OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

FDPIR Participants (Individuals/Househoulds)

IC 206343 under ICR 201304-0584-001 · OMB 0584-0583.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
ATTACHMENT B2a - Household Survey.docx Other-ATTACHMENT B2a - Household Sur
ATTACHMENT B2b - Household Survey Pretest Outreach Script.docx Other-ATTACHMENT B2b - Household Sur
ATTACHMENT B2c - Household Survey Outreach Script.docx Other-ATTACHMENT B2c - Household Sur
ATTACHMENT B2d - Pretest Debriefing Guide.doc Other-ATTACHMENT B2d - Pretest Debri
04 24 13 ATTACHMENT B5a - Discussion Group Guide.docx Other-ATTACHMENT B5a - Discussion Gr
ATTACHMENT B5b - Discussion Group Participant Information Questionnaire.docx Other-ATTACHMENT B5b: DISCUSSION GRO
04 24 2013 ATTACHMENT B5c - Discussion Group Participant Gift Confirmation.docx Other-ATTACHMENT B5c - Discussion Gr
04 24 13 ATTACHMENT B5d - Discussion Group Recruitment Flyer.docx Other-ATTACHMENT B5d - Discussion Gr
04 24 13 ATTACHMENT B5e - Discussion Group Outreach Script.docx Other-ATTACHMENT B5e - Discussion Gr
ATTACHMENT B5f - Discussion Group Pretest Outreach Script.docx Other-ATTACHMENT B5f - Discussion Gr
04 24 13 ATTACHMENT I4 - FDPIR Letter _ 4 - Household Survey Respondent from USDA.docx Other-ATTACHMENT I4 - FDPIR Letter #
ATTACHMENT I6 - FDPIR Study Informational Brochure rev 4-2-13.docx Other-ATTACHMENT I6 - FDPIR Study In
ATTACHMENT B3 - Procedures for Conducting Household Surveys.docx
ATTACHMENT B3 - Procedures for Conducting Household Surveys.docx		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-ATTACHMENT B5c - Discussion Group Participant Gift Confirmation.docx 04 24 2013 ATTACHMENT B5c - Discussion Group Participant Gift Confirmation.docx No   Paper Only
Other-ATTACHMENT B5d - Discussion Group Recruitment Flyer rev 04 24 13 ATTACHMENT B5d - Discussion Group Recruitment Flyer.docx No   Paper Only
Other-ATTACHMENT B5e - Discussion Group Outreach Script.docx 04 24 13 ATTACHMENT B5e - Discussion Group Outreach Script.docx No   Paper Only
Other-ATTACHMENT B5f - Discussion Group Pretest Outreach Script.docx ATTACHMENT B5f - Discussion Group Pretest Outreach Script.docx No   Paper Only
Other-ATTACHMENT I4 - FDPIR Letter # 4 - Household Survey Respondent from USDA.docx 04 24 13 ATTACHMENT I4 - FDPIR Letter _ 4 - Household Survey Respondent from USDA.docx No   Paper Only
Other-ATTACHMENT I6 - FDPIR Study Informational Brochure rev 4-2-13.docx ATTACHMENT I6 - FDPIR Study Informational Brochure rev 4-2-13.docx No   Paper Only
Other-ATTACHMENT B2a - Household Survey.docx ATTACHMENT B2a - Household Survey.docx No   Paper Only
Other-ATTACHMENT B2b - Household Survey Pretest Outreach Script.docx ATTACHMENT B2b - Household Survey Pretest Outreach Script.docx No   Paper Only
Other-ATTACHMENT B2c - Household Survey Outreach Script.docx ATTACHMENT B2c - Household Survey Outreach Script.docx No   Paper Only
Other-ATTACHMENT B2d - Pretest Debriefing Guide.doc ATTACHMENT B2d - Pretest Debriefing Guide.doc No   Paper Only
Other-ATTACHMENT B5a - Discussion Group Guide.docx 04 24 13 ATTACHMENT B5a - Discussion Group Guide.docx No   Paper Only
Other-ATTACHMENT B5b: DISCUSSION GROUP PARTICIPANT INFORMATION QUESTIONNAIRE ATTACHMENT B5b - Discussion Group Participant Information Questionnaire.docx No   Paper Only

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 4,563 0 4,563 0 0 0
Annual IC Time Burden (Hours) 1,160 0 1,160 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
ATTACHMENT B3 - Procedures for Conducting Household Surveys.docx ATTACHMENT B3 - Procedures for Conducting Household Surveys.docx 04/04/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.