Information Collection Request

Generic Clearance to Conduct Formative Research/CNPP

ICR 201601-0584-002 · OMB 0584-0523 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Dietary Guidelines 2010.pdf Supplementary Document Uploaded 2012-10-26 Available
APPENDIX 3 Confidentiality Agreement.doc Supplementary Document Uploaded 2016-01-19 Available
APPENDIX 2 OMB Burden Statement -Sample Participant Screener.doc Supplementary Document Uploaded 2016-01-19 Repair queued
0523 generic 2015Supporting Statement_Rev 091616.docx Supporting Statement A Uploaded 2016-09-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232510 SNAP-Eligible Qualitative Research (Individuals/Households 18-75 years) Respondents + non-respondents Other-Attachment C-1 Screener (English)_062718.docx New
224081 CNPP Segmentation Study Other-Attachment B-1 Survey Screener (English)_ 10-10-16 New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved 09/30/2016
57,000 0 57,000
12,004 0 12,004
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
SNAP-Eligible Qualitative Research (Individuals/Households 18-75 years) Respondents + non-respondents
CNPP Segmentation Study

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 57,000 57,000 0 0 0 0
Annual Time Burden (Hours) 12,004 12,004 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No