OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 230222 under ICR 201606-0584-008 · OMB 0584-0524.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A- Consent Package for Mothers Revised 031518.docx Other-Attachment A: Consent Package
Attachment AA –Consent Package for Mothers Spanish Revised 03152018.docx Other-Attachment AA:Consent Package
Attachment C- Current Breastfeeding Mothers Guideline_v4.0.docx Other-Attachment C: Current Breastfe
Attachment CC – Current Breastfeeding Mothers Guideline (Spanish)_v4.0.docx Other-Attachment CC: Current Breastf
Attachment D - Expecting Mothers Guideline_v4.0.docx Other-Attachment D: Expecting Mother
Attachment DD – Expecting Mothers Guideline (Spanish)_v4.0.docx Other-Attachment DD: Expecting Mothe
Attachment I - Research Stimuli for Parents21318 - English.pdf Other-Attachment I: Research Stimuli
Attachment K - Research Stimuli for Parents21318 - Spanish.pdf Other-Attachment K: Research Stimuli
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

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 C: Current Breastfeeding Mothers Focus Group Guideline Attachment C- Current Breastfeeding Mothers Guideline_v4.0.docx No   Paper Only
Other-Attachment CC: Current Breastfeeding Mothers Focus Group Guideline (Spanish) Attachment CC – Current Breastfeeding Mothers Guideline (Spanish)_v4.0.docx No   Paper Only
Other-Attachment D: Expecting Mothers Focus Group Guideline Attachment D - Expecting Mothers Guideline_v4.0.docx No   Paper Only
Other-Attachment DD: Expecting Mothers Focus Group Guideline (Spanish) Attachment DD – Expecting Mothers Guideline (Spanish)_v4.0.docx No   Paper Only
Other-Attachment I: Research Stimuli for Parents - English Attachment I - Research Stimuli for Parents21318 - English.pdf No   Paper Only
Other-Attachment K: Research Stimuli for Parents - Spanish Attachment K - Research Stimuli for Parents21318 - Spanish.pdf No   Paper Only
Other-Attachment A: Consent Package for Mothers and Expectant Mothers:Focus Group Flyer,Consent Cover Letter,Informed Consent Form,Questionnaire for Participation,and Focus Group Reminder Phone Call Script Attachment A- Consent Package for Mothers Revised 031518.docx No   Paper Only
Other-Attachment AA:Consent Package for Mothers and Expectant Mothers:Focus Group Flyer,Consent Cover Letter,Informed Consent Form,Questionnaire for Participation,Focus Group Reminder PhoneCallScript(Span) Attachment AA –Consent Package for Mothers Spanish Revised 03152018.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 704 0 704 0 0 0
Annual IC Time Burden (Hours) 358 0 358 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Attachment H: Incentive Justification for Focus Group Participants Attachment H Incentive Justification for Focus Group Participants Revised 03152018.docx 03/16/2018
Feeding Infants OMB Package Memo Feeding Infants OMB Package Memo Final 03152018.docx 03/16/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.