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Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Demographic Questionnaire Appendix H Demographic Questionnaire revision 20240712.docx No   Fillable Fileable
Form and Instruction 2 Food-at-Home (FAH) Use Case for R2 Appendix K2 Food-at-Home (FAH) Use Case for R2.docx No   Fillable Fileable
Form and Instruction 3 Food-at-Home (FAH) Use Case for R3a Appendix K3a Food-at-Home (FAH) Use Case for R3a.docx No   Fillable Fileable
Form and Instruction 4 Food-at-Home (FAH) Use Case for R3b Appendix K3b Food-at-Home (FAH) Use Case for R3b.docx No   Fillable Fileable
Form and Instruction 5 Food-away-from-Home (FAFH) Use Case Appendix L Food-away-from-Home (FAFH) Use Case revision 20240712.docx No   Fillable Fileable
Form and Instruction 6 Quiz for Training Assessment for R2 Appendix P2 Quiz for Training Assessment for R2_clean 0801.docx No   Fillable Fileable
Form and Instruction 7 Quiz for Training Assessment for R3 Appendix P3 Quiz for Training Assessment for R3.docx No   Fillable Fileable
Form and Instruction 8 Debriefing Interview Questionnaire Appendix T Debriefing Interview Questionnaire.docx No   Fillable Fileable
Form and Instruction 9 Scripts of Video Training Appendix U Scripts of Video Training_clean 0801.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

1 0
   
Individuals or Households
 
   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 1 0 1 0 0 0
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo Addendum to OMB request for FoodAPS-2 Pilot Test usability evaluation revision 20240802.docx 08/16/2024
Screener Instrument Appendix D Screener Questionnaire for Participant Recruitment revision_clean 0801.docx 08/16/2024
Round-2 Protocol Odd Appendix O2a Round-2 Protocol Odd_clean 0801.docx 08/16/2024
Round-2 Protocol Even Appendix O2b Round-2 Protocol Even_clean 0801.docx 08/16/2024
Round-3 Protocol Appendix O3 Round-3 Protocol_clean 0801.docx 08/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.