OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

CNPP MyPlate Focus Groups

IC 259435 under ICR 202311-0584-004 · OMB 0584-0611.

Documents and Forms
Document Name
Document Type
Other-Attachment A-1 Focus Group Scr
Other-Attachment A-2 Focus Group Scr
Other-Attachment A-3 Focus Group Scr
Other-Attachment A-4 Focus Group Scr
Other-Attachment B-1 Confirmation Fo
Other-Attachment B-2 Confirmation Fo
Other-Attachment C-1 Consent Form (E
Other-Attachment C-2 Consent Form (S
Other-Attachment D-1 Discussion Guid
Other-Attachment D-2 Discussion Guid
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

CNPP MyPlate Focus Groups
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 Focus Group Screener by Ethnicity (English) Attachment A-1 Focus Group Screener by Ethnicity (English).docx Yes No Paper Only
Other-Attachment A-2 Focus Group Screener Spanish-Preferring (English) Attachment A-2 Focus Group Screener Spanish-Preferring (English).docx Yes No Paper Only
Other-Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish) Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish).docx Yes No Paper Only
Other-Attachment A-4 Focus Group Screener by Life Stage (English) Attachment A-4 Focus Group Screener by Life Stage (English).docx Yes No Paper Only
Other-Attachment B-1 Confirmation Form (English) Attachment B-1 Confirmation Form (English).docx No   Paper Only
Other-Attachment B-2 Confirmation Form (Spanish) Attachment B-2 Confirmation Form (Spanish).docx No   Paper Only
Other-Attachment C-1 Consent Form (English) Attachment C-1 Consent Form (English).docx No   Paper Only
Other-Attachment C-2 Consent Form (Spanish) Attachment C-2 Consent Form (Spanish).docx No   Paper Only
Other-Attachment D-1 Discussion Guide (English) Attachment D-1 Discussion Guide (English).docx No   Paper Only
Other-Attachment D-2 Discussion Guide (Spanish) Attachment D-2 Discussion Guide (Spanish).docx No   Paper Only

Income Security Food and Nutrition Assistance

 

576 0
   
Individuals or Households
 
   0 %

  Requested 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 2,304 0 0 0 0 2,304
Annual IC Time Burden (Hours) 380 0 0 0 0 380
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment E-1 Ad E (Why I’m Eating Better) (English & Spanish) Attachment E-1 Ad E (Why I’m Eating Better) (English & Spanish).pdf 04/05/2023
Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish) Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish).pdf 04/05/2023
Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish) Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish).pdf 04/05/2023
Attachment E-4 Ad M (Budget Friendly) (English & Spanish) Attachment E-4 Ad M (Budget Friendly) (English & Spanish).pdf 04/05/2023
Attachment E-5 Fact Sheet (English & Spanish) Attachment E-5 Fact Sheet (English & Spanish).pdf 04/05/2023
Memo_to OCIO re CNPP Consumer research Memo_to OCIO re CNPP Consumer research.pdf 04/05/2023
Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates.docx 04/05/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.