Information Collection

Individuals/Households Respondents

IC 241929 under ICR 202005-0584-004 · OMB 0584-0664.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix O-1 Survey of SNAP and Work English Web.docx www.website forthcoming.com	Other-Appendix O-1 Survey of SNAP an
Appendix O-2 Survey of SNAP and Work Spanish Web.docx www.website forthcoming.com	Other-Appendix O-2 Survey of SNAP an
Appendix O-3 Screen Shots Survey of SNAP and Work English Web.docx www.website forthcoming.com	Other-Appendix O-3 Screen Shots Surv
Appendix O-4 Screen Shots Survey of SNAP and Work Spanish Web.docx www.website forthcoming.com	Other-Appendix O-4 Screen Shots Surv
Appendix O-5 Survey of SNAP and Work English CATI.docx www.website forthcoming.com	Other-Appendix O-5 Survey of SNAP an
Appendix O-6 Survey of SNAP and Work Spanish CATI.docx www.website forthcoming.com	Other-Appendix O-6 Survey of SNAP an
Appendix P-1 Telephone follow-up script English.docx www.website forthcoming.com	Other-Appendix P-1 Telephone follow-
Appendix P-2 Telephone follow-up script Spanish.docx www.website forthcoming.com	Other-Appendix P-2 Telephone follow-
Appendix Q-1 Guidelines for in-person field recruitment English.docx www.website forthcoming.com	Other-Appendix Q-1 Guidelines for in
Appendix Q-2 Guidelines for in-person field recruitment Spanish.docx www.website forthcoming.com	Other-Appendix Q-2 Guidelines for in
Appendix H-1 Survey invitation letter English.docx Appendix H-1 Survey invitation letter English.docx	IC Document
Appendix H-2 Survey invitation letter Spanish.docx Appendix H-2 Survey invitation letter Spanish.docx	IC Document
Appendix I-1 Study brochure English.pdf Appendix I-1 Study brochure English.pdf	IC Document
Appendix I-2 Study brochure Spanish.pdf Appendix I-2 Study brochure Spanish	IC Document
Appendix J-1 Survey reminder postcard English.docx Appendix J-1 Survey reminder postcard English	IC Document
Appendix J-2 Survey reminder postcard Spanish.docx Appendix J-2 Survey reminder postcard Spanish	IC Document
Appendix K-1 Field locating letter English.docx Appendix K-1 Field locating letter English	IC Document
Appendix K-2 Field locating letter Spanish.docx Appendix K-2 Field locating letter Spanish	IC Document
Appendix L-1 Sorry I missed you card English.docx Appendix K-2 Field locating letter Spanish.docx	IC Document
Appendix L-2 Sorry I missed you card Spanish.docx Appendix L-2 Sorry I missed you card Spanish	IC Document
Appendix M-1 Thank you letter early response English.docx Appendix M-1 Thank you letter early response English	IC Document
Appendix M-2 Thank you letter early response Spanish.docx Appendix M-2 Thank you letter early response Spanish	IC Document
Appendix M-3 Thank you letter English.docx Appendix M-3 Thank you letter English	IC Document
Appendix M-4 Thank you letter Spanish.docx Appendix M-4 Thank you letter Spanish.docx	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Individuals/Households Respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix O-1 Survey of SNAP and Work English Web	Appendix O-1 Survey of SNAP and Work English Web.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix O-2 Survey of SNAP and Work Spanish Web.docx	Appendix O-2 Survey of SNAP and Work Spanish Web.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix O-3 Screen Shots Survey of SNAP and Work English Web	Appendix O-3 Screen Shots Survey of SNAP and Work English Web.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix O-4 Screen Shots Survey of SNAP and Work Spanish Web	Appendix O-4 Screen Shots Survey of SNAP and Work Spanish Web.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix O-5 Survey of SNAP and Work English CATI	Appendix O-5 Survey of SNAP and Work English CATI.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix O-6 Survey of SNAP and Work Spanish CATI	Appendix O-6 Survey of SNAP and Work Spanish CATI.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix P-1 Telephone follow-up script English	Appendix P-1 Telephone follow-up script English.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix Q-2 Guidelines for in-person field recruitment Spanish	Appendix Q-2 Guidelines for in-person field recruitment Spanish.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix P-2 Telephone follow-up script Spanish	Appendix P-2 Telephone follow-up script Spanish.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable
Other-Appendix Q-1 Guidelines for in-person field recruitment English.docx	Appendix Q-1 Guidelines for in-person field recruitment English.docx	https://www.website forthcoming.com	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 8 FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 70,707

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400,610	400,610
Annual IC Time Burden (Hours)	33,951	33,951
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix H-1 Survey invitation letter English.docx	Appendix H-1 Survey invitation letter English.docx	10/01/2020
Appendix H-2 Survey invitation letter Spanish.docx	Appendix H-2 Survey invitation letter Spanish.docx	10/01/2020
Appendix I-1 Study brochure English.pdf	Appendix I-1 Study brochure English.pdf	10/01/2020
Appendix I-2 Study brochure Spanish	Appendix I-2 Study brochure Spanish.pdf	10/01/2020
Appendix J-1 Survey reminder postcard English	Appendix J-1 Survey reminder postcard English.docx	10/01/2020
Appendix J-2 Survey reminder postcard Spanish	Appendix J-2 Survey reminder postcard Spanish.docx	10/01/2020
Appendix K-1 Field locating letter English	Appendix K-1 Field locating letter English.docx	10/01/2020
Appendix K-2 Field locating letter Spanish	Appendix K-2 Field locating letter Spanish.docx	10/01/2020
Appendix K-2 Field locating letter Spanish.docx	Appendix L-1 Sorry I missed you card English.docx	10/01/2020
Appendix L-2 Sorry I missed you card Spanish	Appendix L-2 Sorry I missed you card Spanish.docx	10/01/2020
Appendix M-1 Thank you letter early response English	Appendix M-1 Thank you letter early response English.docx	10/01/2020
Appendix M-2 Thank you letter early response Spanish	Appendix M-2 Thank you letter early response Spanish.docx	10/01/2020
Appendix M-3 Thank you letter English	Appendix M-3 Thank you letter English.docx	10/01/2020
Appendix M-4 Thank you letter Spanish.docx	Appendix M-4 Thank you letter Spanish.docx	10/01/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.