Information Collection

Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging

IC 257706 under ICR 202209-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction
1 PA Exhibit 1. Informational Flyer Exhibit 1. Informational Flyer.pdf	Form and Instruction
2 PA Exhibit 2. EBT Brochure Exhibit 2. EBT Brochure.pdf	Form and Instruction
3 PA Exhibit 3. Social Media Posting on Scams Exhibit 3. Social Media Posting on Scams.pdf	Form and Instruction
4 PA Exhibit 4. SNAP FAQ Exhibit 4. SNAP FAQ.pdf	Form and Instruction
5 PA Exhibit 5. SNAP Application Exhibit 5. SNAP Application.pdf	Form and Instruction
6 PA Exhibit 6. Excessive Card Letter Exhibit 6. Excessive Card Letter.pdf	Form and Instruction
7 PA Exhibit 7. Fraud FAQs Exhibit 7. Fraud FAQs.pdf	Form and Instruction
8 AL Exhibit 1. AL SNAP Integrity flyer Exhibit 1. AL SNAP Integrity flyer.pdf	Form and Instruction
9 AL Exhibit 2. AL Application Exhibit 2. AL Application.pdf	Form and Instruction
10 DC Exhibit 1. Protecting Benefits Guide Exhibit 1. Protecting Benefits Guide.pdf	Form and Instruction
11 DC Exhibit 2. SNAP Approval Notice Exhibit 2. SNAP Approval Notice.pdf	Form and Instruction
12 DC Exhibit 3. Out of State Travel Flyer Exhibit 3. Out of State Travel Flyer.pdf	Form and Instruction
13 DC Exhibit 4. DC SNAP Website Exhibit 4. DC SNAP Website.pdf	Form and Instruction
14 DC Exhibit 5. SNAP Integrated Application Exhibit 5. SNAP Integrated Application.pdf	Form and Instruction
15 DC Exhibit 6. Multiple Card Replacement Letter Exhibit 6. Multiple Card Replacement Letter.pdf	Form and Instruction
SNAP Program Integrity Message Testing OMB Memo.docx OMB Memo	IC Document
Attachment 1 Pennsylvania Client Integrity Cognitive Testing Protocol.docx Pennsylvania Client Integrity Cognitive Testing Protocol	IC Document
Attachment 2 Alabama Client Integrity Cognitive Testing Protocol.docx Alabama Client Integrity Cognitive Testing Protocol	IC Document
Attachment 3 Washington DC Client Integrity Cognitive Testing Protocol.docx Washington DC Client Integrity Cognitive Testing Protocol	IC Document
Attachment 4 Recruitment materials.docx Recruitment materials	IC Document
Attachment 5 Incentive Voucher.docx Incentive Voucher	IC Document
Attachment 6 Consent Form.docx Consent Form	IC Document
Attachment 10 Screening questions.docx Screening questions	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	PA Exhibit 1. Informational Flyer	Exhibit 1. Informational Flyer.pdf	No	Fillable Fileable
Form and Instruction	2	PA Exhibit 2. EBT Brochure	Exhibit 2. EBT Brochure.pdf	No	Fillable Fileable
Form and Instruction	3	PA Exhibit 3. Social Media Posting on Scams	Exhibit 3. Social Media Posting on Scams.pdf	No	Fillable Fileable
Form and Instruction	4	PA Exhibit 4. SNAP FAQ	Exhibit 4. SNAP FAQ.pdf	No	Fillable Fileable
Form and Instruction	5	PA Exhibit 5. SNAP Application	Exhibit 5. SNAP Application.pdf	No	Fillable Fileable
Form and Instruction	6	PA Exhibit 6. Excessive Card Letter	Exhibit 6. Excessive Card Letter.pdf	No	Fillable Fileable
Form and Instruction	7	PA Exhibit 7. Fraud FAQs	Exhibit 7. Fraud FAQs.pdf	No	Fillable Fileable
Form and Instruction	8	AL Exhibit 1. AL SNAP Integrity flyer	Exhibit 1. AL SNAP Integrity flyer.pdf	No	Fillable Fileable
Form and Instruction	9	AL Exhibit 2. AL Application	Exhibit 2. AL Application.pdf	No	Fillable Fileable
Form and Instruction	10	DC Exhibit 1. Protecting Benefits Guide	Exhibit 1. Protecting Benefits Guide.pdf	No	Fillable Fileable
Form and Instruction	11	DC Exhibit 2. SNAP Approval Notice	Exhibit 2. SNAP Approval Notice.pdf	No	Fillable Fileable
Form and Instruction	12	DC Exhibit 3. Out of State Travel Flyer	Exhibit 3. Out of State Travel Flyer.pdf	No	Fillable Fileable
Form and Instruction	13	DC Exhibit 4. DC SNAP Website	Exhibit 4. DC SNAP Website.pdf	No	Fillable Fileable
Form and Instruction	14	DC Exhibit 5. SNAP Integrated Application	Exhibit 5. SNAP Integrated Application.pdf	No	Fillable Fileable
Form and Instruction	15	DC Exhibit 6. Multiple Card Replacement Letter	Exhibit 6. Multiple Card Replacement Letter.pdf	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	SNAP Program Integrity Message Testing OMB Memo.docx	01/03/2023
Pennsylvania Client Integrity Cognitive Testing Protocol	Attachment 1 Pennsylvania Client Integrity Cognitive Testing Protocol.docx	01/03/2023
Alabama Client Integrity Cognitive Testing Protocol	Attachment 2 Alabama Client Integrity Cognitive Testing Protocol.docx	01/03/2023
Washington DC Client Integrity Cognitive Testing Protocol	Attachment 3 Washington DC Client Integrity Cognitive Testing Protocol.docx	01/03/2023
Recruitment materials	Attachment 4 Recruitment materials.docx	01/03/2023
Incentive Voucher	Attachment 5 Incentive Voucher.docx	01/03/2023
Consent Form	Attachment 6 Consent Form.docx	01/03/2023
Screening questions	Attachment 10 Screening questions.docx	01/03/2023

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