Team Nutrition Cooks - State, Local, and Tribal Government

Generic Clearance to Conduct Formative Research

OMB: 0584-0524

IC ID: 225228

Documents and Forms
Document Name
Document Type
Other-Attachment B Program Operator
Other-Attachment E Lesson Feedback W
Other-Attachment F Discussion Guide
Other-Attachment H Demographics for
Other-Attachment K Lesson Attendance
Other-Attachment L Confirmation Lett
Other-Attachment P Draft Agenda for
Other-Attachment A Parent/Caregiver
Other-Attachment C Questionnaire for
Other-Attachment D Lesson Feedback W
Other-Attachment G Discussion Guide
Other-Attachment N Parent/Caregiver
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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Information Collection (IC) Details

View Information Collection (IC)

Team Nutrition Cooks - State, Local, and Tribal Government Team Nutrition Cooks
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B Program Operator Informed Consent Attachment B - USDA Team Nutrition Cooks_Program Operator Informed Consent Final.docx No   Paper Only
Other-Attachment E Lesson Feedback Worksheet for Program Operators Attachment E - USDA Team Nutrition Cooks_Lesson Feedback Worksheet for Program Operators Final.docx No   Paper Only
Other-Attachment F Discussion Guide for In-Depth Interviews with Program Operators Attachment F - USDA Team Nutrition Cooks_Discussion Guide for IDI with Program Operators Final.docx No   Paper Only
Other-Attachment H Demographics for Parents and Program Operators Attachment H - USDA Team Nutrition Cooks_Demographics for Parents and Program Operators Final.docx No   Paper Only
Other-Attachment A Parent/Caregiver Informed Consent for Child Participation Attachment A-USDA Team Nutrition Cooks_Parent Caregiver Informed Consent for Child Participation Final.docx No   Paper Only
Other-Attachment C Questionnaire for Student Pre-/Post-Intervention Survey Attachment C - USDA Team Nutrition Cooks_Questionnaire for Student Pre-post Survey Final.docx Yes Yes Fillable Fileable
Other-Attachment D Lesson Feedback Worksheet for Students Attachment D - USDA Team Nutrition Cooks_Lesson Feedback Worksheet for Students Final.docx No   Paper Only
Other-Attachment G Discussion Guide for Focus Groups with Parents/Caregivers Attachment G - USDA Team Nutrition Cooks_Discussion Guide for Focus Groups with Parents Final.docx No   Paper Only
Other-Attachment N Parent/Caregiver Informed Consent for Focus Group Attachment N - USDA Team Nutrition Cooks_Parent Caregiver Informed Consent for Focus Group Final.docx No   Paper Only
Other-Attachment K Lesson Attendance Sheet for Program Operators Attachment K - USDA Team Nutrition Cooks_Lesson Attendance Sheet Final.docx No   Paper Only
Other-Attachment L Confirmation Letter for Administrator/Principal Attachment L - USDA Team Nutrition Cooks_Confirmation Letter for Administrator Final.docx No   Paper Only
Other-Attachment P Draft Agenda for Kickoff Meeting with Program Operators Attachment P - USDA Team Nutrition Cooks_Draft agenda for kickoff meeting with program operators Final.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 FNS Studies and Reports  56 FR 19078

15 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 171 0 171 0 0 0
Annual IC Time Burden (Hours) 29 0 29 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment M - Stimuli for IDIS - Team Nutrition Cooks! Videos Attachment M AppleSauce_405psf2398_178_EN20_sub.mp4 01/18/2017
Attachment M Stimuli for IDIS - Team Nutrition Cooks Videos (Pancakes) Attachment M Pancakes_405psf2398_178_EN20_sub.mp4 01/18/2017
Attachment M Stimuli for IDIS - Team Nutrition Cooks! Videos (Quinoa) Attachment M Quinoa_405psf2398_178_EN20_sub.mp4 01/18/2017
Attachment M Stimuli for IDSs - Team Nutrition Cooks! Videos (Salad) Attachment M Salad_405psf2398_178_EN20_sub.mp4 01/18/2017
Attachment M Stimuli for IDIs - Team Nutrition Cooks! Videos (Scrambled Eggs) Attachment M ScambledEggs_405psf2398_178_EN20_sub.mp4 01/18/2017
Attachment M Stimuli for IDIs - Team Nutrition Cooks! Activity Guides Attachment M Stimuli for IDIs.pdf 01/18/2017
Attachment I Sample Informational Email to Parents/Caregivers Attachment I - USDA Team Nutrition Cooks_Sample Informational Email to Parents Final.docx 01/20/2017
Attachment J Sample Recruitment Email for Parent/Caregiver Focus Group Attachment J - USDA Team Nutrition Cooks_Sample Recruitment Email for Parent Focus Group Final.docx 01/20/2017
Attachment O Stimuli for Focus Groups - Team Nutrition Cooks! Family Handouts Attachment O Stimuli for Focus Groups.pdf 01/20/2017
USDA Team Nutrition Cooks OMB Memo Final 02217 USDA Team Nutrition Cooks_OMB Memo_Final 02217.pdf 02/02/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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