Puerto Rico Government Respondents

Food Security Status and Well-Being of Nutrition Assistance Program (NAP) Participants in Puerto Rico

OMB: 0584-0674

IC ID: 251633

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0674 can be found here:

2024-01-29 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Appendix J1 Email to ADSEF_01202022.docx Other-Appendix J1 Email to ADSEF_012
Appendix J1 Email to ADSEF_01202022.docx Other-Appendix J1 Email to ADSEF_012
Appendix J2 Agenda for Meeting with ADSEF_01202022.docx Other-Appendix J2 Agenda for Meeting
Appendix J2 Agenda for Meeting with ADSEF_01202022.docx Other-Appendix J2 Agenda for Meeting
Appendix J3 Instructions for SFTP_01202022.docx Other-Appendix J3 Instructions for S
Appendix J3 Instructions for SFTP_01202022.docx Other-Appendix J3 Instructions for S
Appendix K1 Recruitment Email Concept Map_02142022.docx Other-Appendix K1 Recruitment Email
Appendix K1 Recruitment Email Concept Map_02142022.docx Other-Appendix K1 Recruitment Email
Appendix K2 Concept Mapping Informed Consent Form_02142022.docx Other-Appendix K2 Concept Mapping In
Appendix K2 Concept Mapping Informed Consent Form_02142022.docx Other-Appendix K2 Concept Mapping In
Appendix F1 Concept Mapping Welcome Email_02142022.docx Other-Appendix F1 Concept Mapping We
Appendix F1 Concept Mapping Welcome Email_02142022.docx Other-Appendix F1 Concept Mapping We
Appendix F5 Additional Ideas Concept Mapping Email_01202022.docx Other-Appendix F5 Additional Ideas C
Appendix F5 Additional Ideas Concept Mapping Email_01202022.docx Other-Appendix F5 Additional Ideas C
Appendix F6 Instructions for Sorting and Rating Email_01202022.docx Other-Appendix F6 Instructions for S
Appendix F6 Instructions for Sorting and Rating Email_01202022.docx Other-Appendix F6 Instructions for S
Appendix F7 Second Concept Mapping Meeting Scheduling Email_01202022.docx Other-Appendix F7 Second Concept Map
Appendix F7 Second Concept Mapping Meeting Scheduling Email_01202022.docx Other-Appendix F7 Second Concept Map
Appendix K3 Recruitment Email Concept Map in Spanish.docx Other-Appendix K3 Recruitment Email
Appendix K3 Recruitment Email Concept Map in Spanish.docx Other-Appendix K3 Recruitment Email
Appendix K4 Concept Mapping Informed Consent Form in Spanish.docx Other-Appendix K4 Concept Mapping In
Appendix K4 Concept Mapping Informed Consent Form in Spanish.docx Other-Appendix K4 Concept Mapping In
Appendix F11 Concept Mapping Welcome Email in Spanish.docx Other-Appendix F11 Concept Mapping W
Appendix F11 Concept Mapping Welcome Email in Spanish.docx Other-Appendix F11 Concept Mapping W
Appendix F15 Additional Ideas Concept Mapping Email in Spanish.docx Other-Appendix F15 Additional Ideas
Appendix F15 Additional Ideas Concept Mapping Email in Spanish.docx Other-Appendix F15 Additional Ideas
Appendix F16 Instructions for Sorting and Rating Email in Spanish.docx Other-Appendix F16 Instructions for
Appendix F16 Instructions for Sorting and Rating Email in Spanish.docx Other-Appendix F16 Instructions for
Appendix F17 Second Concept Mapping Meeting Scheduling Email in Spanish.docx Other-Appendix F17 Second Concept Ma
Appendix F17 Second Concept Mapping Meeting Scheduling Email in Spanish.docx Other-Appendix F17 Second Concept Ma
Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022.docx Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022 IC Document
Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022.docx Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022 IC Document
Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022.docx Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022 IC Document
Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022.docx Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022 IC Document
Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022.docx Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022 IC Document
Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022.docx Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022 IC Document
Appendix F10 Second Concept Mapping Meeting Facilitator Guide.docx Appendix F10 Second Concept Mapping Meeting Facilitator Guide IC Document
Appendix F10 Second Concept Mapping Meeting Facilitator Guide.docx Appendix F10 Second Concept Mapping Meeting Facilitator Guide IC Document
Appendix F3 Advance Material for First Concept Mapping Meeting_02142022.docx Appendix F3 Advance Material for First Concept Mapping Meeting_02142022 IC Document
Appendix F3 Advance Material for First Concept Mapping Meeting_02142022.docx Appendix F3 Advance Material for First Concept Mapping Meeting_02142022 IC Document
Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022.docx Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022 IC Document
Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022.docx Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022 IC Document
Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish.docx Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish IC Document
Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish.docx Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish IC Document
Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish.docx Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish IC Document
Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish.docx Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish IC Document
Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish.docx Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish IC Document
Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish.docx Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish IC Document
Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish.docx Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish IC Document
Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish.docx Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish IC Document
Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish.docx Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish IC Document
Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish.docx Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish IC Document
Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish.docx Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish IC Document
Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish.docx Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Puerto Rico Government Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix J1 Email to ADSEF_01202022	Appendix J1 Email to ADSEF_01202022.docx	Yes	Yes	Fillable Fileable
Other-Appendix J2 Agenda for Meeting with ADSEF_01202022	Appendix J2 Agenda for Meeting with ADSEF_01202022.docx	Yes	Yes	Paper Only
Other-Appendix J3 Instructions for SFTP_01202022	Appendix J3 Instructions for SFTP_01202022.docx	Yes	Yes	Printable Only
Other-Appendix K1 Recruitment Email Concept Map_02142022	Appendix K1 Recruitment Email Concept Map_02142022.docx	Yes	Yes	Fillable Fileable
Other-Appendix K2 Concept Mapping Informed Consent Form_02142022	Appendix K2 Concept Mapping Informed Consent Form_02142022.docx	Yes	Yes	Fillable Fileable
Other-Appendix F1 Concept Mapping Welcome Email_02142022	Appendix F1 Concept Mapping Welcome Email_02142022.docx	Yes	Yes	Fillable Fileable
Other-Appendix F5 Additional Ideas Concept Mapping Email_01202022	Appendix F5 Additional Ideas Concept Mapping Email_01202022.docx	Yes	Yes	Fillable Fileable
Other-Appendix F6 Instructions for Sorting and Rating Email_01202022	Appendix F6 Instructions for Sorting and Rating Email_01202022.docx	Yes	Yes	Fillable Fileable
Other-Appendix F7 Second Concept Mapping Meeting Scheduling Email_01202022	Appendix F7 Second Concept Mapping Meeting Scheduling Email_01202022.docx	Yes	Yes	Fillable Fileable
Other-Appendix K3 Recruitment Email Concept Map in Spanish	Appendix K3 Recruitment Email Concept Map in Spanish.docx	Yes	Yes	Fillable Fileable
Other-Appendix K4 Concept Mapping Informed Consent Form in Spanish	Appendix K4 Concept Mapping Informed Consent Form in Spanish.docx	Yes	Yes	Fillable Fileable
Other-Appendix F11 Concept Mapping Welcome Email in Spanish	Appendix F11 Concept Mapping Welcome Email in Spanish.docx	Yes	Yes	Fillable Fileable
Other-Appendix F15 Additional Ideas Concept Mapping Email in Spanish	Appendix F15 Additional Ideas Concept Mapping Email in Spanish.docx	Yes	Yes	Fillable Fileable
Other-Appendix F16 Instructions for Sorting and Rating Email in Spanish	Appendix F16 Instructions for Sorting and Rating Email in Spanish.docx	Yes	Yes	Fillable Fileable
Other-Appendix F17 Second Concept Mapping Meeting Scheduling Email in Spanish	Appendix F17 Second Concept Mapping Meeting Scheduling Email in Spanish.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Previously Approved
Annual Number of Responses for this IC	174	174
Annual IC Time Burden (Hours)	190	190
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022	Appendix F2 Reminder Email for First Concept Mapping Meeting_02142022.docx	02/16/2022
Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022	Appendix F4 First Concept Mapping Meeting Facilitator Guide_01202022.docx	02/16/2022
Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022	Appendix F8 Reminder Email for Second Concept Mapping Meeting_01202022.docx	02/16/2022
Appendix F10 Second Concept Mapping Meeting Facilitator Guide	Appendix F10 Second Concept Mapping Meeting Facilitator Guide.docx	02/16/2022
Appendix F3 Advance Material for First Concept Mapping Meeting_02142022	Appendix F3 Advance Material for First Concept Mapping Meeting_02142022.docx	02/16/2022
Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022	Appendix F9 Advance Materials for Second Concept Mapping Meeting_01202022.docx	02/16/2022
Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish	Appendix F12 Reminder Email for First Concept Mapping Meeting in Spanish.docx	07/25/2023
Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish	Appendix F13 Advance Material for First Concept Mapping Meeting in Spanish.docx	07/25/2023
Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish	Appendix F14 First Concept Mapping Meeting Facilitator Guide in Spanish.docx	07/25/2023
Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish	Appendix F18 Reminder Email for Second Concept Mapping Meeting in Spanish.docx	07/25/2023
Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish	Appendix F19 Advance Materials for Second Concept Mapping Meeting in Spanish.docx	07/25/2023
Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish	Appendix F20 Second Concept Mapping Meeting Facilitator Guide in Spanish.docx	07/25/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.