PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CNPP Segmentation Study
New
13537
1076
0
Other-Attachment B-1 Survey Screener (English)_ 10-10-16
Other-Attachment B-2 Survey Screener (Spanish)_ 10 10 16
Other-Attachment C-1 Survey Instrument (English)_10 20 16
Other-Attachment C-2 Survey Instrument (Spanish)_10 10 16
Other-Attachment D-1 Consent Form (English)_ 10 20 16
Other-Attachment D-2 Consent Form (Spanish)_ 10 20 16
SNAP-Eligible Qualitative Research (Individuals/Households 18-75 years) Respondents + non-respondents
New
840
497
0
Other-Attachment C-1 Screener (English)_062718.docx
Other-Attachment C-2 Screener (Spanish)_062718.docx
Other-Attachment E-1 Focus Group Confirmation Form (English)_062718.docx
Other-Attachment E-2 Focus Group Confirmation Form (Spanish)_062718.docx
Other-Attachment F-1 Focus Group Guide (English)_062718.docx
Other-Attachment F-2 Focus Group Guide (Spanish)_062718.docx
Other-Attachment G-1 Focus Group Stimuli Email Newsletter (English)(1).pdf
Other-Attachment G-2 Focus Group Stimuli Email Newsletter (Spanish)(1).pdf
Other-Attachment H-1 Focus Group Stimuli Social Media (English)(1).pdf
Other-Attachment H-2 Focus Group Stimuli Social Media (Spanish) (1).pdf
Other-Attachment I-1 Focus Group Stimuli Apple and Peanut Butter Wrap Video (English).docx
Other-Attachment I-2 Focus Group Stimuli Apple and Peanut Butter Wrap Video (Spanish).docx
Other-Attachment J-1 Focus Group Stimuli Frozen Fruit Cups Video (English).docx
Other-Attachment J-2 Focus Group Stimuli Frozen Fruit Cups Video 8-1-18 (Spanish).docx
Other-Attachment K-1 Focus Group Handout #1 (English)_062718.docx
Other-Attachment K-2 Focus Group Handout #1 (Spanish)_062718.docx
Other-Attachment L-1 Focus Group Handout #2 (English)_062718.docx
Other-Attachment L-2 Focus Group Handout #2 (Spanish).docx
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
14377
1573
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
To view an IC, click on IC Title