Information Collection

SNAP work registrants and E&T program participants

IC 214460 under ICR 201512-0584-009 · OMB 0584-0602.

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: Unchanged

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	Previously Approved
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.