OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Healthy Incentives Pilot Evaluation

OMB 0584-0561 · USDA/FNS.

OMB 0584-0561

Latest Forms, Documents, and Supporting Material

Document Name
Change Justification Memo to OMB - HIP Incentives[RG].docx Justification for No Material/Nonsubstantive Change
Appendix J - Analysis Plan.pdf Supplementary Document
Appendix H - TWG Eval Design & Study Plan.pdf Supplementary Document
Appendix I3 - IRB and confidentiality.doc Supplementary Document
Appendix I2 - IRB Approval Letter.pdf Supplementary Document
Appendix I1 - Abt-Westat IAA.pdf (document unavailable) Supplementary Document
Appendix G2 - NASS comments.doc Supplementary Document
HIP_OMB_SSB 11-5-24.docx Supporting Statement B
HIP_OMB_SSA 11-5-24.doc Supporting Statement A
State and Local Agencies Other-Round 2 DTA Technical Team HIP Interview Guide
Business (For- and Not-for-Profit) Other-Round 1 EBT Contractor (ACS) Interview Guide
Non-Responders (Business-for and not-for Profit) Other-Non-responses
Non-Responders (State Agencies) Other-Non-responses
Non Responders (Individual/Households) Other-Non Responders
Parents-Minor Surveys Other-Survey- Attachment 5 QRE with Added Cell Question 1-19-12

All Historical Document Collections

201201-0584-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-02-09
201105-0584-001 Approved without change	New collection (Request for a new OMB Control Number)	2011-06-01