Individuals or Households Respondents

OMB Number: 0584-XXXX

Expiration Date: XX/XX/XXXX

Appendix G.8. Script for Data Collectors for Area Probability Sample in English (In-Person Delivery)

Hi. How are you today?

My name is [name]. I’m working with the U.S. Department of Agriculture’s Food and Nutrition Service on a study about health and well-being in Puerto Rico. Your household has been chosen to participate in this study, so I am stopping by today to drop off a survey.

We ask that one person in your household complete the survey. It should take less than 40 minutes to complete, and when we have your completed survey, you will get a $40 gift card.

Instructions on how to complete the survey and who should complete it are inside the packet. There are a few different ways you can complete the survey:

1. You can mail it to us and receive your gift card by mail. You will find a postage-paid return envelope inside the packet.

2. You can complete the survey online and receive your gift card by mail. The packet includes a letter with the website address and a QR code.

3. I could also come back to collect the survey from you [on day, at time] and give you the gift card then.

[Hand packet to recipient] Thanks so much for your time. If you have questions about the survey, there is a phone number on the letter in the packet. Or if you need to reach me, here is my business card [data collectors will have a business card for the study they can leave].

Your answers will help us learn more about households in Puerto Rico, especially when it comes to food and nutrition needs.

Thank you so much. Have a great day.

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 complete this information collection is estimated to average 10 minutes per response, 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 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.8. Script for Data Collectors for Area Probability Sample in English G-1