Appendix I-1 Study brochure English

What is this
survey about?
The U.S. Department of Agriculture’s
(USDA’s) Food and Nutrition Service
(FNS) is sponsoring this survey to
learn more about the employment
experiences of Supplemental
Nutrition Assistance Program (SNAP)
participants and the challenges they
face when looking for work. About
50,000 individuals nationwide are
invited to participate in the survey.

Who is
conducting
this survey?
The study team is conducting this
study for USDA/FNS. Westat is
among the nation’s leading research
organizations, with over 50 years
of experience conducting research
for government agencies. For more

For additional information
You can go to the Survey of SNAP and Work
website at https://www.xxxx.com
If you have a smartphone, you can scan the
QR code below to visit the website
or call toll-free at 1-xxx-xxx-xxxx.

Survey of

You can also email us at
[email protected]

and Wo

Survey of SNAP and Work

information about Westat, go to
https://www.xxxx.com.

United States
Department of
Agriculture
51489.0118

Will I be paid for my participation?
How much?

Why was I selected?

What will you ask me about?

The study team randomly selected a sample
of SNAP participants to be representative of
each State, and of geographic areas within
each State. Your experience with employment
and SNAP will represent others with similar
experiences. Your participation in the survey
will provide essential information needed to
obtain an accurate picture about employment
of SNAP participants in your State.

We will ask about you and your household. We will
also ask about your current job (if you have one)
and about jobs you have held in the past several
months. In addition, we will ask about your
participation in education and training activities.

Who will use this information,
and how?

Are there any costs to me to take
part in the survey?

How long will it take to complete
the survey?

USDA will use the results from this survey to learn
more about the number of SNAP participants in
your State who are working and the nature of the
work they do. Your name and contact information
will never be listed in any reports.

No, there are no costs to you to take part in
the survey.

It varies from person to person, but the
average time to complete the interview is
about 33 minutes.

Do I have to participate?

Why do you need my job history?

No, participation in this survey is voluntary.
You can choose not to participate. However,
we encourage you to participate because
your response to the survey is important for
the quality of the survey findings and the
potential impact on future SNAP policy. If you
participate in the survey, you can skip any
questions you do not want to answer.

Your job history is important because it
helps us learn more about the employment
experiences of people who receive SNAP
benefits and the difficulties faced in finding and
keeping a job. The information you provide
will be private and used only for research and
policy planning purposes.

Yes, as a thank you, you will receive $40 if you
if you complete the survey within the first four
weeks of receiving the invitation and $20 if you
complete it after that time.

Will my answers be kept private?
All information gathered for the survey is private
to the full extent allowed by law. Survey staff
members are prohibited by law from disclosing
your personal information to anyone other than
authorized research staff. The results from the
survey will be reported only in combined totals
with all the other people who take part, never as
individual answers. Reports from the study will
not include your name or any other information
that could identify you. We will not sell or give
away your contact information or add you to
any kind of mailing list.

Does survey participation affect
my benefits?
Your decision to participate in the survey will
not affect your SNAP benefits in any way, now
or in the future. Neither the local SNAP office
nor the USDA will know that you have been
selected or participated in the survey.

Public reporting burden for this collection of information is estimated to average 5 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. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate
or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food & Nutrition Service,
Braddock Metro Center II, 1320 Braddock Place, Alexandria, VA 22314. Phone: (703) 305-2062. ATTN: PRA (0584-xxxx*). Do not return the completed form to this address.

USDA is an equal opportunity provider, employer, and lender.

OMB Control No: 0584-xxxx
Expiration Date: xx/xx/20xx