DGA Focus Group w/OMB Recommendations

Generic Clearance to Conduct Formative Research/CNPP

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	DGA Focus Group w/OMB Recommendations	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.