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IC Title:
Perform Formative Research to Test Messages Developed to Help Communicate 2015 Dietary Guidelines Recommendations
Agency IC Tracking Number:
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-Attachment A-1 Survey Invitation English 8 27 au
Attachment A-1 Survey Invitation English 8 27 au.docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment A-2 Survey Invitation (Spanish)_aug21au
Attachment A-2 Survey Invitation (Spanish)_aug21au.docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment B-1 Online Survey Screener (English)_aug21 PRAO recommendatio...
Attachment B-1 Online Survey Screener (English)_aug21 PRAO recommendatio....docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment B-2 Online Survey Screener (Spanish)_aug21au
Attachment B-2 Online Survey Screener (Spanish)_aug21au.docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment C-1 Survey Instrument (English)_aug21 PRAO recommendation 8-2...
Attachment C-1 Survey Instrument (English)_aug21 PRAO recommendation 8-2....docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment C-2 Survey Instrument (Spanish)_aug21au
Attachment C-2 Survey Instrument (Spanish)_aug21au.docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment D-1 Consent Form (English)_aug20 PRAO recommendations 8-26-15
Attachment D-1 Consent Form (English)_aug20 PRAO recommendations 8-26-15 .docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment D-2 Consent Form (Spanish)_aug21AU
Attachment D-2 Consent Form (Spanish)_aug21AU.DOCX
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
Other-Attachment D Privacy Act Statement
ATTACHMENT D Privacy Act Statement.docx
http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C
Yes
Yes
Fillable Fileable Signable
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 in the Federal Register on March 31, 2000,
FR Citation:
65 FR 17251
Number of Respondents:
1,577
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
5,362
0
5,362
0
0
0
Annual IC Time Burden (Hours)
492
0
492
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment E-1 Confidentiality Agreement (English)_aug21 PRAO recommendations 8-26-15 RG
Attachment E 1 Confidentiality Agreement.docx
08/28/2015
Burden Estimates Spreadsheet
Copy of Copy of Burden hours quant.xlsx
08/28/2015
ATTACHMENT F-1 Privacy Act Statement
ATTACHMENT F-1 Privacy Act Statement.docx
08/28/2015
CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean
CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean.docx
08/31/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.