Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (Individuals/Households)

Generic Clearance to Conduct Formative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
AttA_Nibbles_Screener_ParentCaregiver_Triad_Eng Final (rev).doc Other-Attachment A: Screener: Parent
AttB_Nibbles_Screener_ParentCaregiver_Triad_Span Final (rev) .doc Other-Attachment B: Parent/Caregiver
AttG_Nibbles Consent Form_ParentCaregiver_Triads_Eng.docx Other-Attachment G: Consent Form: Pa
AttH_Nibbles Consent Form_ParentCaregiver_Triads_Spanish.docx Other-Attachment H: Consent Form: Pa
AttL_Nibbles_TriadModGuide_ParentCaregiver_Eng.docx Other-Attachment L: Triad Moderator'
AttM_Nibbles_TriadModGuide_ ParentCaregiver_Span.docx Other-Attachment M: Triad Moderator'
AttP_Nibbles_Stimulus_NibblesNewsletters_Eng.pdf Attachment P: Stimulus: Nibbles for Health Newsletters (English) IC Document
AttQ_Stimulus_NibblesforHealthNewsletters_Spa.pdf Attachment Q: Stimulus: Nibbles for Health Newsletters (Spanish) IC Document
Nibbles_OMB Memo_Final (rev).pdf Nibbles_OMB Memo_Final (rev) IC Document

Information Collection (IC) Details

IC Title:	Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (Individuals/Households)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment A: Screener: Parent/Caregiver Triad (English)	AttA_Nibbles_Screener_ParentCaregiver_Triad_Eng Final (rev).doc	No	Paper Only
Other-Attachment B: Parent/Caregiver Triad (Spanish)	AttB_Nibbles_Screener_ParentCaregiver_Triad_Span Final (rev) .doc	No	Paper Only
Other-Attachment G: Consent Form: Parent/Caregiver Triads (English)	AttG_Nibbles Consent Form_ParentCaregiver_Triads_Eng.docx	No	Paper Only
Other-Attachment H: Consent Form: Parent/Caregiver Triads (Spanish)	AttH_Nibbles Consent Form_ParentCaregiver_Triads_Spanish.docx	No	Paper Only
Other-Attachment L: Triad Moderator's Guide: Parent/Caregiver (English)	AttL_Nibbles_TriadModGuide_ParentCaregiver_Eng.docx	No	Paper Only
Other-Attachment M: Triad Moderator's Guide: Parent/Caregiver (Spanish)	AttM_Nibbles_TriadModGuide_ ParentCaregiver_Span.docx	No	Paper Only

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: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	195	195
Annual IC Time Burden (Hours)	101	101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment P: Stimulus: Nibbles for Health Newsletters (English)	AttP_Nibbles_Stimulus_NibblesNewsletters_Eng.pdf	07/14/2017
Attachment Q: Stimulus: Nibbles for Health Newsletters (Spanish)	AttQ_Stimulus_NibblesforHealthNewsletters_Spa.pdf	07/14/2017
Nibbles_OMB Memo_Final (rev)	Nibbles_OMB Memo_Final (rev).pdf	07/14/2017

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