Survey of SNAP and Work

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix X Comments from Peer Advisory Panel and FNS Responses.docx	Supplementary Document	Uploaded 2020-10-14	Missing upstream
Appendix N - Data collection flow diagram.docx	Supplementary Document	Uploaded 2020-10-01	Repair queued
Appendix D - Fact Sheet 10-1-2020.docx	Supplementary Document	Uploaded 2020-10-01	Repair queued
Appendix B - Background information.docx	Supplementary Document	Uploaded 2020-10-01	Repair queued
Appendix V - Westat IRB Approval Letter.docx	Supplementary Document	Uploaded 2020-09-28	Missing upstream
Appendix U - Statement of Confidentiality and Nondisclosure.docx	Supplementary Document	Uploaded 2020-09-28	Available
Appendix T - Incentives and Response Rates.docx	Supplementary Document	Uploaded 2020-09-28	Repair queued
Appendix S NASS Comments and FNS Responses.docx	Supplementary Document	Uploaded 2020-09-28	Repair queued
Survey of SNAP and Work Part B PRAO comments 5-21-2020.docx	Supporting Statement B	Uploaded 2020-05-22	Repair queued
Survey of SNAP and Work Part A OCIO comments clean 10-14-2020.docx	Supporting Statement A	Uploaded 2020-10-14	Repair queued
Appendix W - Burden Table Survey of SNAP Work w OCIO changes clean 10-7-2020.xlsx	Supplementary Document	Uploaded 2020-10-07	Repair queued
Appendix A- Legal Authority.pdf	Supplementary Document	Uploaded 2020-09-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241931	State Agency Respondents	Other-Appendix F - Guide for call with SNAP agency	New
241930	Individuals/Households Non-Respondents	Other-NON-RESPONDENT PLACEHOLDER	New
241929	Individuals/Households Respondents	Other-Appendix O-1 Survey of SNAP and Work English Web	New

ICR Details

OMB Control No:	ICR Reference No: 202005-0584-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Survey of SNAP and Work
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/14/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	502,460	0
Time Burden (Hours)	38,569	0
Cost Burden (Dollars)	0	0

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Abstract: The purpose of the Survey of SNAP and Work is to provide FNS and State SNAP agencies with information about the employment patterns and characteristics of nondisabled adult SNAP participants, information not currently collected in the Annual Social and Economic Supplement (ASEC) to the Current Population Survey (CPS) or other available data sets. In addition, the Survey of SNAP and Work will identify health, social, and personal factors that promote or inhibit employment among SNAP participants.

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Authorizing Statute(s): PL: Pub.L. 116 - 94 17 Name of Law: The Food Nutrition Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 51508	09/30/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 64441	10/13/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Individuals/Households Respondents
Individuals/Households Non-Respondents
State Agency Respondents

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	502,460	0	0	502,460	0	0
Annual Time Burden (Hours)	38,569	0	0	38,569	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection of information estimated to add 38,569 total annual burden hours and 88,434 total annual responses as program changes to OMB’s burden inventory.

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Annual Cost to Federal Government: $1,805,664

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/14/2020

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