Business Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff

Evaluation of Food Insecurity Nutrition Incentives (FINI)

OMB: 0584-0616

IC ID: 219871

Documents and Forms
Document Name
Document Type
Other-Appendix AD.1. Quarterly Core
Other-Appendix AD.2. Quarterly Core
Other-Appendix AE.1 Annual Core Prog
Other-Appendix AE.2. Annual Core Pro
Other-Appendix AG.1. Outlet Survey F
Other-Appendix AG.2. Outlet Survey G
Other-Appendix AP. Pretest protocol
Other-Appendix X.2. Outlet character
Other-Appendix Y.2 Grantee Administr
Other-AG2. Revised 12-13-2018 grocer
Other-AM. Telephone Script to follow
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Business Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only Appendix Y.2 Grantee Administrator Interview Discussion Guide - English only.docx No   Paper Only
Other-AM. Telephone Script to followup with nonresponding retailers Revised Clean 12-13-18.docx AM. Telephone followup with nonresponding retailers Revised Clean.docx No   Paper Only
Other-Appendix AD.1. Quarterly Core Program Data Form - English only Appendix AD.1. Quarterly Core Program Data Form - English only.docx No   Paper Only
Other-Appendix AD.2. Quarterly Core Program Data Web Form Screenshots - English only Appendix AD.2. Quarterly Core Program Data Web Form Screenshots - English only.docx www.notyetcreated.com Yes Yes Paper Only
Other-Appendix AE.1 Annual Core Program Data Form - English only Appendix AE.1 Annual Core Program Data Form - English only.docx No   Paper Only
Other-Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only Appendix AE.2. Annual Core Program Data Web Form Screenshots - English only.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Appendix AG.1. Outlet Survey Farmers Market - English only Appendix AG.1. Outlet Survey Farmers Market - English only.docx No   Paper Only
Other-Appendix AG.2. Outlet Survey Grocery Stores, CSAs, Farm Stands - English only Appendix AG.2. Outlet Survey Grocery Stores, CSAs, Farm Stands - English only.docx No   Paper Only
Other-Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16 Appendix AP. Pretest protocol for Outlet Survey PRAO recommendations 2-1-16.docx No   Paper Only
Other-Appendix X.2. Outlet characteristics form Appendix X.2. Outlet characteristics form.xlsx No   Paper Only
Other-AG2. Revised 12-13-2018 grocery store survey Revised Clean.docx AG2. Revised grocery store survey Revised Clean.docx No   Paper Only

Income Security Food and Nutrition Assistance

USDA/FNS 8 FNS Studies and Reports  65 FR 17251

3,499 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved 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 16,959 0 4,715 0 0 12,244
Annual IC Time Burden (Hours) 1,455 0 437 0 0 1,018
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only Appendix AA. Grantee Administrator Post Intervention - Thank you card - English only.docx 03/02/2016
Appendix AB. Quarterly Core Program Data Form Email - English only Appendix AB. Quarterly Core Program Data Form Email - English only.docx 03/02/2016
Appendix AC. Annual Core Program Data Form Email - English only Appendix AC. Annual Core Program Data Form Email - English only.docx 03/02/2016
Appendix AF. Outlet Survey Invitation Letter - English only Appendix AF. Outlet Survey Invitation Letter - English only.docx 03/02/2016
Appendix AH. Outlet Survey Reminder Letter - English only Appendix AH. Outlet Survey Reminder Letter - English only.docx 03/15/2016
Appendix AI. Outlet Survey Email to Grantees - English only Appendix AI. Outlet Survey Email to Grantees - English only.docx 03/02/2016
Appendix AJ. Outlet Survey Thank you Letter - English only Appendix AJ. Outlet Survey Thank you Letter - English only.docx 03/02/2016
Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only Appendix Y.1. Grantee Administrator Interview Scheduling Script - English only.docx 03/02/2016
Appendix X.1 Email to FINI grantees with outlet characteristic form Appendix X.1 Email to FINI grantees with outlet characteristic form.docx 03/09/2016
Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only Appendix Z. Grantee Administrator Pre Intervention Thank you card - English only.docx 03/15/2016
Added 12-13-2018 - Appendix AK. Second Survey Mailing Revised Clean.docx AK. Second Survey Mailing Revised Clean.docx 12/13/2018
Added 12-13-2018 - Appendix AL. Second Reminder Postcard Revised Clean.docx AL. Second Reminder Postcard Revised Clean.docx 12/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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