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⚠️ Notice: This information collection may be referencing outdated material.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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment L: Screener for Research Participation	Attachment L - Screener for research participation clean 09062019.pdf	Yes	Yes	Fillable Fileable
Other-Attachment F: Follow Up Call to Screened Research Participants	Attachment F_Follow up call to screened research participants.docx	No		Paper Only
Other-Screener	Attachment L - Screener for research participation clean 09062019.pdf	Yes	Yes	Fillable Fileable
Other-Attachment K: Consent Form for Research Participation	Attachment K_Consent form for research participation.pdf	Yes	Yes	Fillable Fileable
Other-Attachment N: Guideline for In-Depth Interviews (English)	Attachment N_Guideline for in depth interview English.docx	No		Paper Only
Other-Attachment O: Guideline for In-Depth Interviews (Spanish)	Attachment O_Guideline for in depth interview Spanish.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: 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	Attachment A_Mailing flyer for child care site directors.docx	07/15/2019
Attachment B: Mailing Flyer for Child Care Site Providers	Attachment B_Mailing flyer for child care site providers.docx	07/15/2019
Attachment C: Initial Call Script for Child Care Site Directors and Providers	Attachment C_Initial call script for child care site directors and providers.docx	07/15/2019
Attachment D: Initial Email for Child Care Site Directors	Attachment D_Initial email for child care site directors.docx	07/15/2019
Attachment E: Email Instructions for Child Care Site Directors and Providers	Attachment E_Email instructions for child care site directors and providers.docx	07/15/2019
Attachment G: Scheduling Confirmation Email for Research Participant	Attachment G_Scheduling confirmation email for research participant.docx	07/11/2019
Attachment H: Scheduling Reminder Call for Research Participant	Attachment H_Scheduling reminder call for research participant.docx	07/15/2019
Attachment I: Scheduling Reminder Email for Research Participant	Attachment I_Scheduling reminder email for research participant.docx	07/15/2019
Attachment J: Scheduling Reminder Text for Research Participant	Attachment J_Scheduling reminder text for research participant.docx	07/11/2019
Attachment M: Research Introduction	Attachment M_Research introduction.docx	07/15/2019
Attachment P: IRB Exempt Letter	Attachment P_IRB exempt letter.pdf	07/11/2019
Attachment Q: English Handouts	Attachment Q_English Handouts_Revised.pdf	07/11/2019
Attachment R: Spanish Handouts	Attachment R_Spanish Handouts_Revised.pdf	07/11/2019
Attachment S: English Video Scripts	Attachment S_English Video Scripts_Revised (1).pdf	07/11/2019
Attachment T: Spanish Video Scripts	Attachment T_Spanish Video Scripts_Revised (1).pdf	07/11/2019
Attachment V: Key Frames	Attachment V_Key Frames_Revised (1).pdf	07/11/2019
Attachment U: Audition Clips	Attachment U_Audition Clips_Revised.docx	07/11/2019
Attachment U1.a: English Audition - Alexis Smith	Attachment U1.a English Audition - Alexis Smith.mp4	07/11/2019
Attachment U1.b: English Audition - Anita Horwath	Attachment U1.b English Audition - Anita Horwath.mp4	07/11/2019
Attachment U1.c: English Audition - Devin Nikki Thomas	Attachment U1.c English Audition - Devin Nikki Thomas.mp4	07/11/2019
Attachment U1.d: English Audition - Karyn-Siobhan Robinson	Attachment U1.d English Audition - Karyn-SiobhaÌn Robinson.mp4	07/11/2019
Attachment U1.e: English Audition - Lynette Rathnam	Attachment U1.e English Audition - Lynette Rathnam.mp4	07/11/2019
Attachment U1.f: English Audition - Rochelle Simeon	Attachment U1.f English Audition - Rochelle Simeon.mp4	07/11/2019
Attachment U2.a: Spanish Audition - Dominique Ravelo-Napoli	Attachment U2.a Spanish Audition - Dominique Ravelo-Napoli-.mp4	07/11/2019
Attachment U2.b: Spanish Audition - Sussy Tomer	Attachment U2.b Spanish Audition - Sussy Tomer.mp4	07/11/2019
Attachment U2.c: Spanish Audition - Tanairi Zarazua	Attachment U2.c Spanish Audition - Tanairi Zarazua.mp4	07/11/2019
Attachment U3.a: English and Spanish Audition - Alina Collins Maldonado	Attachment U3.a English and Spanish Audition - Alina Collins Maldonado.mp4	07/11/2019
Attachment U3.b: English and Spanish Audition - Arami McCloske	Attachment U3.b English and Spanish Audition - Arami McCloske.mp4	07/11/2019
Attachment U3.c: English and Spanish Audition - Nina-Sophia Pacheco	Attachment U3.c English and Spanish Audition - Nina-Sophia Pacheco.mp4	07/11/2019
Mealtime with Toddlers in CACFP OMB Memo Final	Mealtime with Toddlers in CACFP_OMB Memo_ Revised 7.15.19.docx	07/15/2019

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