Attachment C-1 Confidentiality Form

OMB Control No.: 0584-0524

Expiration Date: 02/28/2026

OMB BURDEN STATEMENT: Public reporting burden for this collection is estimated to average 2 minutes per submission, including reviewing instructions, gathering and maintaining the data needed, completing the form, and reviewing the collection of information. Comments on the burden or content of this instrument may be sent to U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support, 1320 Braddock Place, 5th Floor, Alexandria, VA 22306 ATTN: PRA (0584-0524). You are not required to respond to the collection unless the OMB control number and expiration date displayed on page 1 are current and valid. (See 5 C.F.R. 1320.5(b)(2)(i).)

ATTACHMENT C-1: CONFIDENTIALITY FORM

(Name of contractor performing service) hereby agrees to keep confidential all information discussed during the survey data collection on behalf of the USDA, Center for Nutrition Policy and Promotion.

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Signature of Authorized Personnel Date

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Name of Authorized Personnel

[RESEARCH FACILITY] hereby agrees to keep confidential all information discussed during the during the survey data collection on behalf of the USDA, Center for Nutrition Policy and Promotion.

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Signature of Authorized Personnel Date

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Name of Authorized Personnel