Information Collection

Respondents Individual/Households (SNAP Participants)

IC 219828 under ICR 201711-0584-001 · OMB 0584-0616.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0616 can be found here:

2018-12-19 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix AO. Pretest protocol for 2 items in SNAP Participant Survey.docx	Other-Appendix AO. Pretest protocol
Appendix E.1. Pre-SNAP Participant Survey - English.docx	Other-Appendix E.1. Pre-SNAP Partici
Appendix E.2. Pre-SNAP Participant Survey - Spanish.docx	Other-Appendix E.2. Pre-SNAP Partici
Appendix E.3. Pre-SNAP Participant Web Survey Screenshots - English.docx www.notyetcreated.com	Other-Appendix E.3. Pre-SNAP Partici
Appendix J.1 SNAP Participant Survey Telephone interview script - English.docx	Other-Appendix J.1 SNAP Participant
Appendix J.2. SNAP Participant Survey Telephone interview script - Spanish.docx	Other-Appendix J.2. SNAP Participant
Appendix N.1 Post-SPS Treatment Group English.docx	Other-Appendix N.1 Post-SPS Treatmen
Appendix N.2 Post-SPS Treatment Group Spanish.docx	Other-Appendix N.2 Post-SPS Treatmen
Appendix O.1. Post-SNAP Participant Survey Comparison Group - English.docx	Other-Appendix O.1. Post-SNAP Partic
Appendix O.2. Post-SNAP Participant Survey Comparison Group - Spanish.docx	Other-Appendix O.2. Post-SNAP Partic
Appendix T. SNAP Participant Key Informant Interview Recruitment Script - English only.docx	Other-Appendix T. SNAP Participant K
Appendix V. SNAP Participant Key Informant Interview Discussion Guide - English only.docx	Other-Appendix V. SNAP Participant K
Appendix E.4. Pre-SNAP Participant Web Survey Screenshots - Spanish.docx www.notyetcreated.com	Other-Appendix E.4. Pre-SNAP Partici
Appendix D.1. Pre-SNAP Participant Survey Invitation letter - English.docx Appendix D.1. Pre-SNAP Participant Survey Invitation letter - English	IC Document
Appendix D.2. Pre-SNAP Participant Survey Invitation letter - Spanish.docx Appendix D.2. Pre-SNAP Participant Survey Invitation letter - Spanish	IC Document
Appendix F.1. SNAP Participant Survey Reminder Postcard 1 - English.docx Appendix F.1. SNAP Participant Survey Reminder Postcard 1 - English	IC Document
Appendix F.2. SNAP Participant Survey Reminder Postcard 1 - Spanish.docx Appendix F.2. SNAP Participant Survey Reminder Postcard 1 - Spanish	IC Document
Appendix G.1. Pre-SNAP Participant Survey Reminder letter 1 - English.docx Appendix G.1. Pre-SNAP Participant Survey Reminder letter 1 - English	IC Document
Appendix G.2. Pre-SNAP Participant Survey Reminder letter 1 - Spanish.docx Appendix G.2. Pre-SNAP Participant Survey Reminder letter 1 - Spanish	IC Document
Appendix H.1. SNAP Participant Survey Reminder Postcard 2 - English.docx Appendix H.1. SNAP Participant Survey Reminder Postcard 2 - English	IC Document
Appendix H.2. SNAP Participant Survey Reminder Postcard 2 - Spanish.docx Appendix H.2. SNAP Participant Survey Reminder Postcard 2 - Spanish	IC Document
Appendix I.1. Pre-SNAP Participant Survey Reminder letter 2 - English.docx Appendix I.1. Pre-SNAP Participant Survey Reminder letter 2 - English	IC Document
Appendix I.2. Pre-SNAP Participant Survey Reminder letter 2 - Spanish.docx Appendix I.2. Pre-SNAP Participant Survey Reminder letter 2 - Spanish	IC Document
Appendix K.1. SNAP Participant Survey Voicemail Reminder for Telephone Survey - English.docx Appendix K.1. SNAP Participant Survey Voicemail Reminder for Telephone Survey - English	IC Document
Appendix K.2. Voicemail message for Telephone Survey - Spanish.docx Appendix K.2. Voicemail message for Telephone Survey - Spanish	IC Document
Appendix L.1. Pre- SNAP Participant Survey Thank you letter - English.docx Appendix L.1. Pre- SNAP Participant Survey Thank you letter - English	IC Document
Appendix L.2. Pre- SNAP Participant Survey Thank you letter - Spanish.docx Appendix L.2. Pre- SNAP Participant Survey Thank you letter - Spanish	IC Document
Appendix M.1. Post-SNAP Participant Survey Invitation letter - English.docx Appendix M.1. Post-SNAP Participant Survey Invitation letter - English	IC Document
Appendix M.2. Post-SNAP Participant Survey Invitation letter - Spanish.docx Appendix M.2. Post-SNAP Participant Survey Invitation letter - Spanish	IC Document
Appendix P.1. Post-SNAP Participant Survey Reminder letter 1 - English.docx Appendix P.1. Post-SNAP Participant Survey Reminder letter 1 - English	IC Document
Appendix P.2. Post-SNAP Participant Survey Reminder letter 1 - Spanish.docx Appendix P.2. Post-SNAP Participant Survey Reminder letter 1 - Spanish	IC Document
Appendix Q.1. Post-SNAP Participant Survey Reminder letter 2- English.docx Appendix Q.1. Post-SNAP Participant Survey Reminder letter 2- English	IC Document
Appendix Q.2. Post-SNAP Participant Survey Reminder letter 2- Spanish.docx Appendix Q.2. Post-SNAP Participant Survey Reminder letter 2- Spanish	IC Document
Appendix R.1. Post-SNAP Participant Survey Thank you letter - English.docx Appendix R.1. Post-SNAP Participant Survey Thank you letter - Englishish	IC Document
Appendix R.2. Post-SNAP Participant Survey Thank you letter - Spanish.docx Appendix R.2. Post-SNAP Participant Survey Thank you letter - Spanish	IC Document
Appendix S. SNAP Participant Key Informant Interview Invitation Letter - English only.docx Appendix S. SNAP Participant Key Informant Interview Invitation Letter - English only	IC Document
Appendix U. SNAP Participant Key Informant Interview Confirmation Letter - English only.docx Appendix U. SNAP Participant Key Informant Interview Confirmation Letter - English only	IC Document
Appendix W. SNAP Participant Key Informant Interview Thank you letter - English only.docx Appendix W. SNAP Participant Key Informant Interview Thank you letter - English only	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Respondents Individual/Households (SNAP 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-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 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 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 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

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS-10 Person Doing Business with FNS

FR Citation: 65 FR 17251

Number of Respondents: 6,837

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	52,071	52,071
Annual IC Time Burden (Hours)	3,310	3,310
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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