Information Collection

Mealtimes with Toddlers in the Child and Adult Care Food Program (SLT)

IC 236879 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⚠️ Notice: This information collection may be referencing outdated material.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 F_Follow up call to screened research participants.docx	Other-Attachment F: Follow Up Call t
Attachment K_Consent form for research participation.pdf	Other-Attachment K: Consent Form for
Attachment L - Screener for research participation clean 09062019.pdf	Other-Attachment L: Screener for Res
Attachment N_Guideline for in depth interview English.docx	Other-Attachment N: Guideline for In
Attachment O_Guideline for in depth interview Spanish.docx	Other-Attachment O: Guideline for In
Attachment L - Screener for research participation clean 09062019.pdf	Other-Screener
Attachment A_Mailing flyer for child care site directors.docx Attachment A: Mailing Flyer for Child Care Site Directors	IC Document
Attachment B_Mailing flyer for child care site providers.docx Attachment B: Mailing Flyer for Child Care Site Providers	IC Document
Attachment C_Initial call script for child care site directors and providers.docx Attachment C: Initial Call Script for Child Care Site Directors and Providers	IC Document
Attachment D_Initial email for child care site directors.docx Attachment D: Initial Email for Child Care Site Directors	IC Document
Attachment E_Email instructions for child care site directors and providers.docx Attachment E: Email Instructions for Child Care Site Directors and Providers	IC Document
Attachment G_Scheduling confirmation email for research participant.docx Attachment G: Scheduling Confirmation Email for Research Participant	IC Document
Attachment H_Scheduling reminder call for research participant.docx Attachment H: Scheduling Reminder Call for Research Participant	IC Document
Attachment I_Scheduling reminder email for research participant.docx Attachment I: Scheduling Reminder Email for Research Participant	IC Document
Attachment J_Scheduling reminder text for research participant.docx Attachment J: Scheduling Reminder Text for Research Participant	IC Document
Attachment M_Research introduction.docx Attachment M: Research Introduction	IC Document
Attachment P_IRB exempt letter.pdf Attachment P: IRB Exempt Letter	IC Document
Attachment Q_English Handouts_Revised.pdf Attachment Q: English Handouts	IC Document
Attachment R_Spanish Handouts_Revised.pdf Attachment R: Spanish Handouts	IC Document
Attachment S_English Video Scripts_Revised (1).pdf Attachment S: English Video Scripts	IC Document
Attachment T_Spanish Video Scripts_Revised (1).pdf Attachment T: Spanish Video Scripts	IC Document
Attachment V_Key Frames_Revised (1).pdf Attachment V: Key Frames	IC Document
Attachment U_Audition Clips_Revised.docx Attachment U: Audition Clips	IC Document
Attachment U1.a English Audition - Alexis Smith.mp4 Attachment U1.a: English Audition - Alexis Smith	IC Document
Attachment U1.b English Audition - Anita Horwath.mp4 Attachment U1.b: English Audition - Anita Horwath	IC Document
Attachment U1.c English Audition - Devin Nikki Thomas.mp4 Attachment U1.c: English Audition - Devin Nikki Thomas	IC Document
Attachment U1.d English Audition - Karyn-Siobhán Robinson.mp4 Attachment U1.d: English Audition - Karyn-Siobhan Robinson	IC Document
Attachment U1.e English Audition - Lynette Rathnam.mp4 Attachment U1.e: English Audition - Lynette Rathnam	IC Document
Attachment U1.f English Audition - Rochelle Simeon.mp4 Attachment U1.f: English Audition - Rochelle Simeon	IC Document
Attachment U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4 Attachment U2.a: Spanish Audition - Dominique Ravelo-Napoli	IC Document
Attachment U2.b Spanish Audition - Sussy Tomer.mp4 Attachment U2.b: Spanish Audition - Sussy Tomer	IC Document
Attachment U2.c Spanish Audition - Tanairi Zarazua.mp4 Attachment U2.c: Spanish Audition - Tanairi Zarazua	IC Document
Attachment U3.a English and Spanish Audition - Alina Collins Maldonado.mp4 Attachment U3.a: English and Spanish Audition - Alina Collins Maldonado	IC Document
Attachment U3.b English and Spanish Audition - Arami McCloske.mp4 Attachment U3.b: English and Spanish Audition - Arami McCloske	IC Document
Attachment U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4 Attachment U3.c: English and Spanish Audition - Nina-Sophia Pacheco	IC Document
Mealtime with Toddlers in CACFP_OMB Memo_ Revised 7.15.19.docx Mealtime with Toddlers in CACFP OMB Memo Final	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Mealtimes with Toddlers in the Child and Adult Care Food Program (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?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment F: Follow Up Call to Screened Research Participants	No		Paper Only
Other-Attachment K: Consent Form for Research Participation	Yes	Yes	Fillable Fileable
Other-Attachment L: Screener for Research Participation	Yes	Yes	Fillable Fileable
Other-Attachment N: Guideline for In-Depth Interviews (English)	No		Paper Only
Other-Attachment O: Guideline for In-Depth Interviews (Spanish)	No		Paper Only
Other-Screener	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: 720

Number of Respondents for Small Entity: 342

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,070	2,070
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment A: Mailing Flyer for Child Care Site Directors		07/15/2019
Attachment B: Mailing Flyer for Child Care Site Providers		07/15/2019
Attachment C: Initial Call Script for Child Care Site Directors and Providers		07/15/2019
Attachment D: Initial Email for Child Care Site Directors		07/15/2019
Attachment E: Email Instructions for Child Care Site Directors and Providers		07/15/2019
Attachment G: Scheduling Confirmation Email for Research Participant		07/11/2019
Attachment H: Scheduling Reminder Call for Research Participant		07/15/2019
Attachment I: Scheduling Reminder Email for Research Participant		07/15/2019
Attachment J: Scheduling Reminder Text for Research Participant		07/11/2019
Attachment M: Research Introduction		07/15/2019
Attachment P: IRB Exempt Letter		07/11/2019
Attachment Q: English Handouts		07/11/2019
Attachment R: Spanish Handouts		07/11/2019
Attachment S: English Video Scripts		07/11/2019
Attachment T: Spanish Video Scripts		07/11/2019
Attachment V: Key Frames		07/11/2019
Attachment U: Audition Clips		07/11/2019
Attachment U1.a: English Audition - Alexis Smith		07/11/2019
Attachment U1.b: English Audition - Anita Horwath		07/11/2019
Attachment U1.c: English Audition - Devin Nikki Thomas		07/11/2019
Attachment U1.d: English Audition - Karyn-Siobhan Robinson		07/11/2019
Attachment U1.e: English Audition - Lynette Rathnam		07/11/2019
Attachment U1.f: English Audition - Rochelle Simeon		07/11/2019
Attachment U2.a: Spanish Audition - Dominique Ravelo-Napoli		07/11/2019
Attachment U2.b: Spanish Audition - Sussy Tomer		07/11/2019
Attachment U2.c: Spanish Audition - Tanairi Zarazua		07/11/2019
Attachment U3.a: English and Spanish Audition - Alina Collins Maldonado		07/11/2019
Attachment U3.b: English and Spanish Audition - Arami McCloske		07/11/2019
Attachment U3.c: English and Spanish Audition - Nina-Sophia Pacheco		07/11/2019
Mealtime with Toddlers in CACFP OMB Memo Final		07/15/2019

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].