OMB
Number: 0584-XXXX Expiration
Date: XX/XX/XXXX
Appendix G.6. Script for Telephone Nonresponse Follow-Up for NAP Participant List Sample in English
Hello. My name is [interviewer name], and I am calling about a study of health and well-being in Puerto Rico. How are you today?
Your household has been chosen to participate in this survey for the U.S. Department of Agriculture and the Administración para el Desarrollo Socieconómico de la Familia. The results will help improve programs and services offered to Puerto Rican households.
The questions ask about things like household food shopping and expenses. Are these questions you can answer on behalf of your household?
If no: May I speak with the person in the household who can answer these questions?
If yes: Great! Let’s get started [request verbal consent and review statements required by IRB/OMB].
Public
Burden Statement This
information is being collected to assist the Food and Nutrition
Service (FNS) in understanding food security status and economic
well-being among Puerto Rico residents. This is a voluntary
collection. FNS will use the information as a baseline for future
assessments of food security and the Nutrition Assistance Program,
particularly in the context of natural disasters. This collection
does not request personally identifiable information under the
Privacy Act of 1974. 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 0584-XXXX. The time required to
read this information is estimated to average 3 minutes. 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
Service, Office of Policy Support, 1320 Braddock Place, Alexandria,
VA 22314. ATTN: PRA (0584-XXXX). Do not return the completed form to
this address.
Food
Security Status and Well-Being of NAP Participants in Puerto Rico,
Appendix G.6. Script for Telephone Nonresponse Follow-Up for NAP
Participant List Sample in English G-
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Allyson Corbo |
File Modified | 0000-00-00 |
File Created | 2023-07-29 |