Information Collection

CNPP MyPlate Focus Groups

IC 259435 under ICR 202311-0584-004 · OMB 0584-0611.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0611 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-1 Focus Group Screener by Ethnicity (English).docx	Other-Attachment A-1 Focus Group Scr
Attachment A-2 Focus Group Screener Spanish-Preferring (English).docx	Other-Attachment A-2 Focus Group Scr
Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish).docx	Other-Attachment A-3 Focus Group Scr
Attachment A-4 Focus Group Screener by Life Stage (English).docx	Other-Attachment A-4 Focus Group Scr
Attachment B-1 Confirmation Form (English).docx	Other-Attachment B-1 Confirmation Fo
Attachment B-2 Confirmation Form (Spanish).docx	Other-Attachment B-2 Confirmation Fo
Attachment C-1 Consent Form (English).docx	Other-Attachment C-1 Consent Form (E
Attachment C-2 Consent Form (Spanish).docx	Other-Attachment C-2 Consent Form (S
Attachment D-1 Discussion Guide (English).docx	Other-Attachment D-1 Discussion Guid
Attachment D-2 Discussion Guide (Spanish).docx	Other-Attachment D-2 Discussion Guid
Attachment E-1 Ad E (Why I’m Eating Better) (English & Spanish).pdf Attachment E-1 Ad E (Why I’m Eating Better) (English & Spanish)	IC Document
Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish).pdf Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish)	IC Document
Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish).pdf Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish)	IC Document
Attachment E-4 Ad M (Budget Friendly) (English & Spanish).pdf Attachment E-4 Ad M (Budget Friendly) (English & Spanish)	IC Document
Attachment E-5 Fact Sheet (English & Spanish).pdf Attachment E-5 Fact Sheet (English & Spanish)	IC Document
Memo_to OCIO re CNPP Consumer research.pdf Memo_to OCIO re CNPP Consumer research	IC Document
Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates.docx Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CNPP MyPlate Focus Groups

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A-1 Focus Group Screener by Ethnicity (English)	Attachment A-1 Focus Group Screener by Ethnicity (English).docx	Yes	No	Paper Only
Other-Attachment A-2 Focus Group Screener Spanish-Preferring (English)	Attachment A-2 Focus Group Screener Spanish-Preferring (English).docx	Yes	No	Paper Only
Other-Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish)	Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish).docx	Yes	No	Paper Only
Other-Attachment A-4 Focus Group Screener by Life Stage (English)	Attachment A-4 Focus Group Screener by Life Stage (English).docx	Yes	No	Paper Only
Other-Attachment B-1 Confirmation Form (English)	Attachment B-1 Confirmation Form (English).docx	No		Paper Only
Other-Attachment B-2 Confirmation Form (Spanish)	Attachment B-2 Confirmation Form (Spanish).docx	No		Paper Only
Other-Attachment C-1 Consent Form (English)	Attachment C-1 Consent Form (English).docx	No		Paper Only
Other-Attachment C-2 Consent Form (Spanish)	Attachment C-2 Consent Form (Spanish).docx	No		Paper Only
Other-Attachment D-1 Discussion Guide (English)	Attachment D-1 Discussion Guide (English).docx	No		Paper Only
Other-Attachment D-2 Discussion Guide (Spanish)	Attachment D-2 Discussion Guide (Spanish).docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 576

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,304	2,304
Annual IC Time Burden (Hours)	380	380
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment E-1 Ad E (Why Iâm Eating Better) (English & Spanish)	Attachment E-1 Ad E (Why Iâm Eating Better) (English & Spanish).pdf	04/05/2023
Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish)	Attachment E-2 Ad T (Honoring Family Traditions) (English & Spanish).pdf	04/05/2023
Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish)	Attachment E-3 Ad C (Honoring Your Commitments) (English & Spanish).pdf	04/05/2023
Attachment E-4 Ad M (Budget Friendly) (English & Spanish)	Attachment E-4 Ad M (Budget Friendly) (English & Spanish).pdf	04/05/2023
Attachment E-5 Fact Sheet (English & Spanish)	Attachment E-5 Fact Sheet (English & Spanish).pdf	04/05/2023
Memo_to OCIO re CNPP Consumer research	Memo_to OCIO re CNPP Consumer research.pdf	04/05/2023
Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates	Fast Track Clearance USDA CNPP BPA Focus Groups Cover Memo_033123 + updates.docx	04/05/2023

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