Information Collection

SNAP Participants (Respondents)

IC 226178 under ICR 201702-0584-002 · OMB 0584-0631.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX B.1 - SURVEY INSTRUMENT - ENGLISH 1.19.17 PRAO recommendations 5-9-17.docx	Other-APPENDIX B.1 - SURVEY INSTRUME
APPENDIX B.2 - SURVEY INSTRUMENT - SPANISH PRAO 5-9-17.docx	Other-APPENDIX B.2 - SURVEY INSTRUME
APPENDIX K.1 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - ENGLISH - FINAL.docx	Other-APPENDIX K.1 - SCREENER AND AP
APPENDIX K.2 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - SPANISH 1.17.17.docx	Other-APPENDIX K.2 - SCREENER AND AP
APPENDIX Q.1 - IN-DEPTH INTERIVEW PROTOCOL - ENGLISH - FINAL.docx	Other-APPENDIX Q.1 - IN-DEPTH INTERI
APPENDIX Q.2 - IN-DEPTH INTERVIW PROTOCOL - SPANISH 1.19.17.docx	Other-APPENDIX Q.2 - IN-DEPTH INTERV
APPENDIX A.1a - PARTICIPANT SURVEY INTRO LETTER-ENG no pre clean.docx APPENDIX A.1 - PARTICIPANT SURVEY INTRODUCTORY LETTER - ENGLISH - FINAL	IC Document
APPENDIX A.2a INTRODUCTORY LETTER SPANISH no pre clean.docx APPENDIX A.2 - PARTICIPANT SURVEY INTRODUCTORY LETTER - SPANISH - FINAL	IC Document
APPENDIX C.1 - SURVEY AUTOMATED REMINDER - ENGLISH.docx APPENDIX C.1 - SURVEY AUTOMATED REMINDER - ENGLISH	IC Document
APPENDIX C.2 - SURVEY AUTOMATED REMINDER - SPANISH.docx APPENDIX C.2 - SURVEY AUTOMATED REMINDER - SPANISH	IC Document
APPENDIX D.1 - SURVEY FED-EX FOLLOWUP LETTER - ENGLISH - FINAL.docx APPENDIX D.1 - SURVEY FED-EX FOLLOWUP LETTER - ENGLISH - FINAL	IC Document
APPENDIX D.2 - SURVEY FED-EX FOLLOWUP LETTER - SPANISH - FINAL.docx APPENDIX D.2 - SURVEY FED-EX FOLLOWUP LETTER - SPANISH - FINAL	IC Document
APPENDIX E.1 - SURVEY AUTOMATED REMINDER 2 - ENGLISH.docx APPENDIX E.1 - SURVEY AUTOMATED REMINDER 2 - ENGLISH	IC Document
APPENDIX E.2 - SURVEY AUTOMATED REMINDER 2 - SPANISH.docx APPENDIX E.2 - SURVEY AUTOMATED REMINDER 2 - SPANISH	IC Document
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL	IC Document
APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17.docx APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17	IC Document
APPENDIX G.1 - REFUSAL CONVERSION - ENGLISH - FINAL.docx APPENDIX G.1 - REFUSAL CONVERSION - ENGLISH - FINAL	IC Document
APPENDIX G.2 - REFUSAL CONVERSION - SPANISH.docx APPENDIX G.2 - REFUSAL CONVERSION - SPANISH	IC Document
APPENDIX H.1 - ANSWERING MACHINE MESSAGE - ENGLISH.docx APPENDIX H.1 - ANSWERING MACHINE MESSAGE - ENGLISH	IC Document
APPENDIX H.2 - ANSWERING MACHINE MESSAGE - SPANISH.docx APPENDIX H.2 - ANSWERING MACHINE MESSAGE - SPANISH	IC Document
APPENDIX I.1 - THANK YOU NOTE - ENGLISH 1.10.17.docx APPENDIX I.1 - THANK YOU NOTE - ENGLISH 1.10.17	IC Document
APPENDIX I.2 - THANK YOU NOTE - SPANISH 1.10.17.docx APPENDIX I.2 - THANK YOU NOTE - SPANISH 1.10.17	IC Document
APPENDIX J.1 - CRAIG'S LIST AD - ENGLISH - FINAL.docx APPENDIX J.1 - CRAIG'S LIST AD - ENGLISH - FINAL	IC Document
APPENDIX J.2 - CRAIG'S LIST AD - SPANISH.docx APPENDIX J.2 - CRAIG'S LIST AD - SPANISH	IC Document
APPENDIX L.1 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - ENGLISH 1.10.17.docx APPENDIX L.1 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - ENGLISH 1.10.17	IC Document
APPENDIX L.2 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - SPANISH - FINAL.docx APPENDIX L.2 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - SPANISH - FINAL	IC Document
APPENDIX M.1 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - ENGLISH - FINAL.docx APPENDIX M.1 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - ENGLISH - FINAL	IC Document
APPENDIX M.2 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - SPANISH - FINAL.docx APPENDIX M.2 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - SPANISH - FINAL	IC Document
APPENDIX N.1 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - ENGLISH.docx APPENDIX N.1 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - ENGLISH	IC Document
APPENDIX N.2 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - SPANISH.docx APPENDIX N.2 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - SPANISH	IC Document
APPENDIX O.1 - IN-DEPTH INTERVIEW REPLACEMENT CALL - ENGLISH1.9.17.docx APPENDIX O.1 - IN-DEPTH INTERVIEW REPLACEMENT CALL - ENGLISH1.9.17	IC Document
APPENDIX O.2 - IN-DEPTH INTERVIEW REPLACEMENT CALL - SPANISH 01.17.17.docx APPENDIX O.2 - IN-DEPTH INTERVIEW REPLACEMENT CALL - SPANISH 01.17.17	IC Document
APPENDIX P.1 IN-DEPTH INTERVIEW CONSENT FORM - ENGLISH 1.17.17.docx APPENDIX P.1 IN-DEPTH INTERVIEW CONSENT FORM - ENGLISH 1.17.17	IC Document
APPENDIX P.2 - IN-DEPTH INTERVIEW CONSENT FORM - SPANISH 1.17.17.docx APPENDIX P.2 - IN-DEPTH INTERVIEW CONSENT FORM - SPANISH 1.17.17	IC Document
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx	IC Document
APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17.docx APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17.docx	IC Document
APPENDIX A.1b - PARTICIPANT SURVEY INTRO LETTER-ENG pre clean.docx APPENDIX A.1b - PARTICIPANT SURVEY INTRO LETTER-ENG pre clean.docx	IC Document
APPENDIX A.2b INTRODUCTORY LETTER SPANISH pre clean.docx APPENDIX A.2b INTRODUCTORY LETTER SPANISH pre clean.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

SNAP Participants (Respondents)

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	Available Electronically?	Electronic Capability
Other-APPENDIX B.1 - SURVEY INSTRUMENT - ENGLISH - FINAL	No	Paper Only
Other-APPENDIX B.2 - SURVEY INSTRUMENT - SPANISH 1.19.17	No	Paper Only
Other-APPENDIX K.1 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - ENGLISH - FINAL	No	Paper Only
Other-APPENDIX K.2 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - SPANISH 1.17.17	No	Paper Only
Other-APPENDIX Q.1 - IN-DEPTH INTERIVEW PROTOCOL - ENGLISH - FINAL	No	Paper Only
Other-APPENDIX Q.2 - IN-DEPTH INTERVIW PROTOCOL - SPANISH 1.19.17	No	Paper Only

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: 5,934

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	34,324	34,324
Annual IC Time Burden (Hours)	3,243	3,243
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
APPENDIX A.1 - PARTICIPANT SURVEY INTRODUCTORY LETTER - ENGLISH - FINAL		12/22/2017
APPENDIX A.2 - PARTICIPANT SURVEY INTRODUCTORY LETTER - SPANISH - FINAL		12/22/2017
APPENDIX C.1 - SURVEY AUTOMATED REMINDER - ENGLISH		03/28/2017
APPENDIX C.2 - SURVEY AUTOMATED REMINDER - SPANISH		03/28/2017
APPENDIX D.1 - SURVEY FED-EX FOLLOWUP LETTER - ENGLISH - FINAL		04/05/2017
APPENDIX D.2 - SURVEY FED-EX FOLLOWUP LETTER - SPANISH - FINAL		04/05/2017
APPENDIX E.1 - SURVEY AUTOMATED REMINDER 2 - ENGLISH		03/28/2017
APPENDIX E.2 - SURVEY AUTOMATED REMINDER 2 - SPANISH		03/28/2017
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL		03/28/2017
APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17		03/28/2017
APPENDIX G.1 - REFUSAL CONVERSION - ENGLISH - FINAL		03/28/2017
APPENDIX G.2 - REFUSAL CONVERSION - SPANISH		03/28/2017
APPENDIX H.1 - ANSWERING MACHINE MESSAGE - ENGLISH		03/28/2017
APPENDIX H.2 - ANSWERING MACHINE MESSAGE - SPANISH		03/28/2017
APPENDIX I.1 - THANK YOU NOTE - ENGLISH 1.10.17		03/28/2017
APPENDIX I.2 - THANK YOU NOTE - SPANISH 1.10.17		03/28/2017
APPENDIX J.1 - CRAIG'S LIST AD - ENGLISH - FINAL		03/28/2017
APPENDIX J.2 - CRAIG'S LIST AD - SPANISH		03/28/2017
APPENDIX L.1 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - ENGLISH 1.10.17		03/28/2017
APPENDIX L.2 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - SPANISH - FINAL		03/28/2017
APPENDIX M.1 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - ENGLISH - FINAL		04/05/2017
APPENDIX M.2 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - SPANISH - FINAL		03/28/2017
APPENDIX N.1 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - ENGLISH		03/28/2017
APPENDIX N.2 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - SPANISH		03/28/2017
APPENDIX O.1 - IN-DEPTH INTERVIEW REPLACEMENT CALL - ENGLISH1.9.17		03/28/2017
APPENDIX O.2 - IN-DEPTH INTERVIEW REPLACEMENT CALL - SPANISH 01.17.17		03/28/2017
APPENDIX P.1 IN-DEPTH INTERVIEW CONSENT FORM - ENGLISH 1.17.17		03/28/2017
APPENDIX P.2 - IN-DEPTH INTERVIEW CONSENT FORM - SPANISH 1.17.17		03/28/2017
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx		08/15/2017
APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17.docx		08/15/2017
APPENDIX A.1b - PARTICIPANT SURVEY INTRO LETTER-ENG pre clean.docx		12/22/2017
APPENDIX A.2b INTRODUCTORY LETTER SPANISH pre clean.docx		12/22/2017

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].