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
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
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”.
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:
For each study State, document and describe job search activities offered, as well as State-level E&T policies and requirements.
Conduct a process evaluation documenting implementation and operation of job search activities in the study States.
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.
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.
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.
Tasks to be Performed by <State>
This section describes the activities that the State will perform to support data collection for the Study.
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.
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.
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.
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.
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.
Key Contacts
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]
State Key Contacts
For technical matters related to the study, contact:
Name
Role
Address
Phone
For any legal notification related to this Agreement, submit notices to:
Name
Role
Address
Phone
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.
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 |
Participant’s e-mail address |
||
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 |
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 Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Elizabeth Laird |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |