Information Collection

Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)

IC 232369 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⚠️ Notice: This information collection may be referencing outdated material.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 D.1_Questionnaire for Participation in Focus Groups_Print Version.docx	Other-Attachment D.1: Questionnaire
Attachment D.2_Questionnaire for Participation in Focus Groups_Online Version.pdf	Other-Attachment D.2: Questionnaire
Attachment H_Parent Caregiver Focus Group Guidelines.docx	Other-Attachment H: Parent/Caregiver
Attachment I_Storybook Interview Form for Children.docx	Other-Attachment I: Storybook Interv
Attachment J_Storybook Measure for Children 3-5.pdf	Other-Attachment J: Storybook Measur
Attachment K_Survey for 6_12 Year Old Children.docx	Other-Attachment K: Survey for 6-12
Attachment L_Child Taste Test Ballot.docx	Other-Attachment L: Child Taste Test
Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.docx	Other-Attachment D- Recruitment Comm
Attachment N_Incentive Justification for Focus Group Participants_6.0.docx Attachment N: Incentive Justification for Focus Group Participants	IC Document
Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx Attachment O: Research Stimulus: Cooking Video Audition Clips	IC Document
O.1_Audition Clip_Africa Female.mp4 Attachment O.1: Audition Clip Africa Female	IC Document
O.2_FNS_MC_Audition Clip_Africa Male.m4v Attachment O.2: Audition Clip Africa Male	IC Document
O.3_Audition Clip_Asia Female.mp4 Attachment O.3: Audition Clip Asia Female	IC Document
O.4_Audition Clip_Asia Male.mp4 Attachment O.4: Audition Clip Asia Male	IC Document
O.5_Audition Clip_Central and South America Female.mp4 Attachment O.5: Audition Clip Central and South America Female	IC Document
O.6_Audition Clip_Central and South America Male.m4v Attachment O.6: Audition Clip Central and South America Male	IC Document
O.7_Audition Clip_Europe Female.m4v Attachment O.7: Audition Clip Europe Female	IC Document
O.8_Audition Clip_Europe Male.mp4 Attachment O.8: Audition Clip Europe Male	IC Document
O.9_Audition Clip_North America Female.m4v Attachment O.9: Audition Clip North America Female	IC Document
O.10_Audition Clip_North America Male.m4v Attachment O.10 Audition Clip North America Male	IC Document
Attachment P - Research Stimululs - Cooking Video Scripts.pdf Attachment P: Research Stimulus: Cooking Video Scripts	IC Document
Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf Attachment Q: Research Stimulus: Cooking Video Storyboards	IC Document
Attachment S - Research Stimulus - The Food Explorers Tasting the World!.pdf Attachment S: Research Stimulus: The Food Explorers: Tasting the World! Family Cookbook	IC Document
FNS_Multicultural_OMB Memo Final 07262018.pdf FNS_Multicultural_OMB Memo Final 07262018	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)

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?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment I: Storybook Interview Form for Children 3-5	Attachment I_Storybook Interview Form for Children.docx	No		Paper Only
Other-Attachment J: Storybook Measure for Children 3-5	Attachment J_Storybook Measure for Children 3-5.pdf	No		Paper Only
Other-Attachment K: Survey for 6-12 Year Old Children	Attachment K_Survey for 6_12 Year Old Children.docx	No		Paper Only
Other-Attachment L: Child Taste Test Ballot: Instructions for Completing the Taste Test Ballots with Children, Taste Test Faces, Taste Test Records Sheet	Attachment L_Child Taste Test Ballot.docx	No		Paper Only
Other-Attachment D.1: Questionnaire for Participation in Focus Group Research (Print Version)	Attachment D.1_Questionnaire for Participation in Focus Groups_Print Version.docx	No		Paper Only
Other-Attachment D.2: Questionnaire for Participation in Focus Group Research (Online Version)	Attachment D.2_Questionnaire for Participation in Focus Groups_Online Version.pdf	Yes	Yes	Fillable Fileable
Other-Attachment H: Parent/Caregiver Focus Group Guideline	Attachment H_Parent Caregiver Focus Group Guidelines.docx	No		Paper Only
Other-Attachment D- Recruitment Communications and Consent Document for Parents/Caregivers	Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.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: 664

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	1,620	1,620
Annual IC Time Burden (Hours)	386	386
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment N: Incentive Justification for Focus Group Participants	Attachment N_Incentive Justification for Focus Group Participants_6.0.docx	07/26/2018
Attachment O: Research Stimulus: Cooking Video Audition Clips	Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx	07/26/2018
Attachment O.1: Audition Clip Africa Female	O.1_Audition Clip_Africa Female.mp4	07/26/2018
Attachment O.2: Audition Clip Africa Male	O.2_FNS_MC_Audition Clip_Africa Male.m4v	07/26/2018
Attachment O.3: Audition Clip Asia Female	O.3_Audition Clip_Asia Female.mp4	07/26/2018
Attachment O.4: Audition Clip Asia Male	O.4_Audition Clip_Asia Male.mp4	07/26/2018
Attachment O.5: Audition Clip Central and South America Female	O.5_Audition Clip_Central and South America Female.mp4	07/26/2018
Attachment O.6: Audition Clip Central and South America Male	O.6_Audition Clip_Central and South America Male.m4v	07/26/2018
Attachment O.7: Audition Clip Europe Female	O.7_Audition Clip_Europe Female.m4v	07/26/2018
Attachment O.8: Audition Clip Europe Male	O.8_Audition Clip_Europe Male.mp4	07/26/2018
Attachment O.9: Audition Clip North America Female	O.9_Audition Clip_North America Female.m4v	07/26/2018
Attachment O.10 Audition Clip North America Male	O.10_Audition Clip_North America Male.m4v	07/26/2018
Attachment P: Research Stimulus: Cooking Video Scripts	Attachment P - Research Stimululs - Cooking Video Scripts.pdf	07/26/2018
Attachment Q: Research Stimulus: Cooking Video Storyboards	Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf	07/26/2018
Attachment S: Research Stimulus: The Food Explorers: Tasting the World! Family Cookbook	Attachment S - Research Stimulus - The Food Explorers Tasting the World!.pdf	07/26/2018
FNS_Multicultural_OMB Memo Final 07262018	FNS_Multicultural_OMB Memo Final 07262018.pdf	07/26/2018

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