Perform Formative Research to Test Messages Developed to Help Communicate 2015 Dietary Guidelines Recommendations

Generic Clearance to Conduct Formative Research/CNPP

OMB: 0584-0523

IC ID: 218041

⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A-1 Survey Invitation English 8 27 au.docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment A-1 Survey Invitati
Attachment A-2 Survey Invitation (Spanish)_aug21au.docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment A-2 Survey Invitati
Attachment B-1 Online Survey Screener (English)_aug21 PRAO recommendatio....docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment B-1 Online Survey S
Attachment B-2 Online Survey Screener (Spanish)_aug21au.docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment B-2 Online Survey S
Attachment C-1 Survey Instrument (English)_aug21 PRAO recommendation 8-2....docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment C-1 Survey Instrume
Attachment C-2 Survey Instrument (Spanish)_aug21au.docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment C-2 Survey Instrume
Attachment D-1 Consent Form (English)_aug20 PRAO recommendations 8-26-15 .docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment D-1 Consent Form (E
Attachment D-2 Consent Form (Spanish)_aug21AU.DOCX dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment D-2 Consent Form (S
ATTACHMENT D Privacy Act Statement.docx dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C Other-Attachment D Privacy Act State
Attachment E 1 Confidentiality Agreement.docx Attachment E-1 Confidentiality Agreement (English)_aug21 PRAO recommendations 8-26-15 RG IC Document
Copy of Copy of Burden hours quant.xlsx Burden Estimates Spreadsheet IC Document
ATTACHMENT F-1 Privacy Act Statement.docx ATTACHMENT F-1 Privacy Act Statement IC Document
CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean.docx CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Perform Formative Research to Test Messages Developed to Help Communicate 2015 Dietary Guidelines Recommendations	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A-2 Survey Invitation (Spanish)_aug21au	Attachment A-2 Survey Invitation (Spanish)_aug21au.docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment B-1 Online Survey Screener (English)_aug21 PRAO recommendatio...	Attachment B-1 Online Survey Screener (English)_aug21 PRAO recommendatio....docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment B-2 Online Survey Screener (Spanish)_aug21au	Attachment B-2 Online Survey Screener (Spanish)_aug21au.docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment C-1 Survey Instrument (English)_aug21 PRAO recommendation 8-2...	Attachment C-1 Survey Instrument (English)_aug21 PRAO recommendation 8-2....docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment C-2 Survey Instrument (Spanish)_aug21au	Attachment C-2 Survey Instrument (Spanish)_aug21au.docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment D-1 Consent Form (English)_aug20 PRAO recommendations 8-26-15	Attachment D-1 Consent Form (English)_aug20 PRAO recommendations 8-26-15 .docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment D-2 Consent Form (Spanish)_aug21AU	Attachment D-2 Consent Form (Spanish)_aug21AU.DOCX	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment A-1 Survey Invitation English 8 27 au	Attachment A-1 Survey Invitation English 8 27 au.docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable
Other-Attachment D Privacy Act Statement	ATTACHMENT D Privacy Act Statement.docx	http://dimensions.edgeresearch.com/e.asp?p=APT1501T&S=C	Yes	Yes	Fillable Fileable Signable

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 in the Federal Register on March 31, 2000,	FR Citation: 65 FR 17251

Number of Respondents: 1,577	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	5,362	5,362
Annual IC Time Burden (Hours)	492	492
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment E-1 Confidentiality Agreement (English)_aug21 PRAO recommendations 8-26-15 RG	Attachment E 1 Confidentiality Agreement.docx	08/28/2015
Burden Estimates Spreadsheet	Copy of Copy of Burden hours quant.xlsx	08/28/2015
ATTACHMENT F-1 Privacy Act Statement	ATTACHMENT F-1 Privacy Act Statement.docx	08/28/2015
CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean	CNPP OMB Cover Memo 0584-0523_Task 2_quant 8 19 PRAO recommendations 8-27-15 RGauclean.docx	08/31/2015

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