Information Collection

2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test

IC 273547 under ICR 202502-0607-008 · OMB 0607-0971.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test
Form and Instruction
Form 1
Initial Interview 2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test
Form and Instruction
Form 2
Profile and Income Interview 2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test
Form and Instruction
Form 3
Food Log Interview 2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test
Form and Instruction
Form 4
Debriefing Interview 2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test
Form and Instruction
1 Initial Interview
FoodAPS initial interview spec (English)_final.docx
Form and Instruction
1 Initial Interview
FoodAPS initial interview spec (English)_final.docx
Form and Instruction
2 Profile and Income Interview
Attachment 5 - FoodAPS Profile and Income Spec.docx
Form and Instruction
2 Profile and Income Interview
Attachment 5 - FoodAPS Profile and Income Spec.docx
Form and Instruction
3 Food Log Interview
Attachment 6 - FoodAPS Food Log Spec.docx
Form and Instruction
3 Food Log Interview
Attachment 6 - FoodAPS Food Log Spec.docx
Form and Instruction
4 Debriefing Interview
Attachment 7 - FoodAPS Debriefing Interview Spec_clean NSC.docx
Form and Instruction
4 Debriefing Interview
Attachment 7 - FoodAPS Debriefing Interview Spec_clean NSC.docx
Form and Instruction
National Household Food Survey_FoodAPS OMB Generic Clearance_12042024 FINAL.docx
OMB Memo
IC Document
National Household Food Survey_FoodAPS OMB Generic Clearance_12042024 FINAL.docx
OMB Memo
IC Document
FRN_FoodAPS_12052024 FINAL.docx
30 Day FRN - Draft
IC Document
FRN_FoodAPS_12052024 FINAL.docx
30 Day FRN - Draft
IC Document
30DayFRN_2025 National Household Food Acquisition and Purchase Survey (FoodAPS) Pilot Test - 2024-29839.pdf
30 Day FRN - Posted
IC Document
30DayFRN_2025 National Household Food Acquisition and Purchase Survey (FoodAPS) Pilot Test - 2024-29839.pdf
30 Day FRN - Posted
IC Document
Privacy Act Statement_12042024 FINAL.docx
Privacy Act Statement
IC Document
Privacy Act Statement_12042024 FINAL.docx
Privacy Act Statement
IC Document
Survey Start Screen Qualtrics.png
Start Screen with OMB Number
IC Document
Survey Start Screen Qualtrics.png
Start Screen with OMB Number
IC Document
Attachment 1 - Combined FoodAPS Pilot Respondent Letters_12042024 FINAL.docx
Respondent Letters
IC Document
Attachment 1 - Combined FoodAPS Pilot Respondent Letters_12042024 FINAL.docx
Respondent Letters
IC Document
Attachment 2 - FoodAPS Printed Respondent FAQs_12042024 FINAL.docx
Printed Respondent FAQs
IC Document
Attachment 2 - FoodAPS Printed Respondent FAQs_12042024 FINAL.docx
Printed Respondent FAQs
IC Document
Attachment 3 - 2025 FoodAPS Email Invitations and Email and Text Reminders.docx
Email Invitations and Email and Text Reminders
IC Document
Attachment 3 - 2025 FoodAPS Email Invitations and Email and Text Reminders.docx
Email Invitations and Email and Text Reminders
IC Document
Attachment 8 - Respondent Training Video Scripts_12042024 FINAL.docx
Respondent Training Video Scripts
IC Document
Attachment 8 - Respondent Training Video Scripts_12042024 FINAL.docx
Respondent Training Video Scripts
IC Document
Attachment 9 - Inbound TQA_Website_FAQs_Reminder Call Scripts.docx
Inbound TQA, Website, and FAQs Reminder Call Scripts
IC Document
Attachment 9 - Inbound TQA_Website_FAQs_Reminder Call Scripts.docx
Inbound TQA, Website, and FAQs Reminder Call Scripts
IC Document
Non-substantive Change Request_FoodAPS Generic Clearance_updated_022825.docx
NSC to package
IC Document
Non-substantive Change Request_FoodAPS Generic Clearance_updated_022825.docx
NSC to package
IC Document
Attachment 4 - FoodAPS Initial Interview Spec_12042024 FINAL.docx
Initial Interview before NSC
IC Document
Attachment 4 - FoodAPS Initial Interview Spec_12042024 FINAL.docx
Initial Interview before NSC
IC Document
Attachment 7 - FoodAPS Debriefing Interview Spec.docx
Initial Debriefing Interview before NSC
IC Document
Attachment 7 - FoodAPS Debriefing Interview Spec.docx
Initial Debriefing Interview before NSC
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 No   Fillable Fileable
Form and Instruction 2 No   Fillable Fileable
Form and Instruction 3 No   Fillable Fileable
Form and Instruction 4 No   Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 4,025 0 -67 0 0 4,092
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Memo 01/07/2025
30 Day FRN - Draft 01/07/2025
30 Day FRN - Posted 01/07/2025
Privacy Act Statement 01/07/2025
Start Screen with OMB Number 01/07/2025
Respondent Letters 01/07/2025
Printed Respondent FAQs 01/07/2025
Email Invitations and Email and Text Reminders 01/07/2025
Respondent Training Video Scripts 01/07/2025
Inbound TQA, Website, and FAQs Reminder Call Scripts 01/07/2025
NSC to package 02/28/2025
Initial Interview before NSC 02/28/2025
Initial Debriefing Interview before NSC 02/28/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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