Information Collection

Formative Research to Develop Multicultural Nutrition Education for Child Care (SLT - Site Directors and Classroom Providers)

IC 232841 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⚠️ Notice: This information collection may be referencing outdated material.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 A_Recruitment Communications for Providers_Directors.docx	Other-Attachment A: Recruitment Comm
Attachment B_Consent for Child Care Providers_ Site.docx	Other-Attachment B: Consent for Chil
Attachment C_Site Confirmation Letter.docx	Other-Attachment C: Site Confirmatio
Attachment E_Research Introduction and Overview for Providers.docx	Other-Attachment E: Research Introdu
Attachment F_Child Care Provider Interview Guide_Revised.docx	Other-Attachment F: Child Care Provi
Attachment G_Child Care Provider Journal.docx	Other-Attachment G: Child Care Provi
Attachment L_Child Taste Test Ballot.docx	Other-Attachment L: Child Taste Test
Attachment M.1_Child Care Director Consent Letter and Survey_Print Version.docx	Other-Attachment M.1: Child Care Dir
Attachment M.2_Child Care Director Email Consent Letter and Survey_Web Version.pdf	Other-Attachment M.2: Child Care Dir
Attachment V_Provider Follow Up Interview.docx	Other-Attachment V: Provider Follow
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 StimulusL Cooking Video Scripts	IC Document
Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf Attachment Q: Research Stimulus: Cooking Video Storyboards	IC Document
Attachment R_Research Stimulus- Food Explorers_Tasting the World! Nutrition Education Guide.pdf Attachment R: Research Stimulus: Food Explorers: Tasting the World! Nutrition Education Guide	IC Document
Attachment T_Research Stimulus_Food Explorers Poster.pdf Attachment T: Research Stimulus: Food Explorers Poster	IC Document
Attachment U_Stipend Justification for Child Care Sites.docx Attachment U: Stipend Justification for Child Care Sites	IC Document
Attachment W_Research Stimulus_Recipe Review.pdf Attachment W: Research Stimulus: Recipe Review	IC Document
Attachment X IRB Letter.pdf Attachment X: IRB Letter	IC Document
FNS_Multicultural_OMB Memo Final 07262018.docx 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 (SLT - Site Directors and Classroom Providers)

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 V: Provider Follow Up Interview	Attachment V_Provider Follow Up Interview.docx	No		Paper Only
Other-Attachment A: Recruitment Communications for Child Care Providers and Directors	Attachment A_Recruitment Communications for Providers_Directors.docx	Yes	No	Fillable Printable
Other-Attachment B: Consent for Child Care Providers	Attachment B_Consent for Child Care Providers_ Site.docx	No		Paper Only
Other-Attachment C: Site Confirmation Letter	Attachment C_Site Confirmation Letter.docx	No		Paper Only
Other-Attachment E: Research Introduction and Overview for Providers	Attachment E_Research Introduction and Overview for Providers.docx	No		Paper Only
Other-Attachment F: Child Care Provider Interview Guideline	Attachment F_Child Care Provider Interview Guide_Revised.docx	No		Paper Only
Other-Attachment G: Child Care Provider Journal	Attachment G_Child Care Provider Journal.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 M.1: Child Care Director Consent Letter and Survey, Print Version	Attachment M.1_Child Care Director Consent Letter and Survey_Print Version.docx	No		Paper Only
Other-Attachment M.2: Child Care Director Email, Consent Letter, and Survey - Web Version	Attachment M.2_Child Care Director Email Consent Letter and Survey_Web Version.pdf	Yes	Yes	Fillable Fileable

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: 1,250

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 8 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,088	2,088
Annual IC Time Burden (Hours)	322	322
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment O: Research Stimulus: Cooking Video Audition Clips	Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx	08/28/2018
Attachment O.1: Audition Clip Africa Female	O.1_Audition Clip_Africa Female.mp4	08/28/2018
Attachment O.2: Audition Clip Africa Male	O.2_FNS_MC_Audition Clip_Africa Male.m4v	08/28/2018
Attachment O.3: Audition Clip Asia Female	O.3_Audition Clip_Asia Female.mp4	08/28/2018
Attachment O.4: Audition Clip Asia Male	O.4_Audition Clip_Asia Male.mp4	08/28/2018
Attachment O.5: Audition Clip Central and South America Female	O.5_Audition Clip_Central and South America Female.mp4	08/28/2018
Attachment O.6: Audition Clip Central and South America Male	O.6_Audition Clip_Central and South America Male.m4v	08/28/2018
Attachment O.7: Audition Clip Europe Female	O.7_Audition Clip_Europe Female.m4v	08/28/2018
Attachment O.8: Audition Clip Europe Male	O.8_Audition Clip_Europe Male.mp4	08/28/2018
Attachment O.9: Audition Clip North America Female	O.9_Audition Clip_North America Female.m4v	08/28/2018
Attachment O.10 Audition Clip North America Male	O.10_Audition Clip_North America Male.m4v	08/28/2018
Attachment P: Research StimulusL Cooking Video Scripts	Attachment P - Research Stimululs - Cooking Video Scripts.pdf	08/28/2018
Attachment Q: Research Stimulus: Cooking Video Storyboards	Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf	08/28/2018
Attachment R: Research Stimulus: Food Explorers: Tasting the World! Nutrition Education Guide	Attachment R_Research Stimulus- Food Explorers_Tasting the World! Nutrition Education Guide.pdf	08/28/2018
Attachment T: Research Stimulus: Food Explorers Poster	Attachment T_Research Stimulus_Food Explorers Poster.pdf	08/28/2018
Attachment U: Stipend Justification for Child Care Sites	Attachment U_Stipend Justification for Child Care Sites.docx	08/28/2018
Attachment W: Research Stimulus: Recipe Review	Attachment W_Research Stimulus_Recipe Review.pdf	08/28/2018
Attachment X: IRB Letter	Attachment X IRB Letter.pdf	08/28/2018
FNS_Multicultural_OMB Memo Final 07262018	FNS_Multicultural_OMB Memo Final 07262018.docx	08/28/2018

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