View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Shopping Patterns: SNAP Recipient Focus Group (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-FMCS OMB E5 Focus Group Moderator Guide for Frequent Shoppers English
FMCS OMB E5 Focus Group Moderator Guide for Frequent Shoppers English_v4.docx
No
Paper Only
Other-FMCS OMB E6. Focus Group Moderator Guide for Non Shoppers English
FMCS OMB E6. Focus Group Moderator Guide for Non Shoppers English_v4.docx
No
Paper Only
Other-FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish
FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish_v4.docx
No
Paper Only
Other-FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish
FMCS OMB E8 Focus Group Moderator Guide for Non Shopper Spanish_V4.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:
FR Citation:
Number of Respondents:
120
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
120
0
120
0
0
0
Annual IC Time Burden (Hours)
160
0
160
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FMCS OMB E1 Focus group recruitment script English
FMCS OMB E1 Focus group recruitment script English_v4.docx
07/11/2012
FMCS OMB E2 Focus group recruitment script Spanish
FMCS OMB E2 Focus group recruitment script Spanish_v4_ALL SPANISH-Span.docx
08/23/2012
FMCS OMB E3 Focus Group Consent form English
FMCS OMB E3 Focus Group Consent form English_v4.docx
07/11/2012
FMCS OMB E4 Focus Group Consent form Spanish
FMCS OMB E4 Focus Group Consent form Spanish_v4.docx
07/11/2012
FMCS OMB E9 Focus Group Incentive Receipt form English
FMCS OMB E9 Focus Group Incentive Receipt form English v4.docx
07/11/2012
FMCS OMB E10 Focus Group Incentive Receipt form Spanish
FMCS OMB E10 Focus Group Incentive Receipt form Spanish_v4.docx
07/11/2012
FMCS OMB E11 Focus Group Recruitment Flyer English
FMCS OMB E11 Focus Group Recruitment Flyer English.docx
07/11/2012
FMCS OMB E12 Focus Group Recruitment Flyer Spanish
FMCS OMB E12 Focus Group Recruitment Flyer Spanish.docx
07/11/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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