Information Collection

Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (SLT)

IC 230221 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment B- Consent Package for Directors and Providers2918.docx	Other-Attachment B: Consent Package
Attachment BB- Consent Package for Directors and Providers (Spanish)2918.docx	Other-Attachment BB: Consent Package
Attachment E - Director and Provider Interview Guideline_v4.0.docx	Other-Attachment E: Director and Pro
Attachment EE - Director and Provider Interview Guideline (Spanish)_v4.0.docx	Other-Attachment EE: Director and Pr
Attachment F - Director and Provider Recruitment Communicatiion Revised 03152018.docx	Other-Attachment F:Director and Prov
Attachment J - Research Stimuli for Providers21318 - English.pdf	Other-Attachment J: Research Stimuli
Attachment L - Research Stimuli for Providers 2918– Spanish.pdf	Other-Attachment L: Research Stimuli
Attachment G - Site Confirmation Letter Revised 03152018.docx Attachment G: Site Confirmation Letter	IC Document
Attachment H Incentive Justification for Focus Group Participants Revised 03152018.docx Attachment H: Incentive Justification for Focus Group Participants	IC Document
Feeding Infants OMB Package Memo Final 03152018.docx Feeding Infants OMB Package Memo	IC Document

IC Title:

Formative Research to Revise Materials for Mothers and Child Care Providers of Infants (SLT)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-Attachment B: Consent Package for Directors and Providers: Consent Cover Letter, Informed Consent Form, and Questionnaire for Participation	No	Paper Only
Other-Attachment BB: Consent Package for Directors and Providers: Consent Cover Letter, Informed Consent Form, and Questionnaire for Participation (Spanish)	No	Paper Only
Other-Attachment E: Director and Provider Interview Guideline	No	Paper Only
Other-Attachment EE: Director and Provider Interview Guideline (Spanish)	No	Paper Only
Other-Attachment F:Director and Provider Recruitment Communications:Initial Recruitment Email,Initial Recruitment Phone Call,FollowUp Email to Interested Sites,FollowUp Call with Interested Site Directors	No	Paper Only
Other-Attachment J: Research Stimuli for Child Care Providers - English	No	Paper Only
Other-Attachment L: Research Stimuli for Child Care Providers - Spanish	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 182

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	234	234
Annual IC Time Burden (Hours)	94	94
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment G: Site Confirmation Letter		03/16/2018
Attachment H: Incentive Justification for Focus Group Participants		03/16/2018
Feeding Infants OMB Package Memo		03/16/2018

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

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