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Mathematica Report Template
ICR 202310-0584-002 · OMB 0584-0680 · Object 136393401.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Mathematica Report Template |
| Keywords | report |
| Author | MATHEMATICA |
| Last Modified By | Writer |
| File Modified | 2023-01-25 |
| File Created | 2026-08-24 |
| Conversion State | complete |
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Appendix D1. SNAP Administrative Data Request This page has been left blank for double-sided copying. SNAP administrative data request email Dear [STATE SNAP DIRECTOR NAME], The U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) has hired Mathematica, an independent research organization, to study different Supplemental Nutrition Assistance Programs (SNAP) employment and training (E&T) programs, such as [SNAP E&T Program Name]. This project, which is called the SNAP E&T Rapid Cycle Evaluation Study, will implement and evaluate small-scale interventions with the aim of improving SNAP E&T operations and service delivery. We are requesting participating sites to provide State SNAP administrative data to facilitate intervention implementation and address the study’s research questions. Data request Please provide the requested SNAP individual-level administrative data for [SPECIFY TIME PERIOD SPECIFIC TO SITE’S INTERVENTION PERIOD]. Table H.1. contains a list of the types of data elements we are requesting, pending their availability. The study team will discuss this data request with you to assess the availability of the administrative data your agency maintains and identify which data elements can be provided. Data delivery timeline Please provide the data file by [date agreed to by agency]. Data delivery and storage We will provide a secure data transfer site to receive the data file. We can accept data in any standard format. We will store the data in a secure project directory to which only those working with the data will have access. Please let us know if you would like us to share with you our project and corporate data security plan. Table H.1. SNAP [Medicaid, and TANF] administrative data elements requested SNAP administrative data (a) Person ID number (b) Case/Unit identification number (c) Full Name (d) All addresses (current, permanent, mailing), including street address, city, state, zip (e) All phone numbers and type (home, work, cell) (f) Email address (g) Date of Birth (h) SSI Benefit Receipt or Disability Status (i) Certification date (j) Date of most recent SNAP recertification (k) County where application was processed (FIPS code) (l) Primary language spoken (or language used to fill out application) (m) Gender of individual (n) Education of individual (o) Race/Ethnicity (p) Number of other people in the unit (q) Ages of other people in the unit (r) ABAWD status (s) Earned income (t) Unearned income (u) Net income (v) Benefit amount