Users' Evaluation of the National Household Food Acquisition and Purchase Survey (aka.FoodAPS)

Generic Clearance for Survey Research Studies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0073 can be found here:

Documents and Forms

Document Name Document Type
AppendixD_Questionnaire.docx Other-Survey Questionnaire
FoodAPSInterviewClearance_20170524.docx Memorandum IC Document
AppendixA_PreTest.docx Appendix A_PreTest IC Document
AppendixB_Emails_Scripts.docx Appendix B_Emails_Scripts IC Document
AppendixC_Disclaimer_InformedConsent.docx Appendix C_Disclaimer & Informed Consent IC Document
AppendixE_ContactList.docx Appendix E Contact List IC Document

Information Collection (IC) Details

IC Title:	Users' Evaluation of the National Household Food Acquisition and Purchase Survey (aka.FoodAPS)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Questionnaire			AppendixD_Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memorandum	FoodAPSInterviewClearance_20170524.docx	05/24/2017
Appendix A_PreTest	AppendixA_PreTest.docx	05/24/2017
Appendix B_Emails_Scripts	AppendixB_Emails_Scripts.docx	05/24/2017
Appendix C_Disclaimer & Informed Consent	AppendixC_Disclaimer_InformedConsent.docx	05/24/2017
Appendix E Contact List	AppendixE_ContactList.docx	05/24/2017

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