Information Collection

Users' Evaluation of the National Household Food Acquisition and Purchase Survey (aka.FoodAPS)

IC 226956 under ICR 201511-0536-001 · OMB 0536-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AppendixD_Questionnaire.docx	Other-Survey Questionnaire
FoodAPSInterviewClearance_20170524.docx Memorandum	IC Document
AppendixA_PreTest.docx Appendix A_PreTest	IC Document
AppendixB_Emails_Scripts.docx Appendix B_Emails_Scripts	IC Document
AppendixC_Disclaimer_InformedConsent.docx Appendix C_Disclaimer & Informed Consent	IC Document
AppendixE_ContactList.docx Appendix E Contact List	IC Document

IC Title:

Users' Evaluation of the National Household Food Acquisition and Purchase Survey (aka.FoodAPS)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-Survey Questionnaire			AppendixD_Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memorandum	FoodAPSInterviewClearance_20170524.docx	05/24/2017
Appendix A_PreTest	AppendixA_PreTest.docx	05/24/2017
Appendix B_Emails_Scripts	AppendixB_Emails_Scripts.docx	05/24/2017
Appendix C_Disclaimer & Informed Consent	AppendixC_Disclaimer_InformedConsent.docx	05/24/2017
Appendix E Contact List	AppendixE_ContactList.docx	05/24/2017

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