Individuals and Households

Understanding the Relationship Between Poverty, Well-Being, and Food Security

OMB: 0584-0682

IC ID: 258097

Documents and Forms
Document Name
Document Type
Other-D. Study Brochure (English-Spa
Other-E1. Endorsement Letter (Englis
Other-E2. Endorsement Letter (Spanis
Other-H. Survey Door Hanger (English
Other-J1. Survey Refusal Letter (Eng
Other- J2. Survey Refusal Letter (Sp
Other-O1. IDI Consent Form (English)
Other-O2. IDI Consent Form (Spanish)
Other-P1. IDI Interview Guide (Engli
Other-P2. IDI Interview Guide (Spani
Other-C1. Survey Invitation (English
Other-C2. Survey Invitation (Spanish
Other-L1. IDI Invitation Call Script
Other-L2. IDI Invitation Call Script
Other-M1. IDI Confirmation Letter-Em
Other-M2. IDI Confirmation Letter-Em
Other-S2. Screenshots of Web Survey
Other-S3. Screenshots of Web Survey
Other-S1. Household Survey (English-
Other-Appendix Z. IDI recruitment te
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Individuals and Households
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-D. Study Brochure (English-Spanish) D. Study Brochure (English-Spanish).pdf Yes No Printable Only
Other-E1. Endorsement Letter (English) E1. Endorsement Letter (English).docx No   Paper Only
Other-E2. Endorsement Letter (Spanish) E2. Endorsement Letter (Spanish).docx No   Paper Only
Other-H. Survey Door Hanger (English-Spanish) H. Survey Door Hanger (English-Spanish).pdf No   Paper Only
Other-J1. Survey Refusal Letter (English) J1. Survey Refusal Letter (English).docx No   Paper Only
Other- J2. Survey Refusal Letter (Spanish) J2. Survey Refusal Letter (Spanish).docx No   Paper Only
Other-O1. IDI Consent Form (English) O1. IDI Consent Form (English).docx Yes No Printable Only
Other-O2. IDI Consent Form (Spanish) O2. IDI Consent Form (Spanish).docx Yes No Printable Only
Other-P1. IDI Interview Guide (English) P1. IDI Interview Guide (English).docx No   Paper Only
Other-P2. IDI Interview Guide (Spanish) P2. IDI Interview Guide (Spanish).docx No   Paper Only
Other-C1. Survey Invitation (English) C1. Survey Invitation (English).docx Yes Yes Printable Only
Other-C2. Survey Invitation (Spanish) C2. Survey Invitation (Spanish).docx Yes Yes Printable Only
Other-L1. IDI Invitation Call Script (English) L1. IDI Invitation Call Script (English).docx No   Paper Only
Other-L2. IDI Invitation Call Script (Spanish) L2. IDI Invitation Call Script (Spanish).docx No   Paper Only
Other-M1. IDI Confirmation Letter-Email (English) M1. IDI Confirmation Letter-Email (English).docx Yes No Printable Only
Other-M2. IDI Confirmation Letter-Email (Spanish) M2. IDI Confirmation Letter-Email (Spanish).docx Yes No Printable Only
Other-S2. Screenshots of Web Survey (English) S2. Screenshots of Web Survey (English).docx Yes Yes Fillable Printable
Other-S3. Screenshots of Web Survey (Spanish) S3. Screenshots of Web Survey (Spanish).docx Yes Yes Fillable Printable
Other-S1. Household Survey (English-Spanish) S1. Household Survey (English-Spanish).docx Yes Yes Fillable Fileable
Other-Appendix Z. IDI recruitment text message Jan 2 Appendix Z. IDI recruitment text message Jan 2.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

16,121 0
   
Individuals or Households
 
   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 87,029 0 563 0 0 86,466
Annual IC Time Burden (Hours) 6,675 0 9 0 0 6,666
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
F1. First Survey Reminder Letter (English) F1. First Survey Reminder Letter (English).docx 01/27/2023
F2. First Survey Reminder Letter (Spanish) F2. First Survey Reminder Letter (Spanish).docx 01/27/2023
G1. Second Survey Reminder Letter (English) G1. Second Survey Reminder Letter (English).docx 01/27/2023
G2. Second Survey Reminder Letter (Spanish) G2. Second Survey Reminder Letter (Spanish).docx 01/27/2023
K1. Thank You Letter (English) K1. Thank You Letter (English).docx 01/27/2023
K2. Thank You Letter (Spanish) K2. Thank You Letter (Spanish).docx 01/27/2023
N1. IDI Reminder Call Script (English) N1. IDI Reminder Call Script (English).docx 04/14/2023
N2. IDI Reminder Call Script (Spanish) N2. IDI Reminder Call Script (Spanish).docx 04/14/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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