Information Collection

DGA Focus Group w/OMB Recommendations

IC 194542 under ICR 200910-0584-002 · OMB 0584-0523.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0523 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - DGA Exploratory FG Adult Screener 9-13-2010.docx	Other-Screener Questionnaire
Appendix C - Confidentiality Agreement DGA Focus Groups 9-13-2010.docx	Other-Confidentiality Agreement
Justification Memo_DGA_9.13.10.docx Justification Memo	IC Document
Appendix_B_Consumer_Focus_Group_Discussion_Guide_9_13.docx Moderator Guide	IC Document
USDA_Draft Graphic Concept Directions 9-13-2010.pdf Draft Concept	IC Document
Ketchum consumer DGA messages 9-13-2010.pdf Ketchum Consumer DGA Messages	IC Document

IC Title:

DGA Focus Group w/OMB Recommendations

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener Questionnaire			Appendix A - DGA Exploratory FG Adult Screener 9-13-2010.docx		No		Paper Only
Other-Confidentiality Agreement			Appendix C - Confidentiality Agreement DGA Focus Groups 9-13-2010.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	432	432
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo	Justification Memo_DGA_9.13.10.docx	09/13/2010
Moderator Guide	Appendix_B_Consumer_Focus_Group_Discussion_Guide_9_13.docx	09/13/2010
Draft Concept	USDA_Draft Graphic Concept Directions 9-13-2010.pdf	09/13/2010
Ketchum Consumer DGA Messages	Ketchum consumer DGA messages 9-13-2010.pdf	09/13/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.