FNS Attachment B

FNS Attachment B-1 Confidentiality Agreement.docx

Agency Information Collection Activities; Proposals, Submissions, and Approvals: Improving Customer Experience Circular A-11 Section 280 Implementation

FNS Attachment B

OMB: 0503-0024

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OMB CONTROL NO.: 0503-0024

EXPIRATION DATE: 04/30/2023



Attachment B-1 Confidentiality Agreement



Edge Research hereby agrees to keep confidential all information discussed during the focus group held online (date, time) on behalf of the USDA.


____________________________________ ________________________

Signature of Authorized Personnel Date


_________________________________________

Name of Authorized Personnel





[RESEARCH FACILITY] hereby agrees to keep confidential all information discussed during the focus group held online (date, time) on behalf of the USDA.


____________________________________ ________________________

Signature of Authorized Personnel Date


_________________________________________

Name of Authorized Personnel


OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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 0503-0024 and the expiration date is 04/30/2023. The time required to complete this information collection is estimated at 10 minutes per initial screening for non-qualifying participants, 15 minutes per initial screening for qualifying participants, 10 minutes per attendance for non-focus group participants, and 2.5 hours per attendance for focus group participants, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Services, Braddock Metro Center II, 1320 Braddock Place, Alexandria, VA 22314, ATTN: PRA (0503-0024). Do not return the completed form to this address.

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