Information Collection

SNAP E&T Program Participants (Individuals/Households) Respondents

IC 235145 under ICR 201503-0584-004 · OMB 0584-0606.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0606 can be found here:

2019-03-25 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English_2_26_19.docx	Other-Appendix A-5a Pretest Incoming
Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx	Other-Appendix A-5b Pretest Incoming
Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx CATI at Westat	Other-Appendix A-6a_Survey of SNAP a
Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx CATI at Westat	Other-Appendix A-6b_Survey of SNAP a
Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx www.fns.usda.gov	Other-Appendix A-6c Web Survey of SN
Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx www.fns.usda.gov	Other-Appendix A-6d Web Survey of SN
Appendix A-6e Screen Shots--Web Survey of SNAP and Work--English_2_12_19.docx www.fns.usda.gov	Other-Appendix A-6e Screen Shots--We
Appendix A-6f Screen Shots--Web Survey of SNAP and Work--Spanish_2_12_19.docx www.fns.usda.gov	Other-Appendix A-6f Screen Shots--We
Memo for Survey of SNAP and Work Generic Clearance Package_clean_2_26_19.docx Memo for Survey of SNAP and Work Generic ICR	IC Document
Appendix A-1_Detailed burden table_2_27_19.xlsx Appendix A-1_Detailed burden table_2_27_19.xlsx	IC Document
Appendix A-2a Pretest Craigslist Recruitment English CA_2_26_19.docx Appendix A-2a Pretest Craigslist Recruitment English CA_2_26_19.docx	IC Document
Appendix A-2b Pretest Craigslist Recruitment Spanish CA_2_26_19.docx Appendix A-2b Pretest Craigslist Recruitment Spanish CA_2_26_19.docx	IC Document
Appendix A-2c Pretest Craigslist Recruitment English DC_2_26_19.docx Appendix A-2c Pretest Craigslist Recruitment English DC_2_26_19.docx	IC Document
Appendix A-3a Pretest Flyer English CA_2_26_19.docx Appendix A-3a Pretest Flyer English CA_2_26_19.docx	IC Document
Appendix A-3b Pretest Flyer English DC_2_26_19.docx Appendix A-3b Pretest Flyer English DC_2_26_19.docx	IC Document
Appendix A-3c Pretest Flyer Spanish CA_2_26_19.docx Appendix A-3c Pretest Flyer Spanish CA_2_26_19.docx	IC Document
Appendix A-4a Filtered Database Recruitment English_2_26_19.docx Appendix A-4a Filtered Database Recruitment English_2_26_19.docx	IC Document
Appendix A-7a Email to confirm pretest interview appointment English CA.docx Appendix A-7a Email to confirm pretest interview appointment English CA.docx	IC Document
Appendix A-7b Email to confirm pretest interview appointment Spanish CA.docx Appendix A-7b Email to confirm pretest interview appointment Spanish CA.docx	IC Document
Appendix A-7c Email to confirm pretest interview appointment English DC.docx Appendix A-7c Email to confirm pretest interview appointment English DC.docx	IC Document
Appendix A-10a Pretest Incentive Receipt English_2_26_19.docx Appendix A-10a Pretest Incentive Receipt English_2_26_19.docx	IC Document
Appendix A-10b Pretest Incentive Receipt Spanish_2_26_19.docx Appendix A-10b Pretest Incentive Receipt Spanish 2-26-19.docx	IC Document
Appendix A-11_2-26-19 Statement of Confidentiality and Nondisclosure.docx Appendix A-11_2-26-19 Statement of Confidentiality and Nondisclosure.docx	IC Document
Appendix A-12_2-26-19 IRB Approval.docx Appendix A-12_2-26-19 IRB Approval.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

SNAP E&T Program Participants (Individuals/Households) Respondents

Agency IC Tracking Number:

REVISED 2-27-19

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-Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English 2-26-19.docx	Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English_2_26_19.docx		No		Paper Only
Other-Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx	Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx		No		Paper Only
Other-Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx	Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx	CATI at Westat	Yes	Yes	Fillable Fileable
Other-Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx	Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx	CATI at Westat	Yes	Yes	Fillable Fileable
Other-Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx	Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx	Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-Appendix A-6e Screen Shots--Web Survey of SNAP and Work--English_2_12_19.docx	Appendix A-6e Screen Shots--Web Survey of SNAP and Work--English_2_12_19.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-Appendix A-6f Screen Shots--Web Survey of SNAP and Work--Spanish_2_12_19.docx	Appendix A-6f Screen Shots--Web Survey of SNAP and Work--Spanish_2_12_19.docx	www.fns.usda.gov	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: 56 FR 19078

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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