Information Collection

Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)

IC 227531 under ICR 201606-0584-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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
AttC_Nibbles_Screener_ChildCareProvider_Eng Final (rev).doc	Other-Attachment C: Screener: Child
AttD_Nibbles_Screener_ChildCareProvider_Span Final (rev).doc	Other-Attachment D: Screener: Child
AttI_Nibbles_Consent Form_ChildCareProvider_Eng.docx	Other-Attachment I: Consent Form: Ch
AttJ_Nibbles_Consent Form_ChildCareProvider_Spa.docx	Other-Attachment J: Consent Form: Ch
AttK_Nibbles Consent Form_CACFPSite.docx	Other-Attachment K: Consent Form: CA
AttN_Nibbles_IntervFacGuide_Provider_Eng.docx	Other-Attachment N: Interview Facili
AttO_Nibbles_IntervFacGuide_Provider_Span.doc	Other-Attachment O: Interview Facili
AttU_Nibbles_Screener for CACFP Sites.docx	Other-Attachment U: Screener for CAC
AttV_Nibbles_FollowUpScreener for CACFP Sites.docx	Other-Attachment V: CACFP Site Scree
AttW_CACFP Site Email Confirmation.docx	Other-Attachment W: CACFP Site Confi
AttE_Nibbles_RecruitmentFlyer_Eng.pdf Attachment E: Recruitment Flyer: Parent/Caregiver Triad (English)	IC Document
AttF_Nibbles_RecruitmentFlyer_Spa.pdf Attachment F: Recruitment Flyer: Parent/Cargiver Triad (Spanish)	IC Document
AttP_Nibbles_Stimulus_NibblesNewsletters_Eng.pdf Attachment P: Stimulus: Nibbles for Health Newsletters (English)	IC Document
AttQ_Stimulus_NibblesforHealthNewsletters_Spa.pdf Attachment Q: Stimulus: Nibbles for Health Newsletters (Spanish)	IC Document
AttR_Stimulus_ProviderHandbookTips_Eng.pdf Attachment R: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Prog	IC Document
AttS_Stimulus_ProviderHandbookTips_Spa.pdf Attachment S: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Prog	IC Document
AttT_Stimulus_ProviderHandbookIllustrations.pdf Attachment T: Stimulus: Sample illustrations for use in Nutrition and Wellness Tips for Young Children: Provider Handbook for th	IC Document
AttX_ICF_IRB Approval.pdf Attachment X: IRB Approval	IC Document
AttY_Stimulus_SampleIllustrationsNibbles.pdf Attachment Y: Sample illustrations for use in Nibbles for Health Newsletters	IC Document
Nibbles_OMB Memo_Final (rev).pdf Nibbles_OMB Memo_Final (rev)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment C: Screener: Child Care Provider (English)	AttC_Nibbles_Screener_ChildCareProvider_Eng Final (rev).doc	No		Paper Only
Other-Attachment D: Screener: Child Care Provider (Spanish)	AttD_Nibbles_Screener_ChildCareProvider_Span Final (rev).doc	No		Paper Only
Other-Attachment I: Consent Form: Child Care Provider (English)	AttI_Nibbles_Consent Form_ChildCareProvider_Eng.docx	No		Paper Only
Other-Attachment J: Consent Form: Child Care Provider (Spanish)	AttJ_Nibbles_Consent Form_ChildCareProvider_Spa.docx	No		Paper Only
Other-Attachment K: Consent Form: CACFP Site	AttK_Nibbles Consent Form_CACFPSite.docx	No		Paper Only
Other-Attachment N: Interview Facilitator's Guide: Child Care Provider (English)	AttN_Nibbles_IntervFacGuide_Provider_Eng.docx	No		Paper Only
Other-Attachment O: Interview Facilitator's Guide: Child Care Provider (Spanish)	AttO_Nibbles_IntervFacGuide_Provider_Span.doc	No		Paper Only
Other-Attachment U: Screener for CACFP Sites	AttU_Nibbles_Screener for CACFP Sites.docx	No		Paper Only
Other-Attachment V: CACFP Site Screener - Follow-up	AttV_Nibbles_FollowUpScreener for CACFP Sites.docx	No		Paper Only
Other-Attachment W: CACFP Site Confirmation Email	AttW_CACFP Site Email Confirmation.docx	Yes	No	Fillable Printable

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: 36

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment E: Recruitment Flyer: Parent/Caregiver Triad (English)	AttE_Nibbles_RecruitmentFlyer_Eng.pdf	07/14/2017
Attachment F: Recruitment Flyer: Parent/Cargiver Triad (Spanish)	AttF_Nibbles_RecruitmentFlyer_Spa.pdf	07/14/2017
Attachment P: Stimulus: Nibbles for Health Newsletters (English)	AttP_Nibbles_Stimulus_NibblesNewsletters_Eng.pdf	07/14/2017
Attachment Q: Stimulus: Nibbles for Health Newsletters (Spanish)	AttQ_Stimulus_NibblesforHealthNewsletters_Spa.pdf	07/14/2017
Attachment R: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP) (English)	AttR_Stimulus_ProviderHandbookTips_Eng.pdf	07/14/2017
Attachment S: Stimulus: Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP) (Spanish)	AttS_Stimulus_ProviderHandbookTips_Spa.pdf	07/14/2017
Attachment T: Stimulus: Sample illustrations for use in Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP)	AttT_Stimulus_ProviderHandbookIllustrations.pdf	07/14/2017
Attachment X: IRB Approval	AttX_ICF_IRB Approval.pdf	07/14/2017
Attachment Y: Sample illustrations for use in Nibbles for Health Newsletters	AttY_Stimulus_SampleIllustrationsNibbles.pdf	07/14/2017
Nibbles_OMB Memo_Final (rev)	Nibbles_OMB Memo_Final (rev).pdf	07/14/2017

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