Usda Foods Program

Generic Clearance to Conduct Formative Research

OMB: 0584-0524

IC ID: 190861

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

USDA FOODS PROGRAM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire ATTACHMENT_B_-_Partner_Screener_093009.docx No   Paper Only
Other-Questionnaire ATTACHMENT C - CNP Screener 10-27-09.docx http://qualmeeting.acrobat.com/fleishman/ Yes Yes Fillable Fileable
Other-Questionnaire ATTACHMENT D - Teacher Screener 10-27-09.docx http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1 Yes Yes Fillable Fileable
Other-Questionnaire ATTACHMENT E - Administrators Screener 10-27-09.docx Yes Yes Paper Only
Other-Questionnaire ATTACHMENT Ja - CNP Screen Shots 10-15-09 (2).docx http://qualmeeting.acrobat.com/fleishman/ Yes Yes Fillable Fileable Signable
Other-Questionnaire ATTACHMENT Na - CNP Benchmark Screen Shots 10-15-09.docx http://www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa Yes Yes Fillable Fileable Signable
Other-Questionnaire ATTACHMENT Oa - Teacher Benchmark Screen Shots 10-15-09.docx http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1 Yes Yes Fillable Fileable Signable
Other-Questionnaire ATTACHMENT F - Parent Recruitment Screener 10-27-09.docx No   Paper Only
Other-Questionnaire ATTACHMENT N - CNP Benchmark 10-27-09.docx http://www.globaltestmarket.com/survey/s.phtml?sn=151310&demo=1&lang=E&secid=daecaa Yes Yes Fillable Fileable Signable
Other-Questionnaire ATTACHMENT O - Teacher Benchmark Q 10-27-09.docx http://mrd.saynation.com/MRDSAYNATION/QSurvey/?UID=panelist&SID=S195377173683131&TEST=1 Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

 

1,914 0
   
State, Local, and Tribal Governments
 
   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 1,914 0 1,914 0 0 0
Annual IC Time Burden (Hours) 870 0 870 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CNP_Guide ATTACHMENT_J_-_CNP_Guide_093009.docx 10/01/2009
Teacher_Guide ATTACHMENT_K_-_Teacher_Guide_093009.docx 10/01/2009
Administrators_Guide ATTACHMENT_L_-_Administrators_Guide_093009.docx 10/01/2009
Parents_Guide ATTACHMENT_M_-_Parents_Guides_093009.docx 10/01/2009
Study Design Attachment A Study Design 10-19-09.docx 10/19/2009
Reminder Letter ATTACHMENT_G_-_Reminder_Letter_093009.docx 10/01/2009
Reminder Script ATTACHMENT_H_-_Reminder_Call_Script_093009.docx 10/01/2009
IDI Script Attachment_I_-_IDI_Script_093009.docx 10/01/2009
Reminder_Email ATTACHMENT_P_-_Reminder_Email_Benchmark_093009.docx 10/01/2009
Confidentiality_Agreements Attachment_Q_-_Confidentiality_Agreements_093009.docx 10/01/2009
Poverty_Guidelines Attachment_R_-_Poverty_Guidelines_093009.docx 10/01/2009
Research_Guidelines Attachment_S_-_AAPO_Research_Guidelines_093009.docx 10/01/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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