S. Sample MOU

S. Sample MOU.docx

The Role of Job Search as a Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Component

S. Sample MOU

OMB: 0584-0657

Document [docx]
Download: docx | pdf

Attachment S. Sample Memorandum of Understanding (MOU)

OMB No. 0584-[NEW]

Job Search as a Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Component

January 14, 2021

Project Officer: Danielle Deemer

Office of Policy Support

Food and Nutrition Service

U.S. Department of Agriculture

1320 Braddock Place

Alexandria, VA 22314

703.305.2952

[email protected]


MEMORANDUM OF UNDERSTANDING BETWEEN

INSIGHT POLICY RESEARCH and <STATE>


Month XX, 2019

This document represents a Memorandum of Understanding (MOU) between Insight Policy Research, Inc. (herein “Insight”) and <State Name>, (herein “the State”) in an important and useful study to better understand job search activities in SNAP E&T programs. Hereinafter either Insight or State may be referred to individually as a “Party” or collectively as the “Parties”. This MOU clarifies roles and responsibilities of the Parties for accomplishing the Study and provides the milestones for completing the Study in the State. Insight and the State are preparing this agreement in good faith and with the expectation that each Party will fulfill its obligations as described in the MOU. This MOU is entered into and will be administered consistent with U.S. Department of Agriculture (USDA) contract number GS-10F-0136X/12319818F0106 awarded to Insight to conduct the study entitled “The Role of Job Search as a SNAP E&T Component”, herein “Study”.

  1. Background

The USDA Food and Nutrition Service (FNS) sponsored this study to better understand the overall role of the Supplemental Nutrition Assistance Program (SNAP) employment and training (E&T) job search activities in serving participants and examine whether certain approaches to job search activities are more effective than others in leading SNAP participants to self-sufficiency. Specifically, Insight is addressing the following study objectives:

  1. For each study State, document and describe job search activities offered, as well as State-level E&T policies and requirements.

  2. Conduct a process evaluation documenting implementation and operation of job search activities in the study States.

  3. For each study State, conduct an outcome evaluation to assess short- and long-term effects of job search activities on participants

To attain these objectives, Insight is conducting:

  • Document review. Insight will include the following documents in the review: State E&T plans and activity reports, and any available staff training materials, State and local policy manuals and memos, handbooks, desk guides, or reported outcome measures.

  • Shape1

    According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-xxxx. The time required to complete this information collection is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the following address: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support, 1320 Braddock Place, Alexandria, VA 22314, ATTN: PRA (0584-xxxx*). Do not return the completed form to this address.

    Site visits to four States. Each site visit will include (1) visits to the State SNAP agency, (2) visits to any additional stakeholders such as State departments of labor, (3) visits to two local SNAP offices (to speak with certification and E&T staff), and (4) visits to two E&T job search service providers. Within each State, the study team will collect data through (1) semistructured interviews, (2) process-mapping, and (3) observations of operations, including intake, assessment, and referrals.

  • SNAP administrative data and Unemployment Insurance (UI) wage analysis. Linked UI and administrative data will be used to conduct a quantitative assessment of the relationship between participation in job search activities and employment outcomes.

  • Interviews with job search participants. Insight will conduct phone interviews with up to 50 randomly selected job search participants in each of four study States. Interviews will focus on participants’ experiences with SNAP job search programs.



To meet the needs of the study, active cooperation for participating States will be required to conduct site visits, collect extant administrative data, collect UI wage data, and provide contact information for SNAP E&T participants. States will work with Insight to schedule a four-day site visit where Insight staff will interview State SNAP staff. The State will also assist Insight in recruiting other Stakeholders as needed, local SNAP office staff, and E&T providers for the remaining site visit interviews. States will provide Insight with requested background documentation, such as policy manuals or memos regarding the E&T program, in advance of the site visit. States will provide the research team with a SNAP administrative data extract including up to 12 months of data covering the period October 1, 2017, through September 30, 2018, for individuals 16 or older who received SNAP at any point during the 12-month period. This data extract will also be used by Insight to create a sample of E&T participants that will be contacted to participate in phone interviews. The State will also work with Insight and the relevant State agency to obtain UI wage data that will be merged with the SNAP administrative data. The UI wage data will cover a period of two years, from October 1, 2017, to September 30, 2019.

  1. Tasks to be Performed by <State>

This section describes the activities that the State will perform to support data collection for the Study.

  1. Provide administrative data. The State will provide a data extract including one record per individual aged 16 or older for each month they received SNAP benefits during the 12-month period from October 1, 2017 through September 30, 2018. The State will also provide an additional month of more recent data (the month prior to OMB clearance) from which Insight will create a sample of E&T participants to contact for phone interviews. The administrative data file will be submitted once the research team receives OMB clearance, expected spring 2020. Exhibit A describes the required data variables and formats. The research team will also request a 1-3-month test file to be submitted after the initial data call (expected spring 2019). The research team will work with the State to determine whether the test file complies with the data needed for the final administrative data set.

  2. Facilitate UI Data Agreement. The State will work with Insight and any other relevant State Agency(s) to secure data agreement(s) needed to obtain a 24-month UI wage data file, covering the period of October 1, 2017 through September 30, 2019. Exhibit A describes the required data variables and formats.

  3. Facilitate Site Visits. The research team will conduct site visits in each State to interview State and local SNAP staff, other Stakeholders with a role in the SNAP E&T program, as well as E&T providers to develop in-depth knowledge of the SNAP E&T job search program in each State. The State will identify when key State respondents will be available for interviews. The State will also help facilitate other Stakeholder, local SNAP office and E&T provider participation in the visits by assisting the site visit team with selection and recruitment.

  1. State Responsibilities

The State is responsible for coordinating with the research team to provide the required data, facilitate obtaining UI wage data, and facilitate and participate in the site visits. The administrative data test file will be provided after the initial data call with Insight, and the final administrative data file will be submitted in approximately April 2020, once OMB clearance is received (estimated March 2020). The UI wage data process will begin in Winter 2019 and end once the UI wage data file is received, in approximately April 2020. Site visits will be planned for spring/summer 2020.

  1. Insight’s Responsibilities for Protecting Confidential Information

Any confidential information or data of a personal nature about individual or proprietary information or data pertaining to an institution or organization received by Insight from the State shall be used only for its intended purpose under this MOU. Insight will not duplicate or disclose the confidential information or data to any third party, except as may be required by law. Insight will establish administrative and physical safeguards to prevent the unauthorized disclosure and/or use of all confidential data or information provided under this agreement.

  1. Key Contacts

  1. Insight Key Contacts

For any technical questions related to the study or the data collection, contact the project director:

Brittany McGill

Insight Policy Research, Inc.

1901 North Moore Street, Suite 1100

Arlington, VA, 22209

Phone: 703.504.9485

Email: [email protected]



For any legal notification related to this Agreement, submit notices to:

Bryan Johnson

Insight Policy Research, Inc.

1901 N Moore St, Suite 1100

Arlington VA, 22209

Phone: 703.504.9482

Email: [email protected]



  1. State Key Contacts

For technical matters related to the study, contact:

Name

Role

Address

Phone

Email



For any legal notification related to this Agreement, submit notices to:

Name

Role

Address

Phone

Email



  1. Duration and Termination

Insight will begin data collection in spring 2019 with the 1-3-month administrative data test file. The State will then provide the final administrative data file with up to 12 months of data in spring 2020.

The term of this Memorandum of Understanding is for the period beginning January 2020 and shall end at the end of the study (exact date pending OMB clearance timing), unless modified by the mutual written agreement of the Parties.

Either Party may terminate this agreement by providing written notice to the other party. Upon receipt of such notice, the agreement will be terminated within 10 days.

  1. Entire Agreement

This Memorandum of Understanding constitutes the entire agreement between Insight and the State with respect to the subject matter hereof, and supersedes and replaces any other arrangements, oral or written, between the parties hereto pertaining to this agreement. No waiver, modification or amendment of any of the terms and conditions hereof shall be effective unless set forth in writing and duly signed by both Insight and the State.

IN WITNESS WHEREOF, the respective parties have entered into this MOU on the date first cited above.

For Insight Policy Research, Inc: For <State Name>:

Signature: __________________ Signature: __________________

Name: ____________________ Name: _____________________

Title: ______________________ Title: ______________________

Date: ______________________ Date: ______________________

Exhibit A: Request for SNAP Administrative and UI Wage Data

Table A provides a list and description of the variables that should be included in the file for every individual who received SNAP at any point during the 12-month period from October 1, 2017 to September 30, 2018. Please provide the variables in the order shown in table A.

If codes are used to identify information (e.g., reasons for sanctions, reasons for case closures), please submit a crosswalk of these codes and their descriptions with your file.

Table B provides a list and description of the requested UI wage record data variables for every individual listed in the SNAP caseload file (see table A) for the two-year period October 1, 2017 to September 30, 2019.

Preferred file formats are comma-separated values (.csv) or Excel (.xls). We can also receive other tabulated datafile formats, including SAS data files. Please discuss alternate formats with Insight.

Missing values should be indicated by a BLANK space. Please do NOT fill unknown values with zeroes. Zero should ONLY indicate an actual zero value, such as zero dollar income. For example, if the participant’s household stops receiving SNAP benefits, the household size and benefit fields should be BLANK, not zero.

For all yes/no indicator variables, a value of “1” should represent “yes,” and a value of “0” should represent “no.”





Table A. Requested SNAP Caseload Data Variable List

Variable Requested

Variable Name

Variable Description

Code/Categories Examples

Individual-Level Variables

Reference month and year

REF_MONTH_YEAR

Benefit reference month and year for the SNAP participant’s SNAP household

If no SNAP benefit was received that month, still include a row for that month with data for the CLIENT_ID and REF_MONTH_YEAR

MMYYYY

Client ID

CLIENT_ID

Participant’s individual SNAP ID provided by the State to identify individual participants within a SNAP household

If no SNAP benefit was received that month, still include a row for that month with data for the CLIENT_ID and REF_MONTH_YEAR

Example: 2130768 (character variable)

Social Security number

SSN

Social Security number

Example: 510981319

Received SNAP benefits

SNAP_FLAG_PER

Whether the participant received SNAP benefits this month

0 = no

1 = yes

First name

FIRST_NAME

Participant’s first name

Example: John

Last name

LAST_NAME

Participant’s last name

Example: Doe

Address line 1

ADDRESS_1

First line of participant’s street address

Example: 1233 Main St

Address line 2

ADDRESS_2

Second line of participant’s street address

Example: Apartment 12

State

STATE

Participant’s State of residence

Provide two-letter abbreviation

ZIP Code

ZIP

Participant’s ZIP Code of residence

20817

County

COUNTY

Participant’s county of residence

Example: Montgomery

Phone number—primary

PHONE

Participant’s primary phone number

508-645-6098

Phone number—secondary

PHONE_ALT

Participant’s secondary phone number

508-655-6098

E-mail address

EMAIL

Participant’s e-mail address

[email protected]

Date of birth

DOB

Participant’s date of birth

MMDDYYYY

Gender

GENDER

Participant’s gender

1 = male

2 = female

Race/ethnicity

RACE_ETHN

Participant’s race and ethnicity

Provide definitions of codes in separate crosswalk

Marital status

MARITAL

Participant’s marital status (e.g., married, single)

Provide definitions of codes in separate crosswalk

Relationship to case head

RELATION

Participant’s relationship to the case head (e.g., head of household, spouse, child, adult)

Provide definitions of codes in separate crosswalk

Primary language spoken or language used on application

LANGUAGE

Codes used to identify primary language for participant or participant’s household

Provide definitions of codes in separate crosswalk

Level of school completed

EDUCATION

Codes used to identify level of school completed (or whether SNAP participant received a high school diploma or GED)

Provide definitions of codes in separate crosswalk

Participant’s monthly earned income amount

INDIV_INCOME

Participant’s total individual monthly earned income amount

Example: 540

Individual received Medicaid benefits

MEDICAID_FLAG_PER

Whether the SNAP participant received Medicaid benefits this month

0 = no

1 = yes

Individual received Temporary Assistance for Needy Families (TANF) benefits

TANF_FLAG_PER

Whether the SNAP participant received TANF benefits this month

0 = no

1 = yes

Individual received Supplemental Security Income (SSI) benefits

SSI_FLAG_PER

Whether the SNAP participant received SSI benefits this month

0 = no

1 = yes

Able-Bodied Adults Without Dependents (ABAWD) exemption status

ABAWD_EXEMPT

Codes used to identify exemption status for ABAWD from ABAWD time limits

Provide definitions of codes in separate crosswalk

Work registrant exemption status

WR_EXEMPT

Codes used to identify whether SNAP participant is exempt or not exempt from work registration

Provide definitions of codes in separate crosswalk

Voluntary or mandatory SNAP E&T participation

MAND_OR_VOL

Indicator of whether the SNAP participant is identified as voluntary or mandatory E&T participant

1 = voluntary

2 = mandatory

E&T sanction status

ET_SANCT

Whether the individual is under E&T sanction this month

0 = no

1 = yes

SNAP E&T exemption status

ET_EXEMPT

Codes used to identify whether SNAP participant is exempt or not exempt from E&T

Provide definitions of codes in separate crosswalk

SNAP E&T referral status

ET_REFERRAL

Indicator of whether the SNAP participant was referred to SNAP E&T

0 = no

1 = yes

SNAP E&T participation status

ET_PART

Whether the referred SNAP E&T individual participated in E&T component

0 = no

1 = yes

Household-Level Variables

SNAP case identification (ID)

CASE_ID

Household or case ID provided by the State to identify the SNAP household of the individual participant

Example: 02076085

(character variable)

Received SNAP benefits (household)

SNAP_FLAG_HHLD

Whether the participant’s SNAP household received SNAP benefits this month

0 = no

1 = yes


SNAP benefit amount

BEN_AMT

Total SNAP benefit received by the SNAP household this month (rounded to nearest dollar)

Example: 357

SNAP household size

HH_SIZE

Number of individuals in the participant’s SNAP household this month

Example: 3

Certification/ recertification date

CERT_DATE

Certification or recertification date associated with household’s SNAP benefit month (the last review date associated with current SNAP benefit month)

MMDDYYY

County serving the case

COUNTY

County code or name of the county serving the participant’s SNAP household

Provide definitions of county codes in separate crosswalk

SNAP household’s gross income amount

GROSS_INC

Total monthly gross income for the participant’s SNAP household (i.e., gross income used to determine SNAP eligibility before deductions)

Example: 700

SNAP household’s net income amount

NET_INC

Total monthly net income for the participant’s SNAP household (i.e., net income after all deductions from gross income used to determine SNAP benefit amount)

Example: 600

SNAP household’s earned income amount

EARNED_INC

Total monthly earned income for the participant’s SNAP household

Example: 300

SNAP household’s receipt of Medicaid

MEDICAID

Indicator whether the household receives Medicaid

0 = no

1 = yes

SNAP household’s receipt of TANF

TANF

Indicator whether the household receives TANF

0 = no

1 = yes

SNAP household’s receipt of SSI

SSI

Indicator whether the household receives SSI

0 = no

1 = yes

Presence of elderly household member

ELDERLY

Indicator that at least one household member is over the age of 60

0 = no

1 = yes

Presence of children in household

CHILDREN

Indicator that at least one household member is under the age of 16

0 = no

1 = yes

Presence of disabled household member

DISABLED

Indicator that at least one household member receives SSI or SSDI

0 = no

1 = yes

Number of household members

NUM_HH

Number of individuals in the household

Example: 4

Closed case

CLOSED_CASE

Indicator that the SNAP case is closed

0 = no

1 = yes

Closure date

CLOSED_DATE

Date of SNAP case closure

MMDDYYYY

Closure reason

CLOSED_REASON

Reason for SNAP case closure (e.g., ABAWD time limit, sanction for failure to meet E&T requirements, missed recertification appointment, income over threshold, other)

Provide definitions of codes in separate crosswalk

E&T Activities and Outcomes

E&T provider serving SNAP E&T participant

PROVIDER_1

PROVIDER_2

PROVIDER_3

PROVIDER_4

Name of E&T providers serving the E&T participant

Provide name(s) of providers

Type of E&T service assigned

ET_SERVICE1

ET_SERVICE2

ET_SERVICE3

ET_SERVICE4

Codes used to identify the type of E&T service(s) participant was assigned to receive (e.g., assessment, English as a second language [ESL], high school equivalence, Institute of Higher Education, independent job search, job search training, workfare, work experience, on-the-job training, basic education, vocational training, self-employment training, WIOA program, job retention)

Provide definitions of codes in separate crosswalk

Type of job search assigned

JOB_SEARCH1

JOB_SEARCH2

JOB_SEARCH3

JOB_SEARCH4

Codes used to identify the type of job search service(s) the participant was assigned to receive (e.g., independent job search, job search assistance, job search training, job search combined with other services)

Provide definitions of codes in separate crosswalk

Start date of E&T assignment

ET_START1

ET_START2

ET_START3

ET_START4

Start date of E&T assignment to component for the E&T participant

MMDDYYYY

End date of E&T assignment

ET_END1

ET_END2

ET_END3

ET_END4

End date of E&T assignment to component for the E&T participant

MMDDYYY

Outcome of the SNAP E&T participation

ET_OUTCOME1

ET_OUTCOME2

ET_OUTCOME3

ET_OUTCOME4

Outcome of the SNAP E&T participation (e.g., completed a training, educational, work experience, or on-the-job training component; exempted for good cause; quit)

Provide definitions of codes in separate crosswalk

Whether participant dropped out of E&T component

ET_DROP1

ET_DROP2

ET_DROP3

ET_DROP4

Indicator whether the participant dropped out of E&T prior to completing the program or transitioning off benefits

0 = no

1 = yes

Reason participant stopped participating in E&T

ET_EXIT1

ET_EXIT2

ET_EXIT3

ET_EXIT4

Reason the participant stopped participating in E&T (e.g., finished component, got a job, quit)

Provide definitions of codes in separate crosswalk

Whether participant is in unsubsidized employment after E&T

EMPLOY_OUTCOME1

EMPLOY_OUTCOME2

EMPLOY_OUTCOME3

EMPLOY_OUTCOME4


Indicator of whether the participant is in unsubsidized employment after completing E&T program

0 = no

1 = yes

Start date of unsubsidized employment

EMPLOY_START1

EMPLOY_START2

EMPLOY_START3

EMPLOY_START4


Start date of unsubsidized employment obtained after the participant completed E&T program

MMDDYYYY

End data of unsubsidized employment

EMPLOY_END1

EMPLOY_END2

EMPLOY_END3

EMPLOY_END4

End date of unsubsidized employment obtained after the participant completed E&T program

MMDDYYY

Table B. UI Wage Record Data Variable List

Variable Requested

Variable Name

Variable Description

Code/Categories Examples

Individual-Level Variables

Employee Social Security number

UI_SSN

Employee’s Social Security Number

Example: 510981319

Employee first name

FIRST_NAME

Employee’s first name

Example: John

Employee last name

LAST_NAME

Employee’s last name

Example: Doe

Employer name

EMPLOYER

Employer’s name

Example: Company Name

Federal Employer Identification Number (FEIN)

FEIN

FEIN

12-3456789

Employer address line 1

EMPLOYER_ADDRESS_1

First line of employer’s street address

Example: 1233 Main St

Employer address line 2

EMPLOYER_ADDRESS_2

Second line of employer’s street address

Example: Apartment 12

Employer State

EMPLOYER_STATE

Employer’s State

Provide 2 letter abbreviation

Employer ZIP Code

EMPLOYER_ZIP

Employer’s ZIP Code

20817

Date of hire

HIRE_DATE

Date of hire

MMYYYY

Employee quarterly earnings

EARNINGS_QUART

Employee quarterly earnings amount in dollars

Example: 4588.35

Employee wage amount

WAGE

Employee wage amount in dollars per hour

Example: 10.25

Reporting period

PERIOD

Calendar quarter in which wages were paid

MMYYYY









Shape2

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-xxxx. The time required to complete this information collection is estimated to average 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the following address: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302, ATTN: PRA (0584-xxxx*). Do not return the completed form to this address.





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorElizabeth Laird
File Modified0000-00-00
File Created2021-01-14

© 2024 OMB.report | Privacy Policy