E_ParentHandout - Spanish.pdf	No	Paper Only
Other-Attachment F_Infographic - English	Attachment F_Infographic - English.pdf	No	Paper Only
Other-Attachment F_Infographic - Spanish	Attachment F_Infographic - Spanish.pdf	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: FNS-8, FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 9,600

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	9,740	9,740
Annual IC Time Burden (Hours)	910	910
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval to Perform Formative Research for Team Nutrition Educational Materials for Summer Meals	20150511 FNS Summer Meals_Task 1 Research_OMB Application[1].docx	05/11/2015
20150511 Attachment G Incentive Justification1_edits	20150511 Attachment G Incentive Justification1_edits.docx	05/11/2015

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