National Household Food Acquisition and Purchase Survey -- Respondents

National Household Food Acquisition and Purchase Survey

Documents and Forms

Document Name Document Type
N-Adult Food Book.pdf Other-Adult Food Booklet
J-Meals and Snacks Form.pdf Other-Meals and Snacks Form
M-Primary Respondent Book.pdf Other-Primary Respondent Book
O-Youth Food Book.pdf Other-Youth Food Book
R-Respondent feedback form.pdf Other-null
H-Initial HH Interview and hand cards.pdf Other-Initial Household Interview
P-Telephone Script.pdf Other-Telephone Script
K-Income Worksheet.pdf Other-Income Worksheet
Q-Final HH Interview and hand cards.pdf Other-Final HH Interview and hand ca
Appdx Y-New Instruments for Household Training.pdf Other-null
The Spanish version training video.docx www.usdafoodstudy.org/espanol/index-9.html#selected Instruction

Information Collection (IC) Details

IC Title:	National Household Food Acquisition and Purchase Survey -- Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Adult Food Booklet	N-Adult Food Book.pdf		No		Paper Only
Other-Meals and Snacks Form	J-Meals and Snacks Form.pdf		No		Paper Only
Other-Primary Respondent Book	M-Primary Respondent Book.pdf		No		Paper Only
Other-Youth Food Book	O-Youth Food Book.pdf		No		Paper Only
Other-null	R-Respondent feedback form.pdf		No		Paper Only
Other-Initial Household Interview	H-Initial HH Interview and hand cards.pdf		No		Paper Only
Other-Telephone Script	P-Telephone Script.pdf		No		Paper Only
Other-Income Worksheet	K-Income Worksheet.pdf		No		Paper Only
Other-Final HH Interview and hand cards	Q-Final HH Interview and hand cards.pdf		No		Paper Only
Other-null	Appdx Y-New Instruments for Household Training.pdf		No		Paper Only
Instruction	The Spanish version training video.docx	http://www.usdafoodstudy.org/espanol/index-9.html#selected	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,996	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	202,230	202,230
Annual IC Time Burden (Hours)	42,569	42,569
Annual IC Cost Burden (Dollars)	0	0

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.