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

Formative Quantitative Tracking Research for USDA MyPlate National Outreach Campaign
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1: 2024 Survey (English) – includes Privacy Statement and Consent Form Attachment A-1 2024 Survey (English).docx Yes Yes Fillable Printable
Other-Attachment A-2: 2024 Survey (Spanish) – includes Privacy Statement and Consent Form Attachment A-2 2024 Survey (Spanish).docx Yes Yes Fillable Fileable
Other-Attachment A-3: 2024 Survey Screenshots (English) Attachment A-3 2024 Survey Screenshots (English).docx Yes Yes Fillable Printable
Other-Attachment A-4: 2024 Survey Screenshots (Spanish) Attachment A-4 2024 Survey Screenshots (Spanish).docx Yes Yes Fillable Printable
Other-Attachment A-5: 2024 Survey Stimuli 1 (English only) Attachment A-5 2024 Survey Stimuli 1 (English only).mp4 Yes Yes Fillable Printable
Other-Attachment A-6: 2024 Survey Stimuli 2 (English only) Attachment A-6 2024 Survey Stimuli 2 (English only).mp4 Yes Yes Fillable Printable
Other-Attachment A-7: 2024 Survey Stimuli 3 (English only) Attachment A-7 2024 Survey Stimuli 3 (English only).mp4 Yes Yes Fillable Printable
Other-Attachment B-1: 2024 Survey Invitation (English) Attachment B-1 2024 Survey Invitation (English).docx Yes Yes Fillable Printable
Other-Attachment B-2: 2024 Survey Invitation (Spanish) Attachment B-2 2024 Survey Invitation (Spanish).docx Yes Yes Fillable Printable
Other-Attachment B-3: 2024 Survey Invitation (English version of Spanish invitation) Attachment B-3 2024 Survey Invitation (English version of Spanish invitation).docx Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

10,667 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 13,867 0 13,867 0 0 0
Annual IC Time Burden (Hours) 1,536 0 1,536 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment D-1: 2024 Determination Notice for Exempt Research Attachment D-1 2024 Determination Notice for Exempt Research.pdf 09/25/2024
Attachment C-1: 2024 Confidentiality Form Attachment C-1 2024 Confidentiality Form.docx 09/25/2024
OMB Generic Clearnce Memo CNPP WIC Virtual Services_FAST_TRACK_CLEARANCE_FORM- 1.docx 11/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.