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Appendix
B. Final State SNAP Agency Survey Instrument
OMB
No. 0584-[NEW]
Assessing
SNAP Participants’ Fitness for Work
Project
Officer: Eric Sean Williams
Office
of Policy Support
SNAP
Research and Analysis Division
Food
and Nutrition Service
U.S.
Department of Agriculture
1320
Braddock Place
Alexandria,
VA 22314
703.305.2640
[email protected]
Introduction
The
U.S. Department of Agriculture’s Food and Nutrition Service
(FNS) seeks to learn more about how States assess
physical or mental limitations when screening for exemptions from
work requirements or determining
good cause.
FNS hired MEF Associates and Mathematica to conduct a study to
understand the
processes for determining physical or mental limitations.
FNS is interested in understanding how States implement guidance on
determining exemptions from work requirements or good cause due to a
physical or mental limitation.
As
part of this study, MEF Associates is conducting a survey of all
State-level SNAP agencies. There are no right or wrong answers, and
the purpose of this survey is not to audit or identify actions that
may be correct or incorrect, but to help FNS understand how States
make determinations about whether a SNAP applicant is fit for work.
The
survey link may be shared with other staff in your agency who can
contribute to your State’s response. This survey should take no
more than 60 minutes to complete.
Your
participation in this survey is voluntary. We will use all data we
collect only for the purposes we describe. In the final report we
will not link individual States to their responses, but instead will
present aggregated survey data. However, the raw survey data will be
submitted to FNS at the end of the study.
If
you need additional information about the purpose of the study,
please contact Eric Williams at [email protected].
If you have questions about or need assistance with the web survey,
call [study phone number] or email us at [study email].
This
information is being collected to assist the Food and Nutrition
Service in understanding how States assess physical or mental
limitations when screening for exemptions from work requirements or
determining good cause. This is a voluntary collection and FNS will
use the information to determine needs for technical assistance. This
collection does not request any personally identifiable information
under the Privacy Act of 1974. 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 1.00
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: U.S. Department of Agriculture, Food and Nutrition
Service, Office of Policy Support, 1320 Braddock Place, 5th Floor,
Alexandria, VA 22306 ATTN: PRA (0584-xxxx). Do not return the
completed form to this address.
By
selecting the text below, you indicate that you have read this
statement in its entirety and that you voluntarily agree to
participate in the study.
Work
Requirements
We
are interested in learning how your State makes determinations about
whether an applicant’s physical or mental limitations exempts
them from work requirements, your State’s policies around
exemptions due to a physical or mental limitation, and whether
there’s any variation in those policies. We understand there
may be instances where the policies related to exemptions from
general
work requirements (sometimes thought of as registering for work, or
being a work registrant)
may be different than the policies related to exemptions from ABAWD
work requirements.
In those instances, we will first ask about general
work requirements,
and then ask the same question again but for ABAWD
work requirements.
When are
applicants first asked about physical or mental
limitations that may exempt them from general work requirements or
ABAWD work requirements? Please select the appropriate response for
each type of work requirement in the grid below.
|
General
work requirements
|
ABAWD
work requirements
|
|
|
|
|
|
|
|
|
|
|
|
|
Which applicants are asked in the
eligibility interview about physical or mental limitations? Select
all that apply.
Does your State currently require
face-to-face interviews as part of the SNAP application process?
PROGRAMMING
NOTE: If yes, skip to A.5.
If no or “only for certain households”, go to A.4
Are the processes for screening individuals for mental or
physical limitations different for individuals who have in-person
interviews and those who don’t?
Does
your State’s policies allow for local variation in the
populations that must be screened for exemptions from general
work requirements due to a physical or mental limitation?
Does your State’s policies
allow for local variation in the populations that must be screened
for exemptions from ABAWD work requirements due to a
physical or mental limitation?
Which of the following physical or
mental limitations are considered in your State when determining
whether someone is exempt from general work requirements?
Select all that apply.
|
Cognitive
or developmental disabilities
|
Long-term
physical illness
|
Short-term
physical illness
|
Long-term
physical disability
|
Short-term
physical injury
|
|
|
|
|
PROGRAMMING
NOTE: If yes, skip to A.10.
If no, go to A.9
Are the same physical or mental limitations considered when
determining whether someone is exempt from ABAWD work
requirements as those selected above for general work
requirements?
Which of
the following physical or mental limitations are considered in your
State when determining whether someone is exempt from ABAWD work
requirements? Select all that apply.
|
Cognitive
or developmental disabilities
|
Long-term
physical illness
|
Short-term
physical illness
|
Long-term
physical disability
|
Short-term
physical injury
|
|
|
|
|
Do staff have discretion in the
types of physical or mental limitations that can be considered when
determining exemptions?
Do your State’s policies
allow for local variation in the physical or mental limitations
that can be considered when determining whether someone is exempt
from general work requirements?
Do your State’s policies
allow for local variation in the physical or mental limitations
that can be considered when determining whether someone is exempt
from ABAWD work requirements?
In response to COVID-19, did your
State make any changes to the physical or mental limitations that
can be considered when determining exemptions from either general
work requirements or ABAWD work requirements?
Are individuals that participate in
face-to-face interviews required to provide verification of their
physical or mental limitation?
PROGRAMMING
NOTE: If sometimes, go to A.15.
If always, skip to A.16.
If never, skip to A.17.
When are individuals who participate in face-to-face
interviews required to provide verification of their physical or
mental limitation? Select all that apply.
What documentation may be used to
verify a limitation for individuals that participate in
face-to-face interviews? Select all that apply.
|
Signed
documentation from a qualified professional (e.g., licensed
physician, licensed therapist, vocational or other rehab
provider, etc.)
|
|
|
|
|
|
PROGRAMMING
NOTE: If sometimes, go to A.18.
If always, skip to A.19.
If never, skip to A.20
Are individuals who do not participate in
face-to-face interviews required to provide verification of their
physical or mental limitation?
When are
individuals who do not participate in a face-to-face
interview required to provide verification of their physical or
mental limitation?
What
documentation may be used to verify a limitation for individuals
that do not participate in a face-to-face interview? Select
all that apply.
-
|
Signed
documentation from a qualified professional (e.g., licensed
physician, licensed therapist, vocational or other rehab
provider, etc.)
|
|
|
|
|
|
Are
there differences in when an individual is required to provide
verification for their physical or mental limitations when they are
screened for exemptions from ABAWD work requirements as
opposed to general work requirements?
Do your State’s policies
allow for local variation in the information required to verify
whether an applicant is exempt from general work requirements
due to a physical or mental limitation?
Do your State’s policies
allow for local variation in the information required to verify
whether an applicant is exempt from ABAWD work requirements
due to a physical or mental limitation?
In response to COVID-19, did your
State make any changes to the information required to verify a
physical or mental limitation?
Who is
involved in determining whether an individual is exempt from
general work requirements due to a physical or mental
limitation?
|
Always
|
Sometimes
|
Never
|
Eligibility
frontline staff
|
|
|
|
Eligibility
supervisors
|
|
|
|
Quality
assurance staff
|
|
|
|
Other
(please specify):
|
|
|
|
PROGRAMMING
NOTE: If yes, see programming logic for A.27.
If no, go to A.26.
Are the same staff involved in determining whether an
individual is exempt from ABAWD work requirements as those
selected above for general work requirements?
Who is
involved in determining whether an individual is exempt from ABAWD
work requirements due to a physical or mental limitation?
|
Always
|
Sometimes
|
Never
|
Eligibility
frontline staff
|
|
|
|
Eligibility
supervisors
|
|
|
|
Quality
assurance staff
|
|
|
|
Other
(please specify):
|
|
|
|
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
eligibility staff in A.24
receive A.27.
-
When might eligibility frontline staff be involved in
determining whether an individual is exempt from general work
requirements due to a physical or mental limitation? Select all
that apply.
PROGRAMMING
NOTE: If yes, see programming logic for A.30.
If no, go to A.29
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
eligibility staff in A.24
and A.26 receive A.28.
Are the circumstances when eligibility frontline staff would
be involved in determining whether an individual is exempt from
ABAWD work requirements the same as those selected above for
general work requirements?
When
might eligibility frontline staff be involved in determining
whether an individual is exempt from ABAWD work requirements
due to a physical or mental limitation?
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
eligibility supervisors in A.24
receive A.30.
When might eligibility supervisors be involved in
determining whether an individual is exempt from general work
requirements due to a physical or mental limitation?
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
eligibility supervisors in A.24
and A.26 receive A.31.
Are the circumstances when eligibility supervisors would be
involved in determining whether an individual is exempt from ABAWD
work requirements the same as those selected above for general
work requirements?
PROGRAMMING
NOTE: If yes, see programming logic for A.33.
If no, go to A.32.
When might eligibility supervisors be involved in
determining whether an individual is exempt from ABAWD work
requirements due to a physical or mental limitation?
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
quality assurance staff in A.24
receive A.33.
When might quality assurance staff be involved in
determining whether an individual is exempt from general work
requirements due to a physical or mental limitation?
PROGRAMMING
NOTE: If yes, see programming logic for A.36.
If no, go to A.35.
Respondents that select “sometimes” for quality
assurance staff in A.26 receive A.35.
-
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
quality assurance staff in A.24
and A.26 receive A.34.
Are the circumstances when quality assurance staff are
involved in determining whether an individual is exempt from ABAWD
work requirements the same as those selected above for general
work requirements?
When
might quality assurance staff be involved in determining whether an
individual is exempt from ABAWD work requirements due to a
physical or mental limitation? Select all that apply.
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
“other” staff in A.24
receive A.36.
When might [text piped in from A.24]
staff be involved in determining whether an individual is
exempt from general work requirements due to a physical or
mental limitation? Select all that apply.
PROGRAMMING
NOTE: Only respondents that select “sometimes” for
“other” staff in A.26
receive A.37.
When might [text piped in from A.26]
staff be involved in determining whether an individual is
exempt from ABAWD work requirements due to a physical or
mental limitation? Select all that apply.
What data are staff required to enter into your State’s
eligibility and benefit determination system when determining
whether an individual is exempt from general or ABAWD work
requirements due to a physical or mental limitation? Please select
the appropriate response for each type of work requirement from the
grid below?
-
|
General
work requirements
|
ABAWD
work requirements
|
Whether
or not the individual is exempt from the work requirement due to
a physical or mental limitation
|
|
|
The
specific physical or mental limitation
|
|
|
A
description of the physical or mental limitation
|
|
|
The
verification provided
|
|
|
Demographic
data on the individual
|
|
|
Other
|
|
|
PROGRAMMING
NOTE: Only respondents that select “Demographic data on the
individual” in A.38
receive A.39A.39.
What
type of demographic data does your State require staff enter (e.g.,
race, ethnicity, gender, marital status)?
What
kind of training do staff receive about how to determine exemptions
due to a physical or mental limitation? Please note any
differences in the training received for determining exemptions
from registering for work versus determining exemptions from ABAWD
work requirements.
Besides training, what other ways
are staff informed about how to determine exemptions due to a
physical or mental limitation? Select all that apply.
Standard
Operating Procedures (SOP)
|
|
|
|
Can participants appeal the
decision determining whether they are exempt from general or ABAWD
work requirements due to a physical or mental limitation? Select
all that apply.
For individuals determined to be
exempt from general work or ABAWD requirements, due to a
physical or mental limitation, at what point(s) can the initial
exemption be reassessed? Please select the appropriate responses
for each type of work requirement from the grid below.
|
General
work requirement
|
ABAWD
work requirement
|
When
individuals recertify for their benefits
|
|
|
Based
on information contained in the initial medical assessment
(e.g., time for recovery)
|
|
|
Other
|
|
|
For individuals determined to be
subject to general or ABAWD work requirements, at what
point(s) can the initial determination be reassessed? Please select
the appropriate responses for each type of work requirement from
the grid below.
|
General
work requirement
|
ABAWD
work requirement
|
When
individuals recertify for their benefits
|
|
|
When
a good cause determination is made
|
|
|
When
a suitable E&T component is not available
|
|
|
When
an E&T participant receives a provider determination
|
|
|
When
requested by individual
|
|
|
Other
|
|
|
Acknowledging that federal
regulations establish policies regarding exemptions due to a
physical or mental limitations, who at the State is responsible for
codifying the following policies?
-
|
State legislature
|
State SNAP Agency
|
Other
|
The
criteria for determining whether someone is exempt from general
work requirements due to a physical or mental limitation
|
|
|
|
The
information required to verify a physical or mental limitation
that can exempt someone from general work requirements
|
|
|
|
Staff
procedures for determining exemptions from general work
requirements due to a physical or mental limitation
|
|
|
|
PROGRAMMING
NOTE: Only the policies for which the respondent selected “other”
will appear below.
Describe the "Other”
way(s) your State established policies regarding the criteria that
determines exemptions due to a physical or mental limitation.
Describe the “Other”
way(s) your State established policies regarding the information
required to verify a physical or mental limitation for purposes of
determining exemptions due to a physical or mental limitation.
Describe the “Other”
way(s) your State established policies regarding staff procedures
to determine exemptions due to a physical or mental limitation.
-
How often does your State review
policies regarding exemptions due to a physical or mental
limitation?
Who is involved in reviewing and
updating policies related to exemptions due to a physical or mental
limitation? Select all that apply.
What information do staff consult
when updating policies related to exemptions due to a physical or
mental limitations? Select all that apply.
-
-
|
Administrative data on
determinations
|
-
|
Administrative data on appeals
|
-
|
Feedback from local
administrators or supervisors
|
-
|
Federal regulation, statute, or
guidance
|
-
|
Other (please specify):
|
In the last three years, has your
State received technical assistance from FNS regarding your State’s
policies on exemptions due to a physical or mental limitation?
-
Module B.
Mandatory E&T
The
questions below pertain to the mandatory portion of your E&T
program only.
By “mandatory”, we mean the portion of your E&T
program where participants are required to participate in SNAP E&T.
This does not refer to programs where participants may fulfill their
work requirements by participating in a variety of activities, of
which SNAP E&T is one option.
Which of the following populations
are required to participate in SNAP E&T in your State?
Does your State have State
exemptions for any of the listed physical or mental limitations in
determining if a participant is required to participate in a
mandatory E&T program? Select all that apply.
What verification is needed to
provide a good cause determination for participants who do not
comply with mandatory E&T program requirements due to a
physical or mental limitation? Select all that apply.
|
Signed
documentation from a qualified professional (e.g., licensed
physician, licensed therapist, vocational or other rehab
provider, etc.)
|
|
|
|
|
|
|
|
How does your State communicate to
staff its policies on exemptions from mandatory E&T and
providing good cause for mandatory E&T participants? Select
all that apply.
What staff are responsible for
deciding whether the lack of an available and appropriate E&T
component, due to physical or mental limitations, results in an
exemption from general or ABAWD work requirements?
-
Good Cause
We
will first ask questions about your State’s policies regarding
good
cause for not meeting general
work requirements
due to a physical or mental limitation.
We understand there may be instances where the policies regarding
good cause for not meeting general work requirements (sometimes
thought of as registering for work, or being a work registrant) may
be different than the policies regarding good
cause for not meeting ABAWD
work requirements
due to a physical or mental limitation.
In those instances, we will first ask about general work
requirements, and then ask the same question again but for ABAWD work
requirements.
Which of the following physical or
mental limitations does your State consider when determining
whether someone has good cause for not meeting general work
requirements? Select all that apply.
PROGRAMMING
NOTE: If yes, skip to C.4.
If no, go to C.3.
Are the same physical or mental limitations considered when
determining whether someone has good cause for not meeting ABAWD
work requirements as those selected above for general work
requirements?
Which of
the following physical or mental limitations does your State
consider when determining whether someone has good cause for not
meeting ABAWD work requirements? Select all that apply.
How long
would a good cause determination for not meeting general work
requirements based on a physical or mental limitation last?
Select all that apply.
PROGRAMMING
NOTE: If yes, go to C.6.
If no, skip to C.7
Is there a difference between the length of a good cause
determination for not meeting ABAWD work requirements and
the length of a good cause determination for not meeting general
work requirements?
How long
would a good cause determination for not meeting ABAWD work
requirements based on a physical or mental limitation last?
Select all that apply.
PROGRAMMING
NOTE: If yes, go to C.8.
If no, skip to C.9.
Might a participant’s good cause determination related
to physical or mental limitations result in an exemption from
general work requirements?
Explain
under what circumstances a participant’s good cause
determination related to a physical or mental limitation would
exempt them from general work requirements.
PROGRAMMING
NOTE: If yes, go to C.10.
If no, skip to C.11.
Might a participant’s good cause determination related
to physical or mental limitations result in an exemption from ABAWD
work requirements?
Explain
under what circumstances a participant’s good cause
determination related to a physical or mental limitation would
exempt them from ABAWD work requirements.
Who is involved in deciding whether
a good cause determination related to physical or mental
limitations results in an exemption from general work
requirements?
|
Always
|
Sometimes
|
Never
|
Eligibility
frontline staff
|
|
|
|
Eligibility
supervisors
|
|
|
|
Quality
assurance staff
|
|
|
|
Other
(please specify):
|
|
|
|
PROGRAMMING
NOTE: If yes, skip to C.14
. If no, go to C.13
Are the same staff responsible involved in deciding whether
good cause determination related to a physical or mental limitation
results in an exemption from ABAWD work requirements as
those selected above for general work requirements?
Who is
involved in deciding whether a good cause determination related to
physical or mental limitations results in an exemption from ABAWD
work requirements?
|
Always
|
Sometimes
|
Never
|
Eligibility
frontline staff
|
|
|
|
Eligibility
supervisors
|
|
|
|
Quality
assurance staff
|
|
|
|
Other
(please specify);
|
|
|
|
How does
your State communicate the policies regarding good cause due to a
physical or mental limitation? Select all that apply.
How often does your State review policies for good cause
related to physical or mental limitations?
Who is involved in reviewing and
updating policies for good cause related to physical or
mental limitations? Select all that apply.
What information do staff consult
when updating policies for good cause related to physical or
mental limitations? Select all that apply.
In response to COVID-19, did your
State make any of the following changes to its good cause
policies related to physical or mental limitations? Select all
that apply.
-
Survey Close
Thank
you for participating in our survey! To help us better understand
your State’s process for determining whether an individual is
exempt from work requirements due to a physical or mental limitation,
please upload the following documents using the link below:
{Outstanding
Document 1 Based off Document Review}
{Outstanding
Document 2 Based off Document Review}
{Outstanding
Document 3 Based off Document Review}
Upload
documents here
1
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Appendix C. Final State SNAP Agency Survey Instrument Regarding Fitness for Work Policies |
Subject | Survey Questionnaire |
Author | Val |
File Modified | 0000-00-00 |
File Created | 2023-08-24 |