View Information Collection (IC)

View Information Collection (IC)

Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Income and Profile Questionnaire Appendix Q Income and Profile Questionnaire.docx No   Fillable Fileable
Form and Instruction 2 Initial Interview Appendix R Initial Interview.docx No   Fillable Fileable
Form and Instruction 3 Food Log Questionnaire Appendix S Food Log Questionnaire.docx No   Fillable Fileable
Form and Instruction 4 Debriefing Interview Appendix T Debriefing Interview_clean_01102024.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

24 0
   
Individuals or Households
 
   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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo OMB request for FoodAPS-2 Pilot Test usability evaluation.docx 01/16/2024
Instructions for Installing Microsoft Teams Appendix A Instructions for Installing Microsoft Teams.docx 01/16/2024
Participant Recruitment Advertisement Script Appendix B Participant Recruitment Advertisement Script_corrected.docx 01/16/2024
Participant Recruitment Flyer Appendix C Participant Recruitment Flyer_clean_01102024.docx 01/16/2024
Screener Questionnaire for Participant Recruitment Appendix D Screener Questionnaire for Participant Recruitment_clean_01102024.docx 01/16/2024
Round-1 Protocol Appendix E Round-1 Protocol_corrected.docx 01/16/2024
Adult Consent Form Appendix F Adult Consent Form_clean_01102024.docx 01/16/2024
Consent Form for Minors Appendix G Consent Form for Minors_clean_01102024.docx 01/16/2024
Demographic Questionnaire Appendix H Demographic Questionnaire.docx 01/16/2024
Satisfaction Questionnaire Appendix I Satisfaction Questionnaire.docx 01/16/2024
Incentive Voucher Appendix J Incentive Voucher.docx 01/16/2024
Food-at-Home (FAH) Use Case Appendix K Food-at-Home (FAH) Use Case.docx 01/16/2024
Food-away-from-Home (FAFH) Use Case Appendix L Food-away-from-Home (FAFH) Use Case.docx 01/16/2024
School-Meal Use Cases Appendix M School-Meal Use Cases.docx 01/16/2024
Critical Tasks Appendix N Critical Tasks.docx 01/16/2024
Round-2&3 Protocol Appendix O Round-2&3 Protocol_corrected.docx 01/16/2024
Quiz for Training Assessment Appendix P Quiz for Training Assessment.docx 01/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.