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 NameDocument 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)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-APPENDIX B.1 - SURVEY INSTRUMENT - ENGLISH - FINAL APPENDIX B.1 - SURVEY INSTRUMENT - ENGLISH 1.19.17 PRAO recommendations 5-9-17.docx No   Paper Only
Other-APPENDIX B.2 - SURVEY INSTRUMENT - SPANISH 1.19.17 APPENDIX B.2 - SURVEY INSTRUMENT - SPANISH PRAO 5-9-17.docx No   Paper Only
Other-APPENDIX K.1 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - ENGLISH - FINAL APPENDIX K.1 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - ENGLISH - FINAL.docx No   Paper Only
Other-APPENDIX K.2 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - SPANISH 1.17.17 APPENDIX K.2 - SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW - SPANISH 1.17.17.docx No   Paper Only
Other-APPENDIX Q.1 - IN-DEPTH INTERIVEW PROTOCOL - ENGLISH - FINAL APPENDIX Q.1 - IN-DEPTH INTERIVEW PROTOCOL - ENGLISH - FINAL.docx No   Paper Only
Other-APPENDIX Q.2 - IN-DEPTH INTERVIW PROTOCOL - SPANISH 1.19.17 APPENDIX Q.2 - IN-DEPTH INTERVIW PROTOCOL - SPANISH 1.19.17.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 34,324 0 34,324 0 0 0
Annual IC Time Burden (Hours) 3,243 0 3,243 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
APPENDIX A.1 - PARTICIPANT SURVEY INTRODUCTORY LETTER - ENGLISH - FINAL APPENDIX A.1a - PARTICIPANT SURVEY INTRO LETTER-ENG no pre clean.docx 12/22/2017
APPENDIX A.2 - PARTICIPANT SURVEY INTRODUCTORY LETTER - SPANISH - FINAL APPENDIX A.2a INTRODUCTORY LETTER SPANISH no pre clean.docx 12/22/2017
APPENDIX C.1 - SURVEY AUTOMATED REMINDER - ENGLISH APPENDIX C.1 - SURVEY AUTOMATED REMINDER - ENGLISH.docx 03/28/2017
APPENDIX C.2 - SURVEY AUTOMATED REMINDER - SPANISH APPENDIX C.2 - SURVEY AUTOMATED REMINDER - SPANISH.docx 03/28/2017
APPENDIX D.1 - SURVEY FED-EX FOLLOWUP LETTER - ENGLISH - FINAL APPENDIX D.1 - SURVEY FED-EX FOLLOWUP LETTER - ENGLISH - FINAL.docx 04/05/2017
APPENDIX D.2 - SURVEY FED-EX FOLLOWUP LETTER - SPANISH - FINAL APPENDIX D.2 - SURVEY FED-EX FOLLOWUP LETTER - SPANISH - FINAL.docx 04/05/2017
APPENDIX E.1 - SURVEY AUTOMATED REMINDER 2 - ENGLISH APPENDIX E.1 - SURVEY AUTOMATED REMINDER 2 - ENGLISH.docx 03/28/2017
APPENDIX E.2 - SURVEY AUTOMATED REMINDER 2 - SPANISH APPENDIX E.2 - SURVEY AUTOMATED REMINDER 2 - SPANISH.docx 03/28/2017
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx 03/28/2017
APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17 APPENDIX F.2 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - SPANISH 1.17.17.docx 03/28/2017
APPENDIX G.1 - REFUSAL CONVERSION - ENGLISH - FINAL APPENDIX G.1 - REFUSAL CONVERSION - ENGLISH - FINAL.docx 03/28/2017
APPENDIX G.2 - REFUSAL CONVERSION - SPANISH APPENDIX G.2 - REFUSAL CONVERSION - SPANISH.docx 03/28/2017
APPENDIX H.1 - ANSWERING MACHINE MESSAGE - ENGLISH APPENDIX H.1 - ANSWERING MACHINE MESSAGE - ENGLISH.docx 03/28/2017
APPENDIX H.2 - ANSWERING MACHINE MESSAGE - SPANISH APPENDIX H.2 - ANSWERING MACHINE MESSAGE - SPANISH.docx 03/28/2017
APPENDIX I.1 - THANK YOU NOTE - ENGLISH 1.10.17 APPENDIX I.1 - THANK YOU NOTE - ENGLISH 1.10.17.docx 03/28/2017
APPENDIX I.2 - THANK YOU NOTE - SPANISH 1.10.17 APPENDIX I.2 - THANK YOU NOTE - SPANISH 1.10.17.docx 03/28/2017
APPENDIX J.1 - CRAIG'S LIST AD - ENGLISH - FINAL APPENDIX J.1 - CRAIG'S LIST AD - ENGLISH - FINAL.docx 03/28/2017
APPENDIX J.2 - CRAIG'S LIST AD - SPANISH APPENDIX J.2 - CRAIG'S LIST AD - SPANISH.docx 03/28/2017
APPENDIX L.1 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - ENGLISH 1.10.17 APPENDIX L.1 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - ENGLISH 1.10.17.docx 03/28/2017
APPENDIX L.2 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - SPANISH - FINAL APPENDIX L.2 - IN-DEPTH INTERVIEW APPOINTMENT LETTER - SPANISH - FINAL.docx 03/28/2017
APPENDIX M.1 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - ENGLISH - FINAL APPENDIX M.1 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - ENGLISH - FINAL.docx 04/05/2017
APPENDIX M.2 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - SPANISH - FINAL APPENDIX M.2 - IN-DEPTH INTERVIEW REMINDER EMAIL OR PHONE (SENT 1 WEEK PRIOR) - SPANISH - FINAL.docx 03/28/2017
APPENDIX N.1 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - ENGLISH APPENDIX N.1 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - ENGLISH.docx 03/28/2017
APPENDIX N.2 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - SPANISH APPENDIX N.2 - IN-DEPTH INTERVIEW DAY PRIOR REMINDER - SPANISH.docx 03/28/2017
APPENDIX O.1 - IN-DEPTH INTERVIEW REPLACEMENT CALL - ENGLISH1.9.17 APPENDIX O.1 - IN-DEPTH INTERVIEW REPLACEMENT CALL - ENGLISH1.9.17.docx 03/28/2017
APPENDIX O.2 - IN-DEPTH INTERVIEW REPLACEMENT CALL - SPANISH 01.17.17 APPENDIX O.2 - IN-DEPTH INTERVIEW REPLACEMENT CALL - SPANISH 01.17.17.docx 03/28/2017
APPENDIX P.1 IN-DEPTH INTERVIEW CONSENT FORM - ENGLISH 1.17.17 APPENDIX P.1 IN-DEPTH INTERVIEW CONSENT FORM - ENGLISH 1.17.17.docx 03/28/2017
APPENDIX P.2 - IN-DEPTH INTERVIEW CONSENT FORM - SPANISH 1.17.17 APPENDIX P.2 - IN-DEPTH INTERVIEW CONSENT FORM - SPANISH 1.17.17.docx 03/28/2017
APPENDIX F.1 - TELEPHONE SURVEY INTRODUCTION AND CONSENT - ENGLISH - FINAL.docx 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 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 APPENDIX A.1b - PARTICIPANT SURVEY INTRO LETTER-ENG pre clean.docx 12/22/2017
APPENDIX A.2b INTRODUCTORY LETTER SPANISH pre clean.docx 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.