Attachment F-1 Privacy Act Statement (English) 10 16

OMB CONTROL NO.: 0584-0523

EXPIRATION DATE: XX/XX/20XX

OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0523. The time to complete this information collection is estimated at 2 minutes including the time for reviewing instructions and completing the information.

ATTACHMENT F-1 PRIVACY ACT STATEMENT (ENGLISH)

PRIVACY ACT STATEMENT

The United States Department of Agriculture (USDA) Center for Nutrition Policy and Promotion (CNPP) is authorized to collect this information under Section 19 of the Child Nutrition Act of 1966 (42 U.S.C. 1787), Section 5 of the Richard B. Russell National School Lunch Act (42 U.S.C. 1754) and Section 11(f) of the Food and Nutrition Act of 2008 (7U.S.C.2020). This information will be used in to inform CNPP about how Americans make food choices and think about health-related issues.

All information collected will be combined with information provided by other participants and used only for statistical purposes. Any information which would permit identification of the individual will be kept private and will be used only by persons engaged in and for the purpose of the survey, except as otherwise required by law.

Participation in this survey is voluntary and there are no penalties for refusing to answer any question in part or full and you can opt out at any time. However, your cooperation in obtaining this much needed information is extremely important in order to insure the completeness and accuracy of the statistical results.