Information Collection

CNPP Journaling (Revised)

IC 217648 under ICR 201201-0584-026 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A 1 CNPP Journal Screener Guide - English 6 5 15.docx	Other-Attachment A 1 CNPP Journal Sc
Attachment A 2 CNPP Journal Screener Guide - Spanish 6 5 15.docx	Other-Attachment A 2 CNPP Journal Sc
Attachment B 1 USDA Journaling Guide - English 6 5 15.docx	Other-Attachment B 1 USDA Journaling
Attachment B 2 CNPP Journal Guide - Spanish 6 5 15.docx	Other-Attachment B 2 CNPP Journal Gu
Attachment C 1 A 1 Journaling follow up group homework assignment 6 5 15.docx	Instruction
Attachment D 1 USDA Moderator Guide Discussion for Journal Follow-Up Guide 6 5 15.docx	Other-Attachment D 1 USDA Moderator
Attachment E 1 A Homework Instructions Englilsh 6 5 15.docx	Instruction
Attachment E 1 CNPP Focus Group Screener - English 6 5 15.docx	Other-Attachment E 1 CNPP Focus Grou
Attachment E 2 A Homework Instructions Spanish 6 5 15.docx	Instruction
Attachment E 2 A Homework Instructions Spanish 6 5 15.docx	Other-Attachment E 2 CNPP Focus Grou
Attachment F 1 Moderator Guide Focus Groups - English 6 5 15.docx	Other-Attachment F 1 Moderator Guide
Attachment F 2 Moderator Guide Focus Groups - Spanish 6 5 15.docx	Other-Attachment F 2 Moderator Guide
CNPP OMB Cover Memo 0584-0523 task 1 06 23 15_OMB comments7 8 15Clean.docx OMB Justification Memo	IC Document
Attachment A 1 A Journaling Invitation - English 6 5 15.docx Attachment A 1 A Journaling Invitation - English 6 5 15	IC Document
Attachment A 2 A Journaling Invitation - Spanish 6 5 15.docx Attachment A 2 A Journaling Invitation - Spanish 6 5 15	IC Document
Attachment C 1 A USDA Journaling Focus Group Follow-Up E-Mail 6-5-15.docx Attachment C 1 A USDA Journaling Focus Group Follow-Up E-Mail 6-5-15	IC Document
Attachment C 1 B Web Camera Letter 6 5 15.docx Attachment C 1 B Web Camera Letter 6 5 15	IC Document
Attachment E 3 Focus Group Confirmation Form - English 6 5 15.docx Attachment E 3 Focus Group Confirmation Form - English 6 5 15	IC Document
Attachment E 4 Focus Group Confirmation Form - Spanish 6 5 15.docx Attachment E 4 Focus Group Confirmation Form - Spanish 6 5 15	IC Document
Attachment G 1 Consent Forms - English 6 5 15.docx Attachment G 1 Consent Forms - English 6 5 15	IC Document
Attachment G 2 Consent Forms - Spanish 6 5 15.docx Attachment G 2 Consent Forms - Spanish 6 5 15	IC Document
Attachment H 1 Confidentiality Agreement.docx Attachment H 1 Confidentiality Agreement	IC Document
Copy of Burden hours 07 06 15.xlsx Burden estimates	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CNPP Journaling (Revised)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Attachment A 1 CNPP Journal Screener Guide - English 6 5 15	Attachment A 1 CNPP Journal Screener Guide - English 6 5 15.docx	No	Paper Only
Other-Attachment A 2 CNPP Journal Screener Guide - Spanish 6 5 15	Attachment A 2 CNPP Journal Screener Guide - Spanish 6 5 15.docx	No	Paper Only
Other-Attachment B 1 USDA Journaling Guide - English 6 5 15	Attachment B 1 USDA Journaling Guide - English 6 5 15.docx	No	Paper Only
Other-Attachment B 2 CNPP Journal Guide - Spanish 6 5 15	Attachment B 2 CNPP Journal Guide - Spanish 6 5 15.docx	No	Paper Only
Instruction	Attachment C 1 A 1 Journaling follow up group homework assignment 6 5 15.docx	No	Paper Only
Other-Attachment D 1 USDA Moderator Guide Discussion for Journal Follow-Up Guide 6 5 15	Attachment D 1 USDA Moderator Guide Discussion for Journal Follow-Up Guide 6 5 15.docx	No	Paper Only
Instruction	Attachment E 1 A Homework Instructions Englilsh 6 5 15.docx	No	Paper Only
Other-Attachment E 1 CNPP Focus Group Screener - English 6 5 15	Attachment E 1 CNPP Focus Group Screener - English 6 5 15.docx	No	Paper Only
Instruction	Attachment E 2 A Homework Instructions Spanish 6 5 15.docx	No	Paper Only
Other-Attachment E 2 CNPP Focus Group Screener - Spanish 6 5 15	Attachment E 2 A Homework Instructions Spanish 6 5 15.docx	No	Paper Only
Other-Attachment F 1 Moderator Guide Focus Groups - English 6 5 15	Attachment F 1 Moderator Guide Focus Groups - English 6 5 15.docx	No	Paper Only
Other-Attachment F 2 Moderator Guide Focus Groups - Spanish 6 5 15	Attachment F 2 Moderator Guide Focus Groups - Spanish 6 5 15.docx	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 65 FR 17251

Number of Respondents: 1,536

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	3,102	3,102
Annual IC Time Burden (Hours)	779	779
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo	CNPP OMB Cover Memo 0584-0523 task 1 06 23 15_OMB comments7 8 15Clean.docx	07/24/2015
Attachment A 1 A Journaling Invitation - English 6 5 15	Attachment A 1 A Journaling Invitation - English 6 5 15.docx	07/24/2015
Attachment A 2 A Journaling Invitation - Spanish 6 5 15	Attachment A 2 A Journaling Invitation - Spanish 6 5 15.docx	07/24/2015
Attachment C 1 A USDA Journaling Focus Group Follow-Up E-Mail 6-5-15	Attachment C 1 A USDA Journaling Focus Group Follow-Up E-Mail 6-5-15.docx	07/24/2015
Attachment C 1 B Web Camera Letter 6 5 15	Attachment C 1 B Web Camera Letter 6 5 15.docx	07/24/2015
Attachment E 3 Focus Group Confirmation Form - English 6 5 15	Attachment E 3 Focus Group Confirmation Form - English 6 5 15.docx	07/24/2015
Attachment E 4 Focus Group Confirmation Form - Spanish 6 5 15	Attachment E 4 Focus Group Confirmation Form - Spanish 6 5 15.docx	07/24/2015
Attachment G 1 Consent Forms - English 6 5 15	Attachment G 1 Consent Forms - English 6 5 15.docx	07/24/2015
Attachment G 2 Consent Forms - Spanish 6 5 15	Attachment G 2 Consent Forms - Spanish 6 5 15.docx	07/24/2015
Attachment H 1 Confidentiality Agreement	Attachment H 1 Confidentiality Agreement.docx	07/24/2015
Burden estimates	Copy of Burden hours 07 06 15.xlsx	07/24/2015

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