Cognitive Testing of the FNS SNAP Vendor Application

Generic Clearance for Internet Nonprobability Panel Pretesting

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Cognitive Testing of the FNS SNAP Vendor Application Form and Instruction
1 SNAP Initial Application (web) Enclosure 3 - FNS-252 online application screenshots.pdf Form and Instruction
2 SNAP Reauthorization Application (web) Enclosure 4 - FNS-252R online application screenshots.pdf Form and Instruction
3 SNAP Initial Application (paper) Enclosure 5 - FNS-252 PDF Application.pdf Form and Instruction
4 SNAP Reauthorization Application (paper) Enclosure 6 - FNS-252R PDF Application.pdf Form and Instruction
OMB Memo - SNAP Retail Application Testing_v2.docx OMB Memo IC Document
Enclosure 1 - FNS-252 Initial Application Protocol.docx Testing Protocol for Initial Application IC Document
Enclosure 2 - FNS-252R Reauthorization Application Protocol.docx Testing Protocol for Reauthorization Application IC Document
Enclosure 7 - FNS SNAP Consent Form_v2.docx Consent Form IC Document

Information Collection (IC) Details

IC Title:	Cognitive Testing of the FNS SNAP Vendor Application	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	SNAP Initial Application (web)	Enclosure 3 - FNS-252 online application screenshots.pdf	No	Fillable Fileable
Form and Instruction	2	SNAP Reauthorization Application (web)	Enclosure 4 - FNS-252R online application screenshots.pdf	No	Fillable Fileable
Form and Instruction	3	SNAP Initial Application (paper)	Enclosure 5 - FNS-252 PDF Application.pdf	No	Fillable Fileable
Form and Instruction	4	SNAP Reauthorization Application (paper)	Enclosure 6 - FNS-252R PDF Application.pdf	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	78	78
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Memo - SNAP Retail Application Testing_v2.docx	09/24/2019
Testing Protocol for Initial Application	Enclosure 1 - FNS-252 Initial Application Protocol.docx	09/24/2019
Testing Protocol for Reauthorization Application	Enclosure 2 - FNS-252R Reauthorization Application Protocol.docx	09/24/2019
Consent Form	Enclosure 7 - FNS SNAP 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.