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EXHIBIT 10
ICR 201702-0584-002 · OMB 0584-0631 · Object 76108301.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | EXHIBIT 10 |
| Author | Smryczko |
| Last Modified By | Writer |
| File Modified | 2017-08-15 |
| File Created | 2026-09-12 |
| Conversion State | complete |
Extracted Text
OMB Number.: XXXX-XXXX
Expire Date: XX/XX/20XX
APPENDIX V: STATE AGENCY ADMINISTRATIVE CASE RECORD DATA
Dear [State agency],
As we have previously discussed, we are writing to request SNAP data for the Assessment of the Barriers That Constrain the Adequacy of SNAP Allotments. At your earliest convenience, please send us a data file including the following elements for SNAP Participants RECEIVING SNAP AS OF [date]:
• Name
• Address
• Phone Number
• Household Size
• Presence of children (yes/no)
• Date benefit started
• Amount of monthly benefit
Thank you for your time,
Sincerely,
Maeve E. Gearing
Project Director
Westat