FNS Attachment E Focus Group Confirmation Form

FNS Attachment E-1 Focus Group Confirmation Form.docx

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

FNS Attachment E Focus Group Confirmation Form

OMB: 0503-0024

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OMB CONTROL NO.: 0503-0024

EXPIRATION DATE: 04/40/2023


Attachment E-1 Focus Group Confirmation Form


<DATE>


Dear <NAME>,


Thank you for agreeing to participate in this voluntary focus group research. Edge Research is conducting this research on behalf of the United States Department of Agriculture (USDA) to inform them how USDA can best provide information to support people in healthful eating. All of the information you provide will be used only for research purposes and will not be disclosed or used, in identifiable form, for any other purpose except as required by law (The Privacy Act 1974).


You have been scheduled to participate in a focus group study at <TIME> on <DATE>. The discussion will take place virtually and will last no more than two hours. To thank you for your time, you will receive $90 for participating.


The focus group discussion will take place virtually. To participate, <INSERT LOG-IN INSTRUCTIONS>.



If you have any further questions, please contact

Glynis Donaldson

[email protected]

703-842-0223


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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File Created2021-01-13

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