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DGA 2020-2025 Survey and Focus Group (English and Spanish)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 Screener (English) (Pregnant Women 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-2 Discussion Guide (English) (Pregnant Women 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-3 Confirmation Form for Focus Group Participants (English 8-11-2020) Via email addresses Yes No Fillable Fileable Signable
Other-Attachment A-4 Consent Form (English).docx Via email addresses No   Fillable Fileable Signable
Other-Attachment A-7 Focus Group Public Burden Statement (English).docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-7a Survey Public Burden Statement (English).docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-8 Survey Questionnaire (English 8-10-2020).docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-9 Survey Invitation (English 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment A-10 Survey Screen Shots (English) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment C-1 Screener (English) (B-24 Caregiver Audience 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment C-2 Discussion Guide (English) (B-24 Caregiver Audience 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment E-1 Focus Group Screener (English) (Remaining Consumer Audiences 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other- Attachment E-2 Discussion Guide (English) (Remaining Consumer Audiences 8-11-2020) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-1 Screener (Spanish) (Pregnant Women) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-2 Discussion Guide (Spanish) (Pregnant Women) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-3 Confirmation Form for Focus Group Participants (Spanish) Via email address Yes No Fillable Fileable Signable
Other-Attachment B-4 Consent Form (Spanish) via e-mail address No   Fillable Fileable Signable
Other-Attachment B-7 Focus Group Public Burden Statement (Spanish) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-7a Survey Public Burden Statement (Spanish) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-8 Survey Questionnaire (Spanish) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-9 Survey Invitation (Spanish) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment B-10 Survey Screen Shots (Spanish) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment D-1 Screener (Spanish) (B-24 Caregiver Audience) www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Attachment D-2 Discussion Guide (Spanish) (B-24 Caregiver Audience) www.notyetcreated.com Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

USDA/FNS 8 FNS Studies and Reports  56 FR 17251

29,040 0
   
Individuals or Households
 
   100 %

  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 29,456 0 29,456 0 0 0
Annual IC Time Burden (Hours) 5,968 0 5,968 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DGC 2020-2025 OMB Memo 08/10/2020
Attachement 3 Burden Estimates Excel Chart 08/05/2020
Attachment A-5 Confidentiality Agreement (English) 08/07/2020
Attachment B-5 Confidentiality Agreement (Spanish) 08/07/2020
Attachment A-6 Privacy Act Statement (English).docx 08/11/2020
Attachment B-6 Privacy Act Statement (Spanish) 08/11/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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