Information Collection

Parents-Minor Surveys

IC 197607 under ICR 201201-0584-006 · OMB 0584-0561.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix B1 - Round 1 Study Participant and Primary Shopper-English.doc Other-Survey
Appendix B2 - Round 2 Study Participant and Primary Shopper-English.doc Other-Survey
Appendix B3 - Round 3 Study Participant and Primary Shopper-English.doc Other-Survey
Appendix B4 Round 1 Study Participant and Primary Shopper Survey-Spanish.doc Other-Survey
Appendix B5 - Round 2 Study Participant and Primary Shopper-Spanish.doc Other-Survey
Appendix B6 - Round 3 Study Participant and Primary Shopper-Spanish.doc Other-Survey
Appendix C - AMPM Screenshots.doc
www.ars.usda.gov/Services/docs.htm?docid=7710#what
Other-Screenshots
Appendix D1 - FG Participant Telephone Recruitment Script-English.doc Other-D1 - Focus Group Participant T
Appendix D2 - FG Participant Consent Form-English.doc Other-Participant Consent Form
Appendix D3- FG Protocol-English.doc Other-Moderator Guide
Appendix D4 - FG Data Sheet-English.doc Other-Demographics Questionnaire
Appendix D5 - FG Participant Incentive Receipt Form-English.doc Other-Incentive Acknowledgement Rece
Attachment 5 QRE with Added Cell Question 2-2-12.docx Other-Survey- Attachment 5 QRE with
Attachment 6 QRE with Added Cell Question Spanish 2-2-12.docx Other-Attachment 6 QRE with Added Ce
Appendix A 1-Round 1 Advanced Letter to Study Participants-English.doc
A 1-Round 1 Advanced Letter to Study Participants-English
IC Document
Appendix A 2-Round 1 Advanced Letter to Parents of Minors-English.doc
A 2-Round 1 Advanced Letter to Parents of Minors-English
IC Document
Appendix A 3-Round 2 Advanced Letter to Study Participants-English.doc
A 3-Round 2 Advanced Letter to Study Participants-English
IC Document
Appendix A 4-Round 2 Advanced Letter to Parents of Minors-English.doc
A 4-Round 2 Advanced Letter to Parents of Minors-English
IC Document
Appendix A 5-Round 3 Advanced Letter to Study Participants-English.doc
A 5-Round 3 Advanced Letter to Study Participants-English
IC Document
Appendix A 6-Round 3 Advanced Letter to Parents of Minors-English.doc
A 6-Round 3 Advanced Letter to Parents of Minors-English
IC Document
Appendix A 7-Round 1Advanced Letter to Study Participants-Spanish.doc
A 7-Round 1 Advanced Letter to Study Participants-Spanish
IC Document
Appendix A 8-Round 1 Advanced Letter to Parents of Minors-Spanish.doc
A 8-Round 1 Advanced Letter to Parents of Minors-Spanish
IC Document
Appendix A 9-Round 2 Advanced Letter to Study Participants-Spanish.doc
A 9-Round 2 Advanced Letter to Study Participants-Spanish
IC Document
Appendix A 10-Round 2 Advanced Letter to Parents of Minors-Spanish.doc
A 10-Round 2 Advanced Letter to Parents of Minors-Spanish
IC Document
Appendix A 11-Round 3 Advanced Letter to Study Participants-Spanish.doc
A 11-Round 3 Advanced Letter to Study Participants-Spanish
IC Document
Appendix A 12-Round 3 Advanced Letter to Parent of Minors-Spanish.doc
A 12-Round 3 Advanced Letter to Parent of Minors-Spanish
IC Document
Appendix B7 - In person script-English.doc
B7 - In person script-English
IC Document
Appendix B8 - Voicemail script-English.doc
B8 - Voicemail script-English
IC Document
Appendix B9 - Refusal strategy and script-English.doc
B9 - Refusal strategy and script-English
IC Document
Attachment 2 Round 2 Advance Letter for Minors REV 1-19-12.docx
Attachment 2 Round 2 Advance Letter for Minors REV 1-19-12
IC Document
Attachment 3 Round 3 Advance Letter Rev 2-2-12.docx
Attachment 3 Round 3 Advance Letter Rev 2-2-12
IC Document
Attachment 4 Round 3 Advance Letter for Minors REV 2-2-12.docx
Attachment 4 Round 3 Advance Letter for Minors REV 2-2-12
IC Document
Attachment 7 Round 2 Advance Letter Spanish Rev 2-2-12.docx
Attachment 7 Round 2 Advance Letter Spanish Rev 2-212
IC Document
Attachment 8 Round 2 Advance Letter for Minors Spanish Rev 2-2-12.docx
Attachment 8 Round 2 Advance Letter for Minors Spanish Rev 2-2.12
IC Document
Attachment 9 Round 3 Advance Letter Spanish rev 2-2-12.docx
Attachment 9 Round 3 Advance Letter Spanish rev 2-2-12
IC Document
Attachment 10 Round 3 Advance Letter for Minors Spanish rev 2-2-12.docx
Attachment 10 Round 3 Advance Letter for Minors Spanish rev 2-2-12
IC Document
Attachment 1 Round 2 Advance Letter Rev2 2-2-12.docx
Attachment 1 Round 2 Advance Letter Rev2 2-2-12
IC Document
Attachment 2 Round 2 Advance Letter for Minors REV 2-2-12.docx
Attachment 2 Round 2 Advance Letter for Minors REV 2-2-12
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Survey No   Paper Only
Other-Survey No   Paper Only
Other-Survey No   Paper Only
Other-Survey No   Paper Only
Other-Survey No   Paper Only
Other-Survey No   Paper Only
Other-Screenshots http://www.ars.usda.gov/Services/docs.htm?docid=7710#what Yes Yes Fillable Fileable
Other-D1 - Focus Group Participant Telephone Recruitment Script: English No   Paper Only
Other-Participant Consent Form No   Paper Only
Other-Moderator Guide No   Paper Only
Other-Demographics Questionnaire No   Paper Only
Other-Incentive Acknowledgement Receipt No   Paper Only
Other-Survey- Attachment 5 QRE with Added Cell Question 1-19-12 No   Paper Only
Other-Attachment 6 QRE with Added Cell Question Spanish 2-2-12 No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 5,916 0 0 0 0 5,916
Annual IC Time Burden (Hours) 4,577 0 0 0 0 4,577
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
A 1-Round 1 Advanced Letter to Study Participants-English 05/05/2011
A 2-Round 1 Advanced Letter to Parents of Minors-English 05/05/2011
A 3-Round 2 Advanced Letter to Study Participants-English 05/05/2011
A 4-Round 2 Advanced Letter to Parents of Minors-English 05/05/2011
A 5-Round 3 Advanced Letter to Study Participants-English 05/05/2011
A 6-Round 3 Advanced Letter to Parents of Minors-English 05/05/2011
A 7-Round 1 Advanced Letter to Study Participants-Spanish 05/05/2011
A 8-Round 1 Advanced Letter to Parents of Minors-Spanish 05/06/2011
A 9-Round 2 Advanced Letter to Study Participants-Spanish 05/06/2011
A 10-Round 2 Advanced Letter to Parents of Minors-Spanish 05/06/2011
A 11-Round 3 Advanced Letter to Study Participants-Spanish 05/06/2011
A 12-Round 3 Advanced Letter to Parent of Minors-Spanish 05/06/2011
B7 - In person script-English 05/06/2011
B8 - Voicemail script-English 05/06/2011
B9 - Refusal strategy and script-English 05/06/2011
Attachment 2 Round 2 Advance Letter for Minors REV 1-19-12 01/24/2012
Attachment 3 Round 3 Advance Letter Rev 2-2-12 02/07/2012
Attachment 4 Round 3 Advance Letter for Minors REV 2-2-12 02/07/2012
Attachment 7 Round 2 Advance Letter Spanish Rev 2-212 02/07/2012
Attachment 8 Round 2 Advance Letter for Minors Spanish Rev 2-2.12 02/07/2012
Attachment 9 Round 3 Advance Letter Spanish rev 2-2-12 02/07/2012
Attachment 10 Round 3 Advance Letter for Minors Spanish rev 2-2-12 02/07/2012
Attachment 1 Round 2 Advance Letter Rev2 2-2-12 02/07/2012
Attachment 2 Round 2 Advance Letter for Minors REV 2-2-12 02/07/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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