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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
National Household Food Acquisition and Purchase Survey -- Respondents
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Adult Food Booklet
N-Adult Food Book.pdf
No
Paper Only
Other-Meals and Snacks Form
J-Meals and Snacks Form.pdf
No
Paper Only
Other-Primary Respondent Book
M-Primary Respondent Book.pdf
No
Paper Only
Other-Youth Food Book
O-Youth Food Book.pdf
No
Paper Only
Other-
R-Respondent feedback form.pdf
No
Paper Only
Other-Initial Household Interview
H-Initial HH Interview and hand cards.pdf
No
Paper Only
Other-Telephone Script
P-Telephone Script.pdf
No
Paper Only
Other-Income Worksheet
K-Income Worksheet.pdf
No
Paper Only
Other-Final HH Interview and hand cards
Q-Final HH Interview and hand cards.pdf
No
Paper Only
Other-
Appdx Y-New Instruments for Household Training.pdf
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:
FR Citation:
Number of Respondents:
8,996
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
202,230
0
0
0
0
202,230
Annual IC Time Burden (Hours)
42,569
0
0
0
0
42,569
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.