OMB CONTROL NO.: 0584-0523
EXPIRATION DATE: 11/30/2022
	
	
Attachment A-5 Confidentiality Agreement
	
(Name of contractor performing service) hereby agrees to keep confidential all information discussed during the (Focus Group) held virtually on (date, time) on behalf of the USDA, Food and Nutrition Service.
____________________________________ ________________________
Signature of Authorized Personnel Date
_________________________________________
Name of Authorized Personnel
[RESEARCH FACILITY] hereby agrees to keep confidential all information discussed during the (Interview/Focus Group) held virtually on (date, time) on behalf of the USDA, Food and Nutrition Service.
____________________________________ ________________________
Signature of Authorized Personnel Date
_________________________________________
Name of Authorized Personnel
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | crihane | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-13 |