CNPP Message Concept Focus Groups

Generic Clearance to Conduct Formative Research/CNPP

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0523 can be found here:

Documents and Forms

Document Name Document Type
Appendix A-1 Focus Group Screener English_May7.docx Other-Appendix A-1 Focus Group Scree
Appendix A-2 Focus Group Screener Spanish_may7.docx Other-Appendix A-2 Focus Group Scree
Appendix C-1 Focus Group Moderator's Guide English_may7.docx Other-Appendix C-1 Focus Group Moder
Appendix C-2 Focus Group Moderator's Guide Spanish_may7.docx Other-Appendix C-2 Focus Group Moder
Appendix D-1 Consent Form English_may6.docx Other-Appendix D-1 Consent Form Engl
Appendix D-2 Consent Form Spanish_may6.docx Other-Appendix D-2 Consent Form Span
CNPP OMB Cover Memo 0584-0523_Task 2_may6.docx CNPP OMB Cover Memo IC Document
Appendix B-1 Focus Group Confirmation Form English_may7.docx Appendix B-1 Focus Group Confirmation Form English_may6 IC Document
Appendix B-2 Focus Group Confirmation Form Spanish_may7.docx Appendix B-2 Focus Group Confirmation Form Spanish_may6 IC Document
Appendix E-1 Confidentiality Agreement_may6.docx Appendix E-1 Confidentiality Agreement_may6 IC Document
Copy of Burden Hours Task 2C.xlsx Burden Hours IC Document

Information Collection (IC) Details

IC Title:	CNPP Message Concept Focus Groups	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix A-1 Focus Group Screener English_mar30	Appendix A-1 Focus Group Screener English_May7.docx	No	Paper Only
Other-Appendix A-2 Focus Group Screener Spanish_may6	Appendix A-2 Focus Group Screener Spanish_may7.docx	No	Paper Only
Other-Appendix C-1 Focus Group Moderator's Guide English_may6	Appendix C-1 Focus Group Moderator's Guide English_may7.docx	No	Paper Only
Other-Appendix C-2 Focus Group Moderator's Guide Spanish_may6	Appendix C-2 Focus Group Moderator's Guide Spanish_may7.docx	No	Paper Only
Other-Appendix D-1 Consent Form English_may6	Appendix D-1 Consent Form English_may6.docx	No	Paper Only
Other-Appendix D-2 Consent Form Spanish_may6	Appendix D-2 Consent Form Spanish_may6.docx	No	Paper Only

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: 65 FR 17251

Number of Respondents: 2,016	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,592	2,592
Annual IC Time Burden (Hours)	668	668
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CNPP OMB Cover Memo	CNPP OMB Cover Memo 0584-0523_Task 2_may6.docx	05/06/2015
Appendix B-1 Focus Group Confirmation Form English_may6	Appendix B-1 Focus Group Confirmation Form English_may7.docx	05/07/2015
Appendix B-2 Focus Group Confirmation Form Spanish_may6	Appendix B-2 Focus Group Confirmation Form Spanish_may7.docx	05/07/2015
Appendix E-1 Confidentiality Agreement_may6	Appendix E-1 Confidentiality Agreement_may6.docx	05/06/2015
Burden Hours	Copy of Burden Hours Task 2C.xlsx	05/06/2015

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