Nutrition Education and Promotion Toolkit for Teens - Focus Group Testing

Generic Clearance to Conduct Formative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
Attachment B Parent & Guardian Consent Form for Student Participation Final 9.16.15.docx Other-Attachment B Parent & Guardian
Attachment C-Moderator Discussion Guide for FGs with High School Students Final 9.16.15.docx Other-Attachment C-Moderator Discuss
Attachment D-Focus Group Teacher Participant Qualifying Questionnaire Final 9.16.15.docx Other-Attachment D-Focus Group Teach
Attachment E-Moderator Discussion Guide for FGs with High School Teachers Final 9.16.15.docx Other-Attachment E-Moderator Discuss
Attachment A-Focus Group Student Participant Qualifying Questionnaire Final 9.22.15.docx Other-Attachment A-Focus Group Stude
FNS SNAP Teen Nutrition Subtask 4 OMB Package Supporting Statement Final 9.17.15.pdf FNS SNAP Teen Nutrition Subtask 4 OMB Package Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Nutrition Education and Promotion Toolkit for Teens - Focus Group Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment B Parent & Guardian Consent Form for Student Participation	Attachment B Parent & Guardian Consent Form for Student Participation Final 9.16.15.docx	Yes	No	Printable Only
Other-Attachment C-Moderator Discussion Guide for FGs with High School Students	Attachment C-Moderator Discussion Guide for FGs with High School Students Final 9.16.15.docx	No		Paper Only
Other-Attachment D-Focus Group Teacher Participant Qualifying Questionnaire	Attachment D-Focus Group Teacher Participant Qualifying Questionnaire Final 9.16.15.docx	No		Paper Only
Other-Attachment E-Moderator Discussion Guide for FGs with High School Teachers	Attachment E-Moderator Discussion Guide for FGs with High School Teachers Final 9.16.15.docx	No		Paper Only
Other-Attachment A-Focus Group Student Participant Qualifying Questionnaire	Attachment A-Focus Group Student Participant Qualifying Questionnaire Final 9.22.15.docx	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-8 FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 3,870	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	5,772	5,772
Annual IC Time Burden (Hours)	913	913
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FNS SNAP Teen Nutrition Subtask 4 OMB Package Supporting Statement	FNS SNAP Teen Nutrition Subtask 4 OMB Package Supporting Statement Final 9.17.15.pdf	09/17/2015

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