FoodAPS Field Test - Respondents

Field Test for the Second National Household Food Acquisition and Purchase Survey (FoodAPS-2)

OMB: 0536-0077

IC ID: 251684

Documents and Forms
Document Name
Document Type
Other-Attachment B - Recruitment scr
Other-Attachment B - Recruitment scr
Other-Attachment B1 - Screenshots of
Other-Attachment B1 - Screenshots of
Other-Attachment J - Profile Questio
Other-Attachment J - Profile Questio
Other-Attachment J1 - Screenshots of
Other-Attachment J1 - Screenshots of
Other-Attachment J2 - Web Screenshot
Other-Attachment J2 - Web Screenshot
Other-Attachment L - Income Question
Other-Attachment L - Income Question
Other-Attachment L1 - Screenshots of
Other-Attachment L1 - Screenshots of
Other-Attachment L2 - Web Screenshot
Other-Attachment L2 - Web Screenshot
Other-Attachment M - Memory Jogger
Other-Attachment M - Memory Jogger
Other-Attachment O - Debriefing Inte
Other-Attachment O - Debriefing Inte
Other-Attachment R1 - Food Log Quest
Other-Attachment R1 - Food Log Quest
Other-Attachment R2 - Screenshots of
Other-Attachment R2 - Screenshots of
Other-Attachment R3 - Web Screenshot
Other-Attachment R3 - Web Screenshot
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Information Collection (IC) Details

View Information Collection (IC)

FoodAPS Field Test - Respondents
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B - Recruitment screener Attachment B - Recruitment screener 01252022.docx Yes Yes Fillable Fileable
Other-Attachment B1 - Screenshots of Mail Household Screener (Web Version Attachment B1 - Screenshots of Mail Household Screener (Web Version) 01042022.docx Yes Yes Fillable Fileable
Other-Attachment J - Profile Questionnaire Attachment J - Profile Questionnaire 02152022.docx Yes Yes Fillable Fileable
Other-Attachment J1 - Screenshots of FoodLogger Version of Profile Questionnaire Attachment J1 - Screenshots of FoodLogger Version of Profile Questionnaire 01042022.docx Yes Yes Fillable Fileable
Other-Attachment J2 - Web Screenshots for Profile Questionnaire Attachment J2 - Web Screenshots for Profile Questionnaire 01042022.docx Yes Yes Fillable Fileable
Other-Attachment L - Income Questionnaire Attachment L - Income Questionnaire 01042022.docx Yes Yes Fillable Fileable
Other-Attachment L1 - Screenshots of FoodLogger Version of Income Questionnaire Attachment L1 - Screenshots of FoodLogger Version of Income Questionnaire 01042022.docx Yes Yes Fillable Fileable
Other-Attachment L2 - Web Screenshots of Income Questionnaire Attachment L2 - Web Screenshots of Income Questionnaire 01042022.docx Yes Yes Fillable Fileable
Other-Attachment M - Memory Jogger Attachment M - Memory Jogger 10292021.docx No   Printable Only
Other-Attachment O - Debriefing Interview Attachment O - Debriefing Interview 07272021.docx Yes Yes Fillable Printable
Other-Attachment R1 - Food Log Questionnaire_GoldStand Attachment R1 - Food Log Questionnaire_GoldStand 01042022.docx Yes Yes Fillable Fileable
Other-Attachment R2 - Screenshots of FoodLogger Version of Food Log Attachment R2 - Screenshots of FoodLogger Version of Food Log 01042022.docx Yes Yes Fillable Fileable
Other-Attachment R3 - Web Screenshots of Food Log Attachment R3 - Web Screenshots of Food Log 01042022.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

 

430 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 430 0 430 0 0 0
Annual IC Time Burden (Hours) 2,718 0 2,718 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C1 - Introductory letter Attachment C1 - Introductory letter 01252022.docx 02/18/2022
Attachment D1 - In-person Screening Advance Letter Attachment D1 - In-person Screening Advance Letter 02152022.docx 02/18/2022
Attachment D2 - Interviewer Authorization Letter Attachment D2 - Interviewer Authorization Letter 07272021.docx 02/18/2022
Attachment D3 - Gated Community Letter Attachment D3 - Gated Community Letter 07272021.docx 02/18/2022
Attachment D5 - Frequently Asked Questions and Responses Attachment D5 - Frequently Asked Questions and Responses 02152022.docx 02/18/2022
Attachment E - In-person Household Screener Attachment E - In-person Household Screener 09082021.docx 02/18/2022
Attachment F1 - Household Consent Form Attachment F1 - Household Consent Form 01042022.docx 02/18/2022
Attachment F2 - Parental Consent Form Attachment F2 - Parental Consent Form 01042022.docx 02/18/2022
Attachment F3 - Individual Assent Consent Form Attachment F3 - Individual Assent Consent Form 01252022.docx 02/18/2022
Attachment G - Initial Household Interview Attachment G - Initial Household Interview 02152022.docx 02/18/2022
Attachment H1 - NFS Field Test Overview (Interviewer Training Manual) Attachment H1 - NFS Field Test Overview (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment H2 - Contacting Procedures (Interviewer Training Manual) Attachment H2 - Contacting Procedures (Interviewer Training Manual) 10292021.docx 02/18/2022
Attachment H3 - Data Collection (Interviewer Training Manual) Attachment H3 - Data Collection (Interviewer Training Manual) 11172021.docx 02/18/2022
Attachment H4 - Equipment (Interviewer Training Manual) Attachment H4 - Equipment (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment H5 - Mobile Device User Guide (Interviewer Training Manual) Attachment H5 - Mobile Device User Guide (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment H6 - Quality Control (Interviewer Training Manual) Attachment H6 - Quality Control (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment H7 - Report Calls (Interviewer Training Manual) Attachment H7 - Report Calls (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment H8 - Administrative Procedures (Interviewer Training Manual) Attachment H8 - Administrative Procedures (Interviewer Training Manual) 09082021.docx 02/18/2022
Attachment I1 - How to Connect a Mi-Fi & Barcode Scanner Attachment I1 - How to Connect a Mi-Fi & Barcode Scanner 10292021.docx 02/18/2022
Attachment I2 - Household Equipment Form Attachment I2 - Household Equipment Form 10292021.docx 02/18/2022
Attachment I3 - Downloading and Installing the FoodLogger Attachment I3 - Downloading and Installing the FoodLogger 10292021.pdf 02/18/2022
Attachment K - Interviewer Observations Attachment K - Interviewer Observations 07272021.docx 02/18/2022
Attachment N - Electronic Text and e-mail Communications Attachment N - Electronic Text and e-mail Communications 02152022.docx 02/18/2022
Attachment Q - What to Report and What Not to Report Attachment Q - What to Report and What Not to Report 10292021.pdf 02/18/2022
Attachment V1 - Welcome to NFS Video Script Attachment V1 - Welcome to NFS Video Script 10292021.docx 02/18/2022
Attachment V2 - Getting Started Video Script Attachment V2 - Getting Started Video Script 10292021.docx 02/18/2022
Attachment V3 - Entering Grocery Store Food and Drink Attachment V3 - Entering Grocery Store Food and Drink 10292021.docx 02/18/2022
Attachment V4 - Entering Restaurant Food and Drink Video Script Attachment V4 - Entering Restaurant Food and Drink Video Script 10292021.docx 02/18/2022
Attachment V5 - Completing Profile and Income Questionnaires Video Script Attachment V5 - Completing Profile and Income Questionnaires Video Script 10292021.docx 02/18/2022
Attachment V6 - Completing the Day Overview Video Script Attachment V6 - Completing the Day Overview Video Script 10292021.docx 02/18/2022
Attachment V7 - Grocery Store Purchase Video Script Attachment V7 - Grocery Store Purchase Video Script 10292021.docx 02/18/2022
Attachment V8 - How to Report Meals from a Fast Food Restuarant Video Script Attachment V8 - How to Report Meals from a Fast Food Restuarant Video Script 10292021.docx 02/18/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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