Information Collection

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

IC 227532 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⚠️ Notice: This information collection may be referencing outdated material.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
AttA_Nibbles_Screener_ParentCaregiver_Triad_Eng Final (rev).doc	Other-Attachment A: Screener: Parent
AttB_Nibbles_Screener_ParentCaregiver_Triad_Span Final (rev) .doc	Other-Attachment B: Parent/Caregiver
AttG_Nibbles Consent Form_ParentCaregiver_Triads_Eng.docx	Other-Attachment G: Consent Form: Pa
AttH_Nibbles Consent Form_ParentCaregiver_Triads_Spanish.docx	Other-Attachment H: Consent Form: Pa
AttL_Nibbles_TriadModGuide_ParentCaregiver_Eng.docx	Other-Attachment L: Triad Moderator'
AttM_Nibbles_TriadModGuide_ ParentCaregiver_Span.docx	Other-Attachment M: Triad Moderator'
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
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 (Individuals/Households)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment A: Screener: Parent/Caregiver Triad (English)	AttA_Nibbles_Screener_ParentCaregiver_Triad_Eng Final (rev).doc	No	Paper Only
Other-Attachment B: Parent/Caregiver Triad (Spanish)	AttB_Nibbles_Screener_ParentCaregiver_Triad_Span Final (rev) .doc	No	Paper Only
Other-Attachment G: Consent Form: Parent/Caregiver Triads (English)	AttG_Nibbles Consent Form_ParentCaregiver_Triads_Eng.docx	No	Paper Only
Other-Attachment H: Consent Form: Parent/Caregiver Triads (Spanish)	AttH_Nibbles Consent Form_ParentCaregiver_Triads_Spanish.docx	No	Paper Only
Other-Attachment L: Triad Moderator's Guide: Parent/Caregiver (English)	AttL_Nibbles_TriadModGuide_ParentCaregiver_Eng.docx	No	Paper Only
Other-Attachment M: Triad Moderator's Guide: Parent/Caregiver (Spanish)	AttM_Nibbles_TriadModGuide_ ParentCaregiver_Span.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: FNS-8, FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	195	195
Annual IC Time Burden (Hours)	101	101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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
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.