Information Collection

SNAP work registrants and E&T program participants

IC 214460 under ICR 201411-0584-004 · OMB 0584-0602.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0602 can be found here:

2016-01-13 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
INSTRUMENT 1_SNAP E&T R&P Survey_clean.docx	Other-INSTRUMENT 1_SNAP E&T R&P Surv
INSTRUMENT 3_FG Participant Info Form_clean.docx	Other-INSTRUMENT 3_FG Participant In
INSTRUMENT 4_FG Discussion Guide_clean.docx	Other-INSTRUMENT 4_FG Discussion Mod
ATTACHMENT 11_FG Screening and Recruit Script_Response 11-26-14.docx	Other-ATTACHMENT 11_FG Screening and
ATTACHMENT 12_FG ConfirmationLetter 1.6.2015.docx	Other-ATTACHMENT 12_FG ConfirmationL
ATTACHMENT 13 FG_ConfirmationCallScript_Response 1.14.2015.docx	Other-ATTACHMENT 13 FG_ConfirmationC
ATTACHMENT 14_FG Participant Consent Form_Response 1.14.2015.docx	Other-ATTACHMENT 14_FG Participant C
INSTRUMENT 1.1_SNAP E&T R&P Survey web-based 1.12.2015.pdf www.notyetcreated.com	Other-INSTRUMENT 1.1_SNAP E&T R&P Su
ATTACHMENT 1_R&P Survey Advance Letter_response 1.6.2015.docx ATTACHMENT 1_R&P Survey Advance Letter_response 1.6.2015	IC Document
ATTACHMENT 2_R&P Survey Reminder Postcard_Response 11-26-14.docx ATTACHMENT 2_R&P Survey Reminder Postcard_Response 11-26-14	IC Document
ATTACHMENT 3_RP Survey Reminder Letter 1_Response 1.06.2015.docx ATTACHMENT 3_RP Survey Reminder Letter 1_Response 1.06.2015	IC Document
ATTACHMENT 4_E&T R&P Survey PreIncentive Letter_Response 1.06.2015.docx ATTACHMENT 4_E&T R&P Survey PreIncentive Letter_Response 1.06.2015	IC Document
ATTACHMENT 5_R&P Survey Reminder Letter 2_Response 1.06.2015.docx ATTACHMENT 5_R&P Survey Reminder Letter 2_Response 1.06.2015	IC Document
ATTACHMENT 6_R&P Survey Flyer_Response 11-26-14.docx ATTACHMENT 6_R&P Survey Flyer_Response 11-26-14	IC Document
ATTACHMENT 7_R&P Survey thank you Letter_clean 1.06.2015.docx ATTACHMENT 7_R&P Survey thank you Letter_clean 1.06.2015	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

SNAP work registrants and E&T program participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-INSTRUMENT 1_SNAP E&T R&P Survey_clean	INSTRUMENT 1_SNAP E&T R&P Survey_clean.docx		No		Paper Only
Other-INSTRUMENT 3_FG Participant Info Form_clean	INSTRUMENT 3_FG Participant Info Form_clean.docx		No		Paper Only
Other-INSTRUMENT 4_FG Discussion Moderator Guide_clean	INSTRUMENT 4_FG Discussion Guide_clean.docx		No		Paper Only
Other-ATTACHMENT 11_FG Screening and Recruit Script_Response 11-26-14	ATTACHMENT 11_FG Screening and Recruit Script_Response 11-26-14.docx		No		Paper Only
Other-ATTACHMENT 12_FG ConfirmationLetter 1.6.2015	ATTACHMENT 12_FG ConfirmationLetter 1.6.2015.docx		No		Paper Only
Other-ATTACHMENT 13 FG_ConfirmationCallScript_Response 1.14.2015	ATTACHMENT 13 FG_ConfirmationCallScript_Response 1.14.2015.docx		No		Paper Only
Other-ATTACHMENT 14_FG Participant Consent Form_Response 1.14.2015	ATTACHMENT 14_FG Participant Consent Form_Response 1.14.2015.docx		No		Paper Only
Other-INSTRUMENT 1.1_SNAP E&T R&P Survey web-based 1.12.2015	INSTRUMENT 1.1_SNAP E&T R&P Survey web-based 1.12.2015.pdf	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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: 65 FR 17251

Number of Respondents: 3,017

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,167	3,167
Annual IC Time Burden (Hours)	1,510	1,510
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ATTACHMENT 1_R&P Survey Advance Letter_response 1.6.2015	ATTACHMENT 1_R&P Survey Advance Letter_response 1.6.2015.docx	01/16/2015
ATTACHMENT 2_R&P Survey Reminder Postcard_Response 11-26-14	ATTACHMENT 2_R&P Survey Reminder Postcard_Response 11-26-14.docx	12/30/2014
ATTACHMENT 3_RP Survey Reminder Letter 1_Response 1.06.2015	ATTACHMENT 3_RP Survey Reminder Letter 1_Response 1.06.2015.docx	01/16/2015
ATTACHMENT 4_E&T R&P Survey PreIncentive Letter_Response 1.06.2015	ATTACHMENT 4_E&T R&P Survey PreIncentive Letter_Response 1.06.2015.docx	01/16/2015
ATTACHMENT 5_R&P Survey Reminder Letter 2_Response 1.06.2015	ATTACHMENT 5_R&P Survey Reminder Letter 2_Response 1.06.2015.docx	01/16/2015
ATTACHMENT 6_R&P Survey Flyer_Response 11-26-14	ATTACHMENT 6_R&P Survey Flyer_Response 11-26-14.docx	12/30/2014
ATTACHMENT 7_R&P Survey thank you Letter_clean 1.06.2015	ATTACHMENT 7_R&P Survey thank you Letter_clean 1.06.2015.docx	01/16/2015

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