Information Collection

Cognitive Testing of SNAP Messaging for ABAwD

IC 237778 under ICR 201812-0607-001 · OMB 0607-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Cognitive Testing of SNAP Messaging for ABAwD	Form and Instruction
1 Protocol and Test Questions Enclosure 3 - Protocol and Materials.docx	Form and Instruction
ABAWD Testing OMB Memo_v2.docx OMB Memo	IC Document
Enclosure 1 - Recruitment materials.docx Recruitment Ads	IC Document
Enclosure 2- Additional Screening Qs.docx Additional Screening Questions	IC Document
Enclosure 4 - Consent Form_v2.docx Consent Form	IC Document

IC Title:

Cognitive Testing of SNAP Messaging for ABAwD

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	1	Protocol and Test Questions	Enclosure 3 - Protocol and Materials.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

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	18	18
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	ABAWD Testing OMB Memo_v2.docx	09/24/2019
Recruitment Ads	Enclosure 1 - Recruitment materials.docx	09/18/2019
Additional Screening Questions	Enclosure 2- Additional Screening Qs.docx	09/18/2019
Consent Form	Enclosure 4 - Consent Form_v2.docx	09/24/2019

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