Focus Group Protocol

Study of the Effectiveness of Efforts to Improve Supplemental Nutrition Assistance Program Access Among Medicare's Extra Help Population Pilot Projects

Documents and Forms

Document Name Document Type
Appendix C - Focus Group Protocol 10 12 12.docx Other-Appendix C-Focus Group Protoco
Appendix D - Focus Group Protocol_Spanish 10 12 12.docx Other-Appendix D-Focus Group Protoco
Appendix F1 - SNAP-FG recruitment letter 10 09 12.docx Appendix F1-Focus Group Recruitment Letter IC Document
Appendix F2-FG recruitment.docx Appendix F2-Focus Group Recruitment Script IC Document
Appendix S1 - SNAP-FG recruitment_SPANISH 10 12 12.docx Appendix S1-Focus Group Recruitment Letter-Spanish IC Document
Appendix S2- SNAP-FG recruitment_Spanish.docx Appendix S2-Focus Group Recruitment Script-Spanish IC Document

Information Collection (IC) Details

IC Title:	Focus Group Protocol	Agency IC Tracking Number:

Is this a Common Form? No		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-Appendix C-Focus Group Protocol			Appendix C - Focus Group Protocol 10 12 12.docx		No		Paper Only
Other-Appendix D-Focus Group Protocol Spanis			Appendix D - Focus Group Protocol_Spanish 10 12 12.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F1-Focus Group Recruitment Letter	Appendix F1 - SNAP-FG recruitment letter 10 09 12.docx	10/15/2012
Appendix F2-Focus Group Recruitment Script	Appendix F2-FG recruitment.docx	11/19/2012
Appendix S1-Focus Group Recruitment Letter-Spanish	Appendix S1 - SNAP-FG recruitment_SPANISH 10 12 12.docx	10/15/2012
Appendix S2-Focus Group Recruitment Script-Spanish	Appendix S2- SNAP-FG recruitment_Spanish.docx	11/19/2012

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