Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 257706

⚠️ Notice: This information collection may be referencing outdated material.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

2025-12-30 - Revision of a currently approved collection

Documents and Forms

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 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 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 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 4 Recruitment materials.docx Recruitment materials IC Document
Attachment 5 Incentive Voucher.docx Incentive Voucher IC Document
Attachment 5 Incentive Voucher.docx Incentive Voucher IC Document
Attachment 6 Consent Form.docx Consent Form IC Document
Attachment 6 Consent Form.docx Consent Form IC Document
Attachment 10 Screening questions.docx Screening questions 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: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	1	No	Fillable Fileable
Form and Instruction	2	No	Fillable Fileable
Form and Instruction	3	No	Fillable Fileable
Form and Instruction	4	No	Fillable Fileable
Form and Instruction	5	No	Fillable Fileable
Form and Instruction	6	No	Fillable Fileable
Form and Instruction	7	No	Fillable Fileable
Form and Instruction	8	No	Fillable Fileable
Form and Instruction	9	No	Fillable Fileable
Form and Instruction	10	No	Fillable Fileable
Form and Instruction	11	No	Fillable Fileable
Form and Instruction	12	No	Fillable Fileable
Form and Instruction	13	No	Fillable Fileable
Form and Instruction	14	No	Fillable Fileable
Form and Instruction	15	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 %

	Requested	Previously Approved
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

Title	Document	Date Uploaded
OMB Memo		01/03/2023
Pennsylvania Client Integrity Cognitive Testing Protocol		01/03/2023
Alabama Client Integrity Cognitive Testing Protocol		01/03/2023
Washington DC Client Integrity Cognitive Testing Protocol		01/03/2023
Recruitment materials		01/03/2023
Incentive Voucher		01/03/2023
Consent Form		01/03/2023
Screening questions		01/03/2023

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

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