Generic Clearance to Conduct Formative Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0584-0524 Supporting Statement Part B for Generic Clearance.docx	Supporting Statement B	Uploaded 2016-06-20	Available
0584-0524 Supporting Statement Part A for Generic Clearance.docx	Supporting Statement A	Uploaded 2016-06-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236879	Mealtimes with Toddlers in the Child and Adult Care Food Program (SLT)	Other-Attachment L: Screener for Research Participation	New
235953	Improving School Meal Program Accuracy through Pre-Ordering and Grab and Go Systems - Students (Individuals/Households)	Other-Attachment E.1 - Pre-ordering App Examples - Paper	New
235952	Improving School Meal Program Accuracy through Pre-Ordering and Grab and Go Systems - SA, SFAs, and Schools (SLT)	Other-Attachment D.1 - SFA/School Follow-up Script	New
233698	Child Nutrition Formative Research on Administrative Review and Training Grants - SAs and SFAs	Other-Appendix B State Agency Follow-up Interview Protocol	New
232841	Formative Research to Develop Multicultural Nutrition Education for Child Care (SLT - Site Directors and Classroom Providers)	Other-Attachment V: Provider Follow Up Interview	New
232369	Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)	Other-Attachment I: Storybook Interview Form for Children 3-5	New
230222	Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (Individuals and Households)	Other-Attachment C: Current Breastfeeding Mothers Focus Group Gu	New
230221	Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (SLT)	Other-Attachment B: Consent Package for Directors and Providers:	New
227532	Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (Individuals/Households)	Other-Attachment A: Screener: Parent/Caregiver Triad (English)	New
227531	Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)	Other-Attachment C: Screener: Child Care Provider (English)	New
227325	FNS-742 Data Study (1 of 2)	Other- Appendix B - FNS-742	New
227316	FNS-742 Data Study (2 of 2)	Other-Appendix C - Interview guide	New
225829	Digital Nutrition Education Materials for Middle School Students (Individuals/Households) - IC 2 of 2	Other-Attachment B Consent Packge for Parent/Caregivers: Parent/	New
225828	Digital Nutrition Education Materials for Middle School Teachers (SLT) - IC 1 of 2	Other-Attachment A Consent Package for Teachers: Teacher Consent	New
225270	Team Nutrition Cooks - Individuals and Households	Other-Attachment A Parent/Caregiver Informed Consent for Child P	New
225228	Team Nutrition Cooks - State, Local, and Tribal Government	Other-Attachment B Program Operator Informed Consent	New
223807	WIC Breastfeeding Curricula Training SLT Agencies	Other-WIC DBE Survey Screen shots	New
222062	Team Nutrition Educational Technology Environmental Scan	Other-Attachment A_Consent Package for School Focus Groups	New
222061	Consumer Research for Nutrition Educatoin and Promotion Activities (Business IC)	Other-Appendix A.4 FNS-816 Level 1 Event Feedback Form	New
222060	Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)	Other-Appendix A.1 FNS-781 Team Nutrition School Enrollment Web	New

ICR Details

OMB Control No: 0584-0524	ICR Reference No: 201606-0584-008
Status: Historical Active	Previous ICR Reference No: 201606-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Generic Clearance to Conduct Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2016
	Date Received in OIRA: 06/27/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved	09/30/2016
Responses	120,500	0	151,700
Time Burden (Hours)	46,781	0	58,405
Cost Burden (Dollars)	0	0	0

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Abstract: Information collection is necessary to obtain formative input on the development of nutrition education materials and related tools for population groups served by the U.S. Department of Agriculture

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Authorizing Statute(s): PL: Pub.L. 107 - 249 202-215 Name of Law: Emergency Food Assistance Act of 1983
   PL: Pub.L. 107 - 293 5 Name of Law: Agriculture and Consumer Protection Act of 1973
   PL: Pub.L. 108 - 269 17 Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 109 - 85 17 Name of Law: Child Nutrition Act of 1966
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 8474	02/19/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 41515	06/27/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 20

table that charts list of burden

IC Title	Form No.	Form Name
Improving School Meal Program Accuracy through Pre-Ordering and Grab and Go Systems - Students (Individuals/Households)
Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (Individuals and Households)
Improving School Meal Program Accuracy through Pre-Ordering and Grab and Go Systems - SA, SFAs, and Schools (SLT)
Formative Research to Develop Multicultural Nutrition Education for Child Care (SLT - Site Directors and Classroom Providers)
FNS-742 Data Study (2 of 2)
Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)
Team Nutrition Cooks - Individuals and Households
Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)
Child Nutrition Formative Research on Administrative Review and Training Grants - SAs and SFAs
WIC Breastfeeding Curricula Training SLT Agencies
Team Nutrition Educational Technology Environmental Scan
Digital Nutrition Education Materials for Middle School Teachers (SLT) - IC 1 of 2
FNS-742 Data Study (1 of 2)
Consumer Research for Nutrition Educatoin and Promotion Activities (Business IC)
Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)
Team Nutrition Cooks - State, Local, and Tribal Government
Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (Individuals/Households)
Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (SLT)
Mealtimes with Toddlers in the Child and Adult Care Food Program (SLT)
Digital Nutrition Education Materials for Middle School Students (Individuals/Households) - IC 2 of 2

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	120,500	151,700	0	-31,200	0	0
Annual Time Burden (Hours)	46,781	58,405	0	-11,624	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated burden for this generic has been reduced by approximately 20% based upon historical usage of the generic information collection and future projections. The burden hours have been reduced from 58,405 to 46,781 and responses reduced from 151,700 to 120,500 due to this estimate adjustment.

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Annual Cost to Federal Government: $400,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/27/2016

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