Information Collection

Individuals - SNAP Participants

IC 182736 under ICR 201011-0584-003 · OMB 0584-0547.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C.1-Long-term Participants-Focus Group Guide (English).doc	Other-Focus Group Guide (SNAP Partic
Appendix C.2-Eligible Nonparticipants-Focus Group Guide (English).doc	Other-Focus Group Guide (non-SNAP Pa
Appendix E.1a-Telephone Screener-Recent & Long-term Participants (English).doc	Other-Telephone Screener SNAP (Engli
Appendix E.1b-Telephone Screener-Recent & Long-term Participants (Spanish).doc	Other-Telephone Screener SNAP (Spani
Appendix E.2a-In-person Screener-Nonparticipants (English).doc	Other-In person Screener Non-SNAP (E
Appendix E.2b-In-person Screener-Nonparticipants (Spanish).doc	Other-In person Screener Non-SNAP (S
Appendix O.1-Focus Group Participant Information Form (English).doc	Other-Participant Information Form
Appendix O.2-Focus Group Participant Information Form (Spansih).doc	Other-Participant Information Form (
Appendix L 1a-Letter to Focus Group Members (English).doc Advance Letter English	IC Document
Appendix L 1b-Letter to Focus Group Members (Spanish).doc Advance Letter Spanish	IC Document
Appendix M.1a-Reminder Call Script-Recent & Long-term Participants (English).doc Reminder Telephone Script	IC Document
Appendix M.1b-Reminder Call Script-Recent & Long-term Participants (Spanish).doc Reminder Telephone Script (Spanish)	IC Document
Appendix M.2a-Reminder Call Script-Nonparticipants (English).doc Reminder Telephone Script (Non-SNAP) English	IC Document
Appendix M.2b-Reminder Call Script-Nonparticipants (Spanish).doc Reminder Telephone Script (Non-SNAP) Spanish	IC Document
Appendix N 2a-Flyer (English).doc Recruitment Flyer (English)	IC Document
Appendix N 2b-Flyer (Spanish).doc Recruitment Flyer (Spanish)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Individuals - SNAP Participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Focus Group Guide (SNAP Participants)	Appendix C.1-Long-term Participants-Focus Group Guide (English).doc	No	Paper Only
Other-Focus Group Guide (non-SNAP Participants)	Appendix C.2-Eligible Nonparticipants-Focus Group Guide (English).doc	No	Paper Only
Other-Telephone Screener SNAP (English)	Appendix E.1a-Telephone Screener-Recent & Long-term Participants (English).doc	No	Paper Only
Other-Telephone Screener SNAP (Spanish)	Appendix E.1b-Telephone Screener-Recent & Long-term Participants (Spanish).doc	No	Paper Only
Other-In person Screener Non-SNAP (English)	Appendix E.2a-In-person Screener-Nonparticipants (English).doc	No	Paper Only
Other-In person Screener Non-SNAP (Spanish)	Appendix E.2b-In-person Screener-Nonparticipants (Spanish).doc	No	Paper Only
Other-Participant Information Form	Appendix O.1-Focus Group Participant Information Form (English).doc	No	Paper Only
Other-Participant Information Form (Spanish)	Appendix O.2-Focus Group Participant Information Form (Spansih).doc	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 960

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	960	120	840
Annual IC Time Burden (Hours)	460	-61	521
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Advance Letter English	Appendix L 1a-Letter to Focus Group Members (English).doc	06/28/2011
Advance Letter Spanish	Appendix L 1b-Letter to Focus Group Members (Spanish).doc	06/28/2011
Reminder Telephone Script	Appendix M.1a-Reminder Call Script-Recent & Long-term Participants (English).doc	12/06/2010
Reminder Telephone Script (Spanish)	Appendix M.1b-Reminder Call Script-Recent & Long-term Participants (Spanish).doc	12/06/2010
Reminder Telephone Script (Non-SNAP) English	Appendix M.2a-Reminder Call Script-Nonparticipants (English).doc	12/06/2010
Reminder Telephone Script (Non-SNAP) Spanish	Appendix M.2b-Reminder Call Script-Nonparticipants (Spanish).doc	12/06/2010
Recruitment Flyer (English)	Appendix N 2a-Flyer (English).doc	06/28/2011
Recruitment Flyer (Spanish)	Appendix N 2b-Flyer (Spanish).doc	06/28/2011

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