Information Collection

National Household Food Acquisition and Purchase Survey -- Respondents

IC 200401 under ICR 201207-0536-001 · OMB 0536-0068.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
N-Adult Food Book.pdf	Other-Adult Food Booklet
J-Meals and Snacks Form.pdf	Other-Meals and Snacks Form
M-Primary Respondent Book.pdf	Other-Primary Respondent Book
O-Youth Food Book.pdf	Other-Youth Food Book
R-Respondent feedback form.pdf	Other-null
H-Initial HH Interview and hand cards.pdf	Other-Initial Household Interview
P-Telephone Script.pdf	Other-Telephone Script
K-Income Worksheet.pdf	Other-Income Worksheet
Q-Final HH Interview and hand cards.pdf	Other-Final HH Interview and hand ca
Appdx Y-New Instruments for Household Training.pdf	Other-null
The Spanish version training video.docx www.usdafoodstudy.org/espanol/index-9.html#selected	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Adult Food Booklet	N-Adult Food Book.pdf		No		Paper Only
Other-Meals and Snacks Form	J-Meals and Snacks Form.pdf		No		Paper Only
Other-Primary Respondent Book	M-Primary Respondent Book.pdf		No		Paper Only
Other-Youth Food Book	O-Youth Food Book.pdf		No		Paper Only
Other-null	R-Respondent feedback form.pdf		No		Paper Only
Other-Initial Household Interview	H-Initial HH Interview and hand cards.pdf		No		Paper Only
Other-Telephone Script	P-Telephone Script.pdf		No		Paper Only
Other-Income Worksheet	K-Income Worksheet.pdf		No		Paper Only
Other-Final HH Interview and hand cards	Q-Final HH Interview and hand cards.pdf		No		Paper Only
Other-null	Appdx Y-New Instruments for Household Training.pdf		No		Paper Only
Instruction	The Spanish version training video.docx	http://www.usdafoodstudy.org/espanol/index-9.html#selected	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,996

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	202,230	202,230
Annual IC Time Burden (Hours)	42,569	42,569
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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