Information Collection

Cognitive Testing of the FNS SNAP Vendor Application

IC 237848 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⚠️ Notice: This information collection may be referencing outdated material.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 SNAP Initial Application (web) Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction
Form 2 SNAP Reauthorization Application (web) Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction
Form 3 SNAP Initial Application (paper) Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction
Form 4 SNAP Reauthorization Application (paper) 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.