Information Collection

CACFP ADCC Food Safety Needs - ADCC Sponsoring Organizations and ADCC Program Directors (Businesses)

IC 234406 under ICR 201710-0584-003 · OMB 0584-0613.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0613 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A.3. Email Notification to ADCC Sponsoring Org POC.docx	Other-Appendix A.3 Email Notificatio
Appendix A.4. Initial Survey Notification Email to ADCC PD.docx	Other-Appendix A.4 Initial Survey No
Appendix A.5. Initial Survey Hard Copy Notification to ADCC PD.docx	Other-Appendix A.5 Initial Survey Ha
Appendix A.11. Phone Call Reminder 1 and 2 Script.docx	Other-Appendix A.11 Telephone Remind
Appendix A.12. Post Survey Clarification Email.docx	Other-Appendix A.12 Post-Survey Resp
Appendix A.13. Post Survey Clarification Telephone Script.docx	Other-Appendix A.13 Post-Survey Clar
Appendix A.15 - Survey of Food Safety Education Needs of CACFP ADCC).docx	Other-Appendix A.15 Survey of Food S
Appendix A.16 - Survey of Food Safety Education Needs of CACFP ADCC.docx	Other-Appendix A.16 Survey of Food S
Appendix A.17 - Survey of Food Safety Education Needs of CACFP ADCC - Screenshots.docx	Other-Appendix A.17 Survey of Food S
Appendix A.6. Survey Reminder Email 1.docx Appendix A.6 Survey Reminder Email 1 to ADCC Program Directors	IC Document
Appendix A.7. Survey Reminder Email 2.docx Appendix A.7 Survey Reminder Email 2 to ADCC Program Directors	IC Document
Appendix A.8. Survey Reminder Email 3.docx Appendix A.8 Survey Reminder Email 3 to ADCC Program Directors	IC Document
Appendix A.9. Hard Copy Survey Reminders.docx Appendix A.9 Hard Copy Survey Reminders to ADCC Program Directors	IC Document
Appendix A.10. Survey Reminder Email 4.docx Appendix A.10 Survey Reminder Email 4 to ADCC Program Directors	IC Document
Appendix A.18 - Cognitive Pretest Memo.docx Appendix A.18 Cognitive Pretest Memo	IC Document
Appendix A.19 - Frequently Asked Questions (FAQs).docx Appendix A.19 Frequently Asked Questions (FAQs) About the Study	IC Document
Appendix A.1 - Respondent Burden Table Final.xlsx Appendix A.1 Respondent Burden Table	IC Document
QRS CACFP ADCC - OMB Clearance Memo Final 12.3.18.docx QRS CACFP ADCC - OMB Clearance Memo Final 12.3.18	IC Document
Appendix A.2. Email Notification from RO to CACFP SA (8).docx Appendix A.2. Email Notification from RO to CACFP SA.docx	IC Document
Appendix A.14. Email Notification to Regional Offices (4).docx Appendix 2A. Email Notification from RO to CACFP SA.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CACFP ADCC Food Safety Needs - ADCC Sponsoring Organizations and ADCC Program Directors (Businesses)

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-Appendix A.3 Email Notification to ADCC Sponsoring Organization Point of Contact	Appendix A.3. Email Notification to ADCC Sponsoring Org POC.docx	Yes	No	Printable Only
Other-Appendix A.4 Initial Survey Notification Email to ADCC Program Directors	Appendix A.4. Initial Survey Notification Email to ADCC PD.docx	Yes	No	Printable Only
Other-Appendix A.5 Initial Survey Hard Copy Notification to ADXX Program Directors	Appendix A.5. Initial Survey Hard Copy Notification to ADCC PD.docx	No		Paper Only
Other-Appendix A.11 Telephone Reminder 1 and 2 to ADCC Program Directors	Appendix A.11. Phone Call Reminder 1 and 2 Script.docx	Yes	No	Paper Only
Other-Appendix A.12 Post-Survey Response Clarification Email to ADCC Program Directors	Appendix A.12. Post Survey Clarification Email.docx	Yes	Yes	Printable Only
Other-Appendix A.13 Post-Survey Clarification Telephone Script	Appendix A.13. Post Survey Clarification Telephone Script.docx	No		Paper Only
Other-Appendix A.15 Survey of Food Safety Education Needs of CACFP ADCC - Hard Copy	Appendix A.15 - Survey of Food Safety Education Needs of CACFP ADCC).docx	No		Paper Only
Other-Appendix A.16 Survey of Food Safety Education Needs of CACFP ADCC - Web Version	Appendix A.16 - Survey of Food Safety Education Needs of CACFP ADCC.docx	Yes	Yes	Fillable Fileable
Other-Appendix A.17 Survey of Food Safety Education Needs of CACFP ADCC - Screenshots of the Web Version	Appendix A.17 - Survey of Food Safety Education Needs of CACFP ADCC - Screenshots.docx	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 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 1,209

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,994	5,994
Annual IC Time Burden (Hours)	481	481
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A.6 Survey Reminder Email 1 to ADCC Program Directors	Appendix A.6. Survey Reminder Email 1.docx	12/04/2018
Appendix A.7 Survey Reminder Email 2 to ADCC Program Directors	Appendix A.7. Survey Reminder Email 2.docx	12/04/2018
Appendix A.8 Survey Reminder Email 3 to ADCC Program Directors	Appendix A.8. Survey Reminder Email 3.docx	12/04/2018
Appendix A.9 Hard Copy Survey Reminders to ADCC Program Directors	Appendix A.9. Hard Copy Survey Reminders.docx	12/04/2018
Appendix A.10 Survey Reminder Email 4 to ADCC Program Directors	Appendix A.10. Survey Reminder Email 4.docx	12/04/2018
Appendix A.18 Cognitive Pretest Memo	Appendix A.18 - Cognitive Pretest Memo.docx	12/04/2018
Appendix A.19 Frequently Asked Questions (FAQs) About the Study	Appendix A.19 - Frequently Asked Questions (FAQs).docx	12/04/2018
Appendix A.1 Respondent Burden Table	Appendix A.1 - Respondent Burden Table Final.xlsx	12/04/2018
QRS CACFP ADCC - OMB Clearance Memo Final 12.3.18	QRS CACFP ADCC - OMB Clearance Memo Final 12.3.18.docx	12/04/2018
Appendix A.2. Email Notification from RO to CACFP SA.docx	Appendix A.2. Email Notification from RO to CACFP SA (8).docx	04/12/2019
Appendix 2A. Email Notification from RO to CACFP SA.docx	Appendix A.14. Email Notification to Regional Offices (4).docx	04/12/2019

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