View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

FoodAPS Field Test - Respondents
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B - Recruitment screener Yes Yes Fillable Fileable
Other-Attachment B1 - Screenshots of Mail Household Screener (Web Version Yes Yes Fillable Fileable
Other-Attachment J - Profile Questionnaire Yes Yes Fillable Fileable
Other-Attachment J1 - Screenshots of FoodLogger Version of Profile Questionnaire Yes Yes Fillable Fileable
Other-Attachment J2 - Web Screenshots for Profile Questionnaire Yes Yes Fillable Fileable
Other-Attachment L - Income Questionnaire Yes Yes Fillable Fileable
Other-Attachment L1 - Screenshots of FoodLogger Version of Income Questionnaire Yes Yes Fillable Fileable
Other-Attachment L2 - Web Screenshots of Income Questionnaire Yes Yes Fillable Fileable
Other-Attachment M - Memory Jogger No   Printable Only
Other-Attachment O - Debriefing Interview Yes Yes Fillable Printable
Other-Attachment R1 - Food Log Questionnaire_GoldStand Yes Yes Fillable Fileable
Other-Attachment R2 - Screenshots of FoodLogger Version of Food Log Yes Yes Fillable Fileable
Other-Attachment R3 - Web Screenshots of Food Log Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

 

430 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 430 0 430 0 0 0
Annual IC Time Burden (Hours) 2,718 0 2,718 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C1 - Introductory letter 02/18/2022
Attachment D1 - In-person Screening Advance Letter 02/18/2022
Attachment D2 - Interviewer Authorization Letter 02/18/2022
Attachment D3 - Gated Community Letter 02/18/2022
Attachment D5 - Frequently Asked Questions and Responses 02/18/2022
Attachment E - In-person Household Screener 02/18/2022
Attachment F1 - Household Consent Form 02/18/2022
Attachment F2 - Parental Consent Form 02/18/2022
Attachment F3 - Individual Assent Consent Form 02/18/2022
Attachment G - Initial Household Interview 02/18/2022
Attachment H1 - NFS Field Test Overview (Interviewer Training Manual) 02/18/2022
Attachment H2 - Contacting Procedures (Interviewer Training Manual) 02/18/2022
Attachment H3 - Data Collection (Interviewer Training Manual) 02/18/2022
Attachment H4 - Equipment (Interviewer Training Manual) 02/18/2022
Attachment H5 - Mobile Device User Guide (Interviewer Training Manual) 02/18/2022
Attachment H6 - Quality Control (Interviewer Training Manual) 02/18/2022
Attachment H7 - Report Calls (Interviewer Training Manual) 02/18/2022
Attachment H8 - Administrative Procedures (Interviewer Training Manual) 02/18/2022
Attachment I1 - How to Connect a Mi-Fi & Barcode Scanner 02/18/2022
Attachment I2 - Household Equipment Form 02/18/2022
Attachment I3 - Downloading and Installing the FoodLogger 02/18/2022
Attachment K - Interviewer Observations 02/18/2022
Attachment N - Electronic Text and e-mail Communications 02/18/2022
Attachment Q - What to Report and What Not to Report 02/18/2022
Attachment V1 - Welcome to NFS Video Script 02/18/2022
Attachment V2 - Getting Started Video Script 02/18/2022
Attachment V3 - Entering Grocery Store Food and Drink 02/18/2022
Attachment V4 - Entering Restaurant Food and Drink Video Script 02/18/2022
Attachment V5 - Completing Profile and Income Questionnaires Video Script 02/18/2022
Attachment V6 - Completing the Day Overview Video Script 02/18/2022
Attachment V7 - Grocery Store Purchase Video Script 02/18/2022
Attachment V8 - How to Report Meals from a Fast Food Restuarant Video Script 02/18/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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