Non-Substantive Change Request Justification

Change Request

October 13, 2017

FoodNet Population Survey

0920-1112

Exp Date: 04/30/2019

Circumstances of Change Request:

We recently finalized adapting our survey instrument for each administration mode (computer-assisted telephone interviewing, web, and mail) and translated each version into Spanish.

A previous change request was approved in October, 2016.

Revised Survey Instrument:

We will discontinue use of Attachment D, the Population Survey Questionnaire version 20161005,

and replace it with Attachment D, the Population Survey Questionnaire version 20171011.

As before, all the instruments are included in a single attachment.

Discussion of Changes:

Minimal changes were made to adapt the generic instrument to each mode. Changes made were to have language appropriate for the mode (such as a respondent taking a self-administered survey rather than having the survey administered by an interviewer) and to maintain consistency as much as possible across the modes. Additional materials are included for the Spanish translations of each document. The final survey instruments are attached.

Burden:

There are no changes to the estimated burden per response (20 minutes), the number of respondents, the methods, or total estimated burden hours.