This page has been left blank for double-sided copying.
The purpose of the study is to learn about the new option to use mobile payment (like a smartphone or smartwatch) to pay for food with your SNAP benefits. In this study, SNAP participants have the option to use mobile payment or a physical EBT card to make food purchases. Your feedback about the mobile payment option will help us determine what works and what could be improved.
The study is being sponsored by the U.S. Department of Agriculture (USDA), Food and Nutrition Service (FNS), the Federal agency that oversees the SNAP program.
The study is being conducted by Mathematica, an independent research firm. We do not work for [STATE SNAP AGENCY], USDA, or any other governmental agency.
Your participation will help us understand how we can improve mobile payment options as they become more widely available.
The information you provide will be kept private. We will summarize all feedback in our report. Nothing you say will ever be linked to your name. All information will be stored safely and destroyed at the end of the study. Also, nothing you say will affect your eligibility for SNAP or any other programs.
No. Your participation is voluntary. You don’t have to answer any questions you don’t want to, and you can stop at any time.
Public
Burden Statement
This
information is being collected to assist the Food and Nutrition
Service in evaluating the Supplemental Nutrition Assistance Program
(SNAP) Mobile Payment Pilot (MPP). This is a voluntary collection
and FNS will use the information to evaluate the implementation,
adoption, and scalability of the SNAP MPP. This collection does
request 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 minute (0.0167
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 22314 ATTN: PRA (0584-XXXX). Do not return the
completed form to this address.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |