Information Collection

Sponsors and Providers

IC 223837 under ICR 201610-0584-001 · OMB 0584-0623.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CACFP_MCS_Appendix A7 Provider User Guide Final.docx	Other-Appendix A-7. Provider User Gu
CACFP_MCS_Appendix A9 Provider User Guide (Spanish) Final.docx	Other-Appendix A-9. Provider User Gu
CACFP_MCS_Appendix B-2-2 Phone Script for Provider Record Final.docx	Other-Appendix B-2-2. Telephone Scri
CACFP_MCS_Appendix B-2-3 Phone Script for Admin Data Final.docx	Other-Appendix B-2-3. Telephone Scri
CACFP_MCS_Appendix B-2-4 Phone Script Request MC Data Final.docx	Other-Appendix B-2-4. Telephone Scri
CACFP_MCS_Appendix B-2-5 Phone Script to Recruit Provider Final.docx	Other-Appendix B-2-5. Telephone Scri
CACFP_MCS_Appendix B-2-6 Phone Script to Recruit Provider (Spanish) Final.docx	Other-Appendix B-2-6. Telephone Scri
CACFP_MCS_Appendix B-4-1 Consent Provider Final.docx	Other-Appendix B-4-1. Consent Letter
CACFP_MCS_Appendix B-4-3 Consent Provider (Spanish) Final.docx	Other-Appendix B-4-3. Consent Letter
CACFP_MCS_Appendix B-1-3 Recruitment Letter Sponsor Final.docx Appendix B-1-3. Recruitment Letter to CACFP Sponsor	IC Document
CACFP_MCS_Appendix B-1-4 Recruitment Letter FDCH Provider Final.docx Appendix B-1-4. Recruitment Letter to FDCH Provider	IC Document
CACFP_MCS_Appendix B-1-6 Recruitment Letter FDCH Provider (Spanish) Final 1003.docx Appendix B-1-6. Recruitment Letter to FDCH Provider in Spanish	IC Document
CACFP_MCS_Appendix B-3-1 Glossy FS SponsorProvider Final.docx Appendix B-3-1. Glossy Fact Sheet for CACFP Sponsor and FDCH Provider	IC Document
CACFP_MCS_Appendix B-3-3 Glossy FS SponsorProvider (Spanish) Final.docx Appendix B-3-3. Glossy Fact Sheet for CACFP Sponsor and FDCH Providers in Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Sponsors and Providers

Agency IC Tracking Number:

Is this a Common Form? No

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-Appendix A-7. Provider User Guide for Meal Service Reporting System (MSRS)	CACFP_MCS_Appendix A7 Provider User Guide Final.docx	Yes	Yes	Fillable Fileable
Other-Appendix A-9. Provider User Guide for Meal Service Reporting System (MSRS) in Spanish	CACFP_MCS_Appendix A9 Provider User Guide (Spanish) Final.docx	Yes	Yes	Fillable Fileable
Other-Appendix B-2-2. Telephone Script to Request Provider Records from the Sponsor	CACFP_MCS_Appendix B-2-2 Phone Script for Provider Record Final.docx	Yes	No	Printable Only
Other-Appendix B-2-3. Telephone Script to Request Administrative Data from Sponsor	CACFP_MCS_Appendix B-2-3 Phone Script for Admin Data Final.docx	Yes	No	Printable Only
Other-Appendix B-2-4. Telephone Script to Request Meal Claim Data from Sponsor	CACFP_MCS_Appendix B-2-4 Phone Script Request MC Data Final.docx	Yes	No	Printable Only
Other-Appendix B-2-5. Telephone Script to Recruit FDCH Provider	CACFP_MCS_Appendix B-2-5 Phone Script to Recruit Provider Final.docx	Yes	No	Printable Only
Other-Appendix B-2-6. Telephone Script to Recruit FDCH Provider in Spanish	CACFP_MCS_Appendix B-2-6 Phone Script to Recruit Provider (Spanish) Final.docx	Yes	No	Printable Only
Other-Appendix B-4-1. Consent Letter for Provider	CACFP_MCS_Appendix B-4-1 Consent Provider Final.docx	No		Paper Only
Other-Appendix B-4-3. Consent Letter for Provider in Spanish	CACFP_MCS_Appendix B-4-3 Consent Provider (Spanish) Final.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 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 174

Number of Respondents for Small Entity: 156

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,264	5,264
Annual IC Time Burden (Hours)	1,410	1,410
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix B-1-3. Recruitment Letter to CACFP Sponsor	CACFP_MCS_Appendix B-1-3 Recruitment Letter Sponsor Final.docx	10/11/2016
Appendix B-1-4. Recruitment Letter to FDCH Provider	CACFP_MCS_Appendix B-1-4 Recruitment Letter FDCH Provider Final.docx	10/11/2016
Appendix B-1-6. Recruitment Letter to FDCH Provider in Spanish	CACFP_MCS_Appendix B-1-6 Recruitment Letter FDCH Provider (Spanish) Final 1003.docx	10/11/2016
Appendix B-3-1. Glossy Fact Sheet for CACFP Sponsor and FDCH Provider	CACFP_MCS_Appendix B-3-1 Glossy FS SponsorProvider Final.docx	10/11/2016
Appendix B-3-3. Glossy Fact Sheet for CACFP Sponsor and FDCH Providers in Spanish	CACFP_MCS_Appendix B-3-3 Glossy FS SponsorProvider (Spanish) Final.docx	10/11/2016

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