OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Respondents Individual/Households (SNAP Participants)

IC 219828 under ICR 201508-0584-003 · OMB 0584-0616.

Documents and Forms
Document Name
Document Type
Other-Appendix AO. Pretest protocol
Other-Appendix E.1. Pre-SNAP Partici
Other-Appendix E.2. Pre-SNAP Partici
Other-Appendix E.3. Pre-SNAP Partici
Other-Appendix J.1 SNAP Participant
Other-Appendix J.2. SNAP Participant
Other-Appendix N.1 Post-SPS Treatmen
Other-Appendix N.2 Post-SPS Treatmen
Other-Appendix O.1. Post-SNAP Partic
Other-Appendix O.2. Post-SNAP Partic
Other-Appendix T. SNAP Participant K
Other-Appendix V. SNAP Participant K
Other-Appendix E.4. Pre-SNAP Partici
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Information Collection (IC) Details

View Information Collection (IC)

Respondents Individual/Households (SNAP Participants)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix AO. Pretest protocol for 2 items in SNAP Participant Survey Appendix AO. Pretest protocol for 2 items in SNAP Participant Survey.docx No   Paper Only
Other-Appendix E.1. Pre-SNAP Participant Survey - English Appendix E.1. Pre-SNAP Participant Survey - English.docx No   Paper Only
Other-Appendix E.2. Pre-SNAP Participant Survey - Spanish Appendix E.2. Pre-SNAP Participant Survey - Spanish.docx No   Paper Only
Other-Appendix E.3. Pre-SNAP Participant Web Survey Screenshots - English Appendix E.3. Pre-SNAP Participant Web Survey Screenshots - English.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable
Other-Appendix T. SNAP Participant Key Informant Interview Recruitment Script - English only Appendix T. SNAP Participant Key Informant Interview Recruitment Script - English only.docx No   Paper Only
Other-Appendix V. SNAP Participant Key Informant Interview Discussion Guide - English only Appendix V. SNAP Participant Key Informant Interview Discussion Guide - English only.docx No   Paper Only
Other-Appendix J.1 SNAP Participant Survey Telephone interview script - English Appendix J.1 SNAP Participant Survey Telephone interview script - English.docx No   Paper Only
Other-Appendix J.2. SNAP Participant Survey Telephone interview script - Spanish Appendix J.2. SNAP Participant Survey Telephone interview script - Spanish.docx No   Paper Only
Other-Appendix N.1 Post-SPS Treatment Group English Appendix N.1 Post-SPS Treatment Group English.docx No   Paper Only
Other-Appendix N.2 Post-SPS Treatment Group Spanish Appendix N.2 Post-SPS Treatment Group Spanish.docx No   Paper Only
Other-Appendix O.1. Post-SNAP Participant Survey Comparison Group - English Appendix O.1. Post-SNAP Participant Survey Comparison Group - English.docx No   Paper Only
Other-Appendix O.2. Post-SNAP Participant Survey Comparison Group - Spanish Appendix O.2. Post-SNAP Participant Survey Comparison Group - Spanish.docx No   Paper Only
Other-Appendix E.4. Pre-SNAP Participant Web Survey Screenshots - Spanish Appendix E.4. Pre-SNAP Participant Web Survey Screenshots - Spanish.docx www.notyetcreated.com Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

USDA/FNS-10 Person Doing Business with FNS   65 FR 17251

6,837 0
   
Individuals or Households
 
   15 %

  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 52,071 0 52,071 0 0 0
Annual IC Time Burden (Hours) 3,310 0 3,310 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix D.1. Pre-SNAP Participant Survey Invitation letter - English Appendix D.1. Pre-SNAP Participant Survey Invitation letter - English.docx 03/02/2016
Appendix D.2. Pre-SNAP Participant Survey Invitation letter - Spanish Appendix D.2. Pre-SNAP Participant Survey Invitation letter - Spanish.docx 03/02/2016
Appendix F.1. SNAP Participant Survey Reminder Postcard 1 - English Appendix F.1. SNAP Participant Survey Reminder Postcard 1 - English.docx 03/02/2016
Appendix F.2. SNAP Participant Survey Reminder Postcard 1 - Spanish Appendix F.2. SNAP Participant Survey Reminder Postcard 1 - Spanish.docx 03/02/2016
Appendix G.1. Pre-SNAP Participant Survey Reminder letter 1 - English Appendix G.1. Pre-SNAP Participant Survey Reminder letter 1 - English.docx 03/02/2016
Appendix G.2. Pre-SNAP Participant Survey Reminder letter 1 - Spanish Appendix G.2. Pre-SNAP Participant Survey Reminder letter 1 - Spanish.docx 03/02/2016
Appendix H.1. SNAP Participant Survey Reminder Postcard 2 - English Appendix H.1. SNAP Participant Survey Reminder Postcard 2 - English.docx 03/02/2016
Appendix H.2. SNAP Participant Survey Reminder Postcard 2 - Spanish Appendix H.2. SNAP Participant Survey Reminder Postcard 2 - Spanish.docx 03/02/2016
Appendix I.1. Pre-SNAP Participant Survey Reminder letter 2 - English Appendix I.1. Pre-SNAP Participant Survey Reminder letter 2 - English.docx 03/02/2016
Appendix I.2. Pre-SNAP Participant Survey Reminder letter 2 - Spanish Appendix I.2. Pre-SNAP Participant Survey Reminder letter 2 - Spanish.docx 03/02/2016
Appendix K.1. SNAP Participant Survey Voicemail Reminder for Telephone Survey - English Appendix K.1. SNAP Participant Survey Voicemail Reminder for Telephone Survey - English.docx 03/02/2016
Appendix K.2. Voicemail message for Telephone Survey - Spanish Appendix K.2. Voicemail message for Telephone Survey - Spanish.docx 03/02/2016
Appendix L.1. Pre- SNAP Participant Survey Thank you letter - English Appendix L.1. Pre- SNAP Participant Survey Thank you letter - English.docx 03/02/2016
Appendix L.2. Pre- SNAP Participant Survey Thank you letter - Spanish Appendix L.2. Pre- SNAP Participant Survey Thank you letter - Spanish.docx 03/02/2016
Appendix M.1. Post-SNAP Participant Survey Invitation letter - English Appendix M.1. Post-SNAP Participant Survey Invitation letter - English.docx 03/02/2016
Appendix M.2. Post-SNAP Participant Survey Invitation letter - Spanish Appendix M.2. Post-SNAP Participant Survey Invitation letter - Spanish.docx 03/02/2016
Appendix P.1. Post-SNAP Participant Survey Reminder letter 1 - English Appendix P.1. Post-SNAP Participant Survey Reminder letter 1 - English.docx 03/02/2016
Appendix P.2. Post-SNAP Participant Survey Reminder letter 1 - Spanish Appendix P.2. Post-SNAP Participant Survey Reminder letter 1 - Spanish.docx 03/02/2016
Appendix Q.1. Post-SNAP Participant Survey Reminder letter 2- English Appendix Q.1. Post-SNAP Participant Survey Reminder letter 2- English.docx 03/02/2016
Appendix Q.2. Post-SNAP Participant Survey Reminder letter 2- Spanish Appendix Q.2. Post-SNAP Participant Survey Reminder letter 2- Spanish.docx 03/02/2016
Appendix R.1. Post-SNAP Participant Survey Thank you letter - Englishish Appendix R.1. Post-SNAP Participant Survey Thank you letter - English.docx 03/02/2016
Appendix R.2. Post-SNAP Participant Survey Thank you letter - Spanish Appendix R.2. Post-SNAP Participant Survey Thank you letter - Spanish.docx 03/02/2016
Appendix S. SNAP Participant Key Informant Interview Invitation Letter - English only Appendix S. SNAP Participant Key Informant Interview Invitation Letter - English only.docx 03/02/2016
Appendix U. SNAP Participant Key Informant Interview Confirmation Letter - English only Appendix U. SNAP Participant Key Informant Interview Confirmation Letter - English only.docx 03/02/2016
Appendix W. SNAP Participant Key Informant Interview Thank you letter - English only Appendix W. SNAP Participant Key Informant Interview Thank you letter - English only.docx 03/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.