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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CNPP Qualitative Nutrition Quiz Research
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-Screener
FNS Attachment A-1 USDA Quiz Screener7-22-2020.docx
Yes
Yes
Fillable Fileable
Other-Handout
FNS Handout 1 StartSimpleQuizFinal.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
320
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
320
0
320
0
0
0
Annual IC Time Burden (Hours)
193
0
193
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FNS A-11 CX Generic Clearance Template
A-11 USDA FNS Clearance Customer Service Template.docx
07/22/2020
FNS Attachment B
FNS Attachment B-1 Confidentiality Agreement.docx
07/22/2020
FNS Attachment C Focus Group Guide
FNS Attachment C-1 USDA Quiz Focus Group Guide.docx
07/22/2020
FNS Attachment D Consent Form
FNS Attachment D-1 Consent Form.docx
07/22/2020
FNS Attachment E Focus Group Confirmation Form
FNS Attachment E-1 Focus Group Confirmation Form.docx
07/22/2020
Webpage My Plate Quiz Result Page
Webpage 1 MyPlate.Gov_QuizResultsPage.pdf
07/22/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.