OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Team Nutrition Educational Materials for Summer Meals - Individuals/Households (IC 2 of 2)

IC 216855 under ICR 201606-0584-004 · OMB 0584-0524.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A Active Consent Package for ParentsCaregivers_Final.docx Other-Attachment A Active Consent Pa
Attachment B Passive Consent Package for ParentsCaregivers_Final.docx Other-Attachment B Passive Consent P
Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final.docx Other-Attachment D Moderators Guide
Attachment E Worksheet for ParentCaregive Focus Groups_Final.docx Other-Attachment E Worksheet for Par
Attachment F Focus Group Flyer for ParentsCaregivers.docx Other-Attachment F Focus Group Flyer
Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.docx Other-Attachment F Focus Group Flyer
Attachment J Taste Test Ballot and Site Operator Script_5_28.docx Other-Attachment J Taste Test Ballot
Attachment K Child Survey_Final.docx Other-Attachment K Child Survey_Fina
Attachment L Verbal Child Assent Script_Final.docx Other-Attachment L Verbal Child Asse
Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.docx Other-Attachment G ParentCaregiver F
Task 3 OMB Memo_Revised 061715.docx
Task 3 OMB Memo_Revised 061715		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A Active Consent Package for ParentsCaregivers_Final Attachment A Active Consent Package for ParentsCaregivers_Final.docx No   Paper Only
Other-Attachment B Passive Consent Package for ParentsCaregivers_Final Attachment B Passive Consent Package for ParentsCaregivers_Final.docx No   Paper Only
Other-Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final Attachment D Moderators Guide for ParentCaregiver Focus Groups_Final.docx No   Paper Only
Other-Attachment E Worksheet for ParentCaregive Focus Groups_Final Attachment E Worksheet for ParentCaregive Focus Groups_Final.docx No   Paper Only
Other-Attachment F Focus Group Flyer for ParentsCaregivers Attachment F Focus Group Flyer for ParentsCaregivers.docx No   Paper Only
Other-Attachment F Focus Group Flyer for ParentsCaregivers Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.docx No   Paper Only
Other-Attachment J Taste Test Ballot and Site Operator Script_5_28 Attachment J Taste Test Ballot and Site Operator Script_5_28.docx No   Paper Only
Other-Attachment K Child Survey_Final Attachment K Child Survey_Final.docx No   Paper Only
Other-Attachment L Verbal Child Assent Script_Final Attachment L Verbal Child Assent Script_Final.docx No   Paper Only
Other-Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28 Attachment G ParentCaregiver Follow Up Letter and Phone Script_5_28.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 3,388 0 0 0 0 3,388
Annual IC Time Burden (Hours) 409 0 0 0 0 409
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Task 3 OMB Memo_Revised 061715 Task 3 OMB Memo_Revised 061715.docx 06/17/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.