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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
SNAP Recipient Focus Groups (I/H)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Consent Form
FM Appendix F2 FG Participant Consent Form 11-7-13.docx
No
Paper Only
Other-Participant Demographic Survey
FM Appendix F3 FG ParticipantDemographic survey 11-7-13.docx
No
Paper Only
Other-Moderator Script (FM shoppers)
Appendix F4 FM Shopper protocol 11-7-11.docx
No
Printable Only
Other-Moderator script (non-FM shoppers)
FM Appendix F5 FG non shopper protocol 11-7-13.doc
No
Printable Only
Other-Incentive Recipt
Appendix F6 FG Participant Incentive Receipt Form 11-7-13.docx
No
Paper Only
Other-Appendix F4 FM Shopper protocol 11/17/2011
Appendix F4 FM Shopper protocol 11-7-11.docx
No
Paper Only
Other-Appendix F1 Focus Group Recruitment Script
Appendix F1 Focus Group Recruitmnet Script 11 18 11.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: USDA/FNS Studies and Reports
FR Citation:
65 FR 17251
Number of Respondents:
32
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
32
0
32
0
0
0
Annual IC Time Burden (Hours)
488
0
488
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Confirmation Letter
Appendix F8 FG screened participant confirmation letter 11-10-11.docx
11/18/2011
Appendix F7 Focus Group recruitment flyer
Appendix F7 Focus Group recruitment flyer 11.10.11.docx
11/18/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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