Addendum to FoodAPS-2 Pilot Study

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 Addendum to FoodAPS-2 Pilot Study Form and Instruction
1 Updated Screener Appendix D Screener Questionnaire for Participant Recruitment revision 20240226.docx Form and Instruction
Addendum to FoodAPS OMB request 20240226.docx Addendum OMB Memo IC Document
OMB request for FoodAPS-2 Pilot Test usability evaluation revision 20240212.docx Originial OMB Memo request IC Document
Appendix F Adult Consent Form_tracked_20240226.docx Consent Form Updated IC Document

Information Collection (IC) Details

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

Documents for IC

Title	Document	Date Uploaded
No associated records found

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