Evaluation of Alternatives to Improve Elderly Access to SNAP

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Change Justification_Screener_Elderly Access Study_updated 6-14-18v2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-06-27	Available
Attch K_State Selection Memo.docx	Supplementary Document	Uploaded 2017-09-28	Available
Attachment J - Interview Guide Test Memo 9-28-17.pdf	Supplementary Document	Uploaded 2017-09-28	Available
Attch E.5.a_FNS Response to NASS Comments.docx	Supplementary Document	Uploaded 2017-09-28	Available
Attch E.5_NASS Comments.docx	Supplementary Document	Uploaded 2017-09-28	Available
Attch F_Sample Sizes Estimated Burden and Estimated Cost 9-20-17.xlsx	Supplementary Document	Uploaded 2017-09-28	Available
Attachment C - Exploratory Study Memorandum.pdf	Supplementary Document	Uploaded 2017-09-28	Available
Attch B_Research Study Design and References.docx	Supplementary Document	Uploaded 2017-09-28	Available
Attch A_Statutes and Regulations.pdf	Supplementary Document	Uploaded 2017-09-28	Available
SS_Part B_Revised.docx	Supporting Statement B	Uploaded 2017-09-28	Available
SS_Part A_Revised_10-16-17.docx	Supporting Statement A	Uploaded 2017-10-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
228211	Non-Respondent - State, Local & Tribal	Other-NON-RESPONDENT PLACEHOLDER.docx	Unchanged
228210	Respondents - State, Local and Tribal Agencies	Other-Attachment G.1_Ste and Local SNAP and Partner Admin Interv	Unchanged
228209	Non-Respondent - Business	Other-NON-RESPONDENT PLACEHOLDER.docx	Unchanged
228208	Respondent - Business	Other-Attachment G.3_CBO Protocol_10-16-17.docx	Unchanged
228207	Non-Respondents Individuals/Households - Elderly 60+	Other-NON-RESPONDENT PLACEHOLDER.docx	Unchanged
228206	Respondents Individuals/Households - Elderly 60+	Other-Attachment H.1_Elderly Participant Interview Guide.docx	Modified

ICR Details

OMB Control No: 0584-0637	ICR Reference No: 201806-0584-001
Status: Active	Previous ICR Reference No: 201708-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No: Change Justification
Title: Evaluation of Alternatives to Improve Elderly Access to SNAP
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/14/2018
	Date Received in OIRA: 06/27/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	03/31/2021	03/31/2021
Responses	1,314	0	1,314
Time Burden (Hours)	1,381	0	1,381
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the study is to gather direct input from elders 60+ about their awareness of SNAP, perceptions of the program, and experiences applying for and receiving SNAP benefits. This study will provide FNS with a better understanding of the barriers to serving elderly populations in the Supplemental Nutrition Assistance Program (SNAP). The Study is intended to increase access to SNAP among the elderly population in the selected States. This help us to interpret the effects or lack thereof observed in the Study, draw lessons on how aspects of the interventions may be improved, and assess whether the interventions, if implemented in other locations or contexts, might yield similar outcomes.

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Authorizing Statute(s): PL: Pub.L. 113 - 79 17 Name of Law: Food and Nutrition Act of 2008 through the Agricultural Act of 2014
   US Code: 7 USC 2026 Name of Law: The Food and Nutrition Act of 2008, as amended through P.L. 113–128, enacted July 22, 2014
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 102	05/30/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 48787	10/20/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Respondents Individuals/Households - Elderly 60+
Non-Respondent - Business
Respondents - State, Local and Tribal Agencies
Respondent - Business
Non-Respondent - State, Local & Tribal
Non-Respondents Individuals/Households - Elderly 60+

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,314	1,314	0	0	0	0
Annual Time Burden (Hours)	1,381	1,381	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $633,580

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/27/2018

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