Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)

Generic Clearance to Conduct Formative Research

OMB: 0584-0524

IC ID: 232369

⚠️ Notice: This information collection may be referencing outdated material.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
Attachment D.1_Questionnaire for Participation in Focus Groups_Print Version.docx Other-Attachment D.1: Questionnaire
Attachment D.2_Questionnaire for Participation in Focus Groups_Online Version.pdf Other-Attachment D.2: Questionnaire
Attachment H_Parent Caregiver Focus Group Guidelines.docx Other-Attachment H: Parent/Caregiver
Attachment I_Storybook Interview Form for Children.docx Other-Attachment I: Storybook Interv
Attachment J_Storybook Measure for Children 3-5.pdf Other-Attachment J: Storybook Measur
Attachment K_Survey for 6_12 Year Old Children.docx Other-Attachment K: Survey for 6-12
Attachment L_Child Taste Test Ballot.docx Other-Attachment L: Child Taste Test
Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.docx Other-Attachment D- Recruitment Comm
Attachment N_Incentive Justification for Focus Group Participants_6.0.docx Attachment N: Incentive Justification for Focus Group Participants IC Document
Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx Attachment O: Research Stimulus: Cooking Video Audition Clips IC Document
O.1_Audition Clip_Africa Female.mp4 Attachment O.1: Audition Clip Africa Female IC Document
O.2_FNS_MC_Audition Clip_Africa Male.m4v Attachment O.2: Audition Clip Africa Male IC Document
O.3_Audition Clip_Asia Female.mp4 Attachment O.3: Audition Clip Asia Female IC Document
O.4_Audition Clip_Asia Male.mp4 Attachment O.4: Audition Clip Asia Male IC Document
O.5_Audition Clip_Central and South America Female.mp4 Attachment O.5: Audition Clip Central and South America Female IC Document
O.6_Audition Clip_Central and South America Male.m4v Attachment O.6: Audition Clip Central and South America Male IC Document
O.7_Audition Clip_Europe Female.m4v Attachment O.7: Audition Clip Europe Female IC Document
O.8_Audition Clip_Europe Male.mp4 Attachment O.8: Audition Clip Europe Male IC Document
O.9_Audition Clip_North America Female.m4v Attachment O.9: Audition Clip North America Female IC Document
O.10_Audition Clip_North America Male.m4v Attachment O.10 Audition Clip North America Male IC Document
Attachment P - Research Stimululs - Cooking Video Scripts.pdf Attachment P: Research Stimulus: Cooking Video Scripts IC Document
Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf Attachment Q: Research Stimulus: Cooking Video Storyboards IC Document
Attachment S - Research Stimulus - The Food Explorers Tasting the World!.pdf Attachment S: Research Stimulus: The Food Explorers: Tasting the World! Family Cookbook IC Document
FNS_Multicultural_OMB Memo Final 07262018.pdf FNS_Multicultural_OMB Memo Final 07262018 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Formative Research to Develop Multicultural Nutrition Education for Child Care (Individuals and Households - Children and Parents)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment I: Storybook Interview Form for Children 3-5	Attachment I_Storybook Interview Form for Children.docx	No		Paper Only
Other-Attachment J: Storybook Measure for Children 3-5	Attachment J_Storybook Measure for Children 3-5.pdf	No		Paper Only
Other-Attachment K: Survey for 6-12 Year Old Children	Attachment K_Survey for 6_12 Year Old Children.docx	No		Paper Only
Other-Attachment L: Child Taste Test Ballot: Instructions for Completing the Taste Test Ballots with Children, Taste Test Faces, Taste Test Records Sheet	Attachment L_Child Taste Test Ballot.docx	No		Paper Only
Other-Attachment D.1: Questionnaire for Participation in Focus Group Research (Print Version)	Attachment D.1_Questionnaire for Participation in Focus Groups_Print Version.docx	No		Paper Only
Other-Attachment D.2: Questionnaire for Participation in Focus Group Research (Online Version)	Attachment D.2_Questionnaire for Participation in Focus Groups_Online Version.pdf	Yes	Yes	Fillable Fileable
Other-Attachment H: Parent/Caregiver Focus Group Guideline	Attachment H_Parent Caregiver Focus Group Guidelines.docx	No		Paper Only
Other-Attachment D- Recruitment Communications and Consent Document for Parents/Caregivers	Attachment D_Recruitment Communications and Consent for Parents (4) Clean Version.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: 664	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	1,620	1,620
Annual IC Time Burden (Hours)	386	386
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment N: Incentive Justification for Focus Group Participants	Attachment N_Incentive Justification for Focus Group Participants_6.0.docx	07/26/2018
Attachment O: Research Stimulus: Cooking Video Audition Clips	Attachment O_ Research Stimulus_Cooking Video Audition Clips07112018.docx	07/26/2018
Attachment O.1: Audition Clip Africa Female	O.1_Audition Clip_Africa Female.mp4	07/26/2018
Attachment O.2: Audition Clip Africa Male	O.2_FNS_MC_Audition Clip_Africa Male.m4v	07/26/2018
Attachment O.3: Audition Clip Asia Female	O.3_Audition Clip_Asia Female.mp4	07/26/2018
Attachment O.4: Audition Clip Asia Male	O.4_Audition Clip_Asia Male.mp4	07/26/2018
Attachment O.5: Audition Clip Central and South America Female	O.5_Audition Clip_Central and South America Female.mp4	07/26/2018
Attachment O.6: Audition Clip Central and South America Male	O.6_Audition Clip_Central and South America Male.m4v	07/26/2018
Attachment O.7: Audition Clip Europe Female	O.7_Audition Clip_Europe Female.m4v	07/26/2018
Attachment O.8: Audition Clip Europe Male	O.8_Audition Clip_Europe Male.mp4	07/26/2018
Attachment O.9: Audition Clip North America Female	O.9_Audition Clip_North America Female.m4v	07/26/2018
Attachment O.10 Audition Clip North America Male	O.10_Audition Clip_North America Male.m4v	07/26/2018
Attachment P: Research Stimulus: Cooking Video Scripts	Attachment P - Research Stimululs - Cooking Video Scripts.pdf	07/26/2018
Attachment Q: Research Stimulus: Cooking Video Storyboards	Attachment Q_Research Stimulus_Cooking Video Storyboards.pdf	07/26/2018
Attachment S: Research Stimulus: The Food Explorers: Tasting the World! Family Cookbook	Attachment S - Research Stimulus - The Food Explorers Tasting the World!.pdf	07/26/2018
FNS_Multicultural_OMB Memo Final 07262018	FNS_Multicultural_OMB Memo Final 07262018.pdf	07/26/2018

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