Shopping Patterns: SNAP Recipient Focus Group (I/H)

Nutrition Assistance in Farmers Markets: Understanding Shopping Patterns

Documents and Forms

Document Name Document Type
FMCS OMB E5 Focus Group Moderator Guide for Frequent Shoppers English_v4.docx Other-FMCS OMB E5 Focus Group Modera
FMCS OMB E6. Focus Group Moderator Guide for Non Shoppers English_v4.docx Other-FMCS OMB E6. Focus Group Moder
FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish_v4.docx Other-FMCS OMB E7 Focus Group Modera
FMCS OMB E8 Focus Group Moderator Guide for Non Shopper Spanish_V4.docx Other-FMCS OMB E7 Focus Group Modera
FMCS OMB E1 Focus group recruitment script English_v4.docx FMCS OMB E1 Focus group recruitment script English IC Document
FMCS OMB E2 Focus group recruitment script Spanish_v4_ALL SPANISH-Span.docx FMCS OMB E2 Focus group recruitment script Spanish IC Document
FMCS OMB E3 Focus Group Consent form English_v4.docx FMCS OMB E3 Focus Group Consent form English IC Document
FMCS OMB E4 Focus Group Consent form Spanish_v4.docx FMCS OMB E4 Focus Group Consent form Spanish IC Document
FMCS OMB E9 Focus Group Incentive Receipt form English v4.docx FMCS OMB E9 Focus Group Incentive Receipt form English IC Document
FMCS OMB E10 Focus Group Incentive Receipt form Spanish_v4.docx FMCS OMB E10 Focus Group Incentive Receipt form Spanish IC Document
FMCS OMB E11 Focus Group Recruitment Flyer English.docx FMCS OMB E11 Focus Group Recruitment Flyer English IC Document
FMCS OMB E12 Focus Group Recruitment Flyer Spanish.docx FMCS OMB E12 Focus Group Recruitment Flyer Spanish IC Document

Information Collection (IC) Details

IC Title:	Shopping Patterns: SNAP Recipient Focus Group (I/H)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-FMCS OMB E5 Focus Group Moderator Guide for Frequent Shoppers English	FMCS OMB E5 Focus Group Moderator Guide for Frequent Shoppers English_v4.docx	No	Paper Only
Other-FMCS OMB E6. Focus Group Moderator Guide for Non Shoppers English	FMCS OMB E6. Focus Group Moderator Guide for Non Shoppers English_v4.docx	No	Paper Only
Other-FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish	FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish_v4.docx	No	Paper Only
Other-FMCS OMB E7 Focus Group Moderator Guide for Frequent Shoppers Spanish	FMCS OMB E8 Focus Group Moderator Guide for Non Shopper Spanish_V4.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: 120	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	120	120
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FMCS OMB E1 Focus group recruitment script English	FMCS OMB E1 Focus group recruitment script English_v4.docx	07/11/2012
FMCS OMB E2 Focus group recruitment script Spanish	FMCS OMB E2 Focus group recruitment script Spanish_v4_ALL SPANISH-Span.docx	08/23/2012
FMCS OMB E3 Focus Group Consent form English	FMCS OMB E3 Focus Group Consent form English_v4.docx	07/11/2012
FMCS OMB E4 Focus Group Consent form Spanish	FMCS OMB E4 Focus Group Consent form Spanish_v4.docx	07/11/2012
FMCS OMB E9 Focus Group Incentive Receipt form English	FMCS OMB E9 Focus Group Incentive Receipt form English v4.docx	07/11/2012
FMCS OMB E10 Focus Group Incentive Receipt form Spanish	FMCS OMB E10 Focus Group Incentive Receipt form Spanish_v4.docx	07/11/2012
FMCS OMB E11 Focus Group Recruitment Flyer English	FMCS OMB E11 Focus Group Recruitment Flyer English.docx	07/11/2012
FMCS OMB E12 Focus Group Recruitment Flyer Spanish	FMCS OMB E12 Focus Group Recruitment Flyer Spanish.docx	07/11/2012

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