State, Local or Tribal Government

Assessing SNAP Participants’ Fitness for Work

OMB: 0584-0675

IC ID: 253891

Documents and Forms
Document Name
Document Type
Other-Appendix C. Final State and Lo
Other-Appendix D. Final State SNAP E
Other-Appendix G. Informed Consent F
Other-Appendix H. Observation Guide
Other-Appendix L. Survey Recruitment
Other-Appendix M. Survey Invitation
Other-Appendix T. Case Study Recruit
Other-Appendix U. Case Study Recruit
Other-Appendix F. Informed Consent S
Other-Appendix B. Final State SNAP A
Other-Appendix I. List of Requested
Other-Appendix K. Web Survey
Other-Meeting Request Email for Surv
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State, Local or Tribal Government
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix C. Final State and Local SNAP Administrator Interview Guide Appendix C. Final State and Local SNAP Administrator Interview Guide.docx No   Paper Only
Other-Appendix D. Final State SNAP Eligibility Workers Interview Guide Appendix D. Final State SNAP Eligibility Workers Interview Guide.docx No   Paper Only
Other-Appendix G. Informed Consent Form Appendix G. Informed Consent Form.docx No   Paper Only
Other-Appendix H. Observation Guide Appendix H. Observation Guide.docx No   Paper Only
Other-Appendix L. Survey Recruitment Email Appendix L. Survey Recruitment Email.docx Yes No Printable Only
Other-Appendix M. Survey Invitation Email Appendix M. Survey Invitation Email.docx Yes No Printable Only
Other-Appendix T. Case Study Recruitment Email from FNS Appendix T. Case Study Recruitment Email from FNS.docx Yes No Printable Only
Other-Appendix U. Case Study Recruitment Email from Project Team Appendix U. Case Study Recruitment Email from Project Team.docx Yes No Printable Only
Other-Appendix F. Informed Consent Script for Interviews Appendix F. Informed Consent Script for Interviews.docx No   Paper Only
Other-Appendix B. Final State SNAP Agency Survey Instrument Appendix B. Final State SNAP Agency Survey Instrument.docx Yes Yes Fillable Printable
Other-Appendix I. List of Requested Administrative Data Elements Appendix I. List of Requested Administrative Data Elements.docx No   Paper Only
Other-Appendix K. Web Survey Appendix K. Web Survey.pdf Yes Yes Fillable Printable
Other-Meeting Request Email for Survey Calls Meeting Request Email for Survey Calls.docx Yes Yes Printable Only

Income Security Food and Nutrition Assistance

 

296 0
   
State, Local, and Tribal Governments
 
   55 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 935 0 0 0 0 935
Annual IC Time Burden (Hours) 310 0 0 0 0 310
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix O. Survey Thank You Email Appendix O. Survey Thank You Email.docx 05/26/2022
Appendix P. Survey Reminder Email for Partial Completers Appendix P. Survey Reminder Email for Partial Completers.docx 05/26/2022
Appendix Q. Survey Reminder Email for Non-Completers Appendix Q. Survey Reminder Email for Non-Completers.docx 05/26/2022
Appendix R. Survey Reminder for Uploading Non-Public Documents Appendix R. Survey Reminder for Uploading Non-Public Documents.docx 05/26/2022
Appendix S. Final Survey Reminder Email Appendix S. Final Survey Reminder Email.docx 05/26/2022
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