Information Collection

Recruitment, Reminder and Interview-Individuals/Households

IC 203989 under ICR 201209-0584-002 · OMB 0584-0575.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix B-1 RECRUITMENT SCRIPT--FOCUS GROUPS.docx Other-Appendix B-1 Recruitment Scrip
Appendix B-1 RECRUITMENT SCRIPT--FOCUS GROUPS Spanish.docx Other-Appendix B-1 Recruitment Scrip
Appendix B-2 REMINDER SCRIPT--FOCUS GROUPS.docx Other-Appendix B-2 Reminder Script-F
Appendix B-2 REMINDER SCRIPT--FOCUS GROUPS Spanish.docx Other-Appendix B-2 Reminder Script-F
Appendix B-3 INTRODUCTORY SCRIPT--FOCUS GROUPS.docx Other-Appendix B-3 Introductory Scri
Appendix B-3 INTRODUCTORY SCRIPT--FOCUS GROUPS Spanish.docx Other-Appendix B-3 Introductory Scri
Appendix B-4 FOCUS GROUP GUIDE�SNAP PARTICIPANTS.docx Other-Appendix B-4 Focus Group Guide
Appendix B-4 FOCUS GROUP GUIDE�SNAP PARTICIPANTS Spanish.docx Other-Appendix B-4 Focus Group Guide
Appendix B-5 FOCUS GROUP PARTICIPANT INFORMATION FORM.docx Other-Appendix B-5 Focus Group Parti
Appendix B-5 FOCUS GROUP PARTICIPANT INFORMATION FORM Spanish.docx Other-Appendix B-5 Focus Group Parti
Appendix B-6 FOCUS GROUP PARTICIPANT RECEIPT FORM.docx Other-Appendix B-6 Focus Group Parti
Appendix B-6 FOCUS GROUP PARTICIPANT RECEIPT FORM Spanish.docx Other-Appendix B-6 Focus Group Parti

Information Collection (IC) Details

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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-Appendix B-2 Reminder Script-Focus Groups Spanish Appendix B-2 REMINDER SCRIPT--FOCUS GROUPS Spanish.docx Yes No Fillable Fileable
Other-Appendix B-3 Introductory Script-Focus Groups Appendix B-3 INTRODUCTORY SCRIPT--FOCUS GROUPS.docx Yes No Fillable Fileable
Other-Appendix B-3 Introductory Script-Focus Groups Spanish Appendix B-3 INTRODUCTORY SCRIPT--FOCUS GROUPS Spanish.docx Yes No Fillable Fileable
Other-Appendix B-4 Focus Group Guide-SNAP Participants Appendix B-4 FOCUS GROUP GUIDE�SNAP PARTICIPANTS.docx Yes No Fillable Fileable
Other-Appendix B-4 Focus Group Guide-SNAP Participants Spanish Appendix B-4 FOCUS GROUP GUIDE�SNAP PARTICIPANTS Spanish.docx Yes No Fillable Fileable
Other-Appendix B-5 Focus Group Participant Information Form Appendix B-5 FOCUS GROUP PARTICIPANT INFORMATION FORM.docx Yes No Fillable Fileable
Other-Appendix B-5 Focus Group Participant Information Form Spanish Appendix B-5 FOCUS GROUP PARTICIPANT INFORMATION FORM Spanish.docx Yes No Fillable Fileable
Other-Appendix B-6 Focus Group Participant Receipt Form Appendix B-6 FOCUS GROUP PARTICIPANT RECEIPT FORM.docx Yes No Fillable Fileable
Other-Appendix B-6 Focus Group Participant Receipt Form Spanish Appendix B-6 FOCUS GROUP PARTICIPANT RECEIPT FORM Spanish.docx Yes No Fillable Fileable
Other-Appendix B-1 Recruitment Script-Focus Groups Appendix B-1 RECRUITMENT SCRIPT--FOCUS GROUPS.docx Yes No Fillable Fileable
Other-Appendix B-1 Recruitment Script-Focus Group Spanish Appendix B-1 RECRUITMENT SCRIPT--FOCUS GROUPS Spanish.docx Yes No Fillable Fileable
Other-Appendix B-2 Reminder Script-Focus Groups Appendix B-2 REMINDER SCRIPT--FOCUS GROUPS.docx Yes No Fillable Fileable

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 452 0 452 0 0 0
Annual IC Time Burden (Hours) 130 0 130 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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