Information Collection

Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2

IC 259128 under ICR 202508-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1 Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 1 Program info Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 2 ebt info Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 3 dss info Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 4 food assistance info Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 5 fraud website Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
Form 6 fraud flyer Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction
1 Program info Exhibit 1. Excerpt from Program Information.pdf	Form and Instruction
1 Program info Exhibit 1. Excerpt from Program Information.pdf	Form and Instruction
2 ebt info Exhibit 2. EBT Brochure.pdf	Form and Instruction
2 ebt info Exhibit 2. EBT Brochure.pdf	Form and Instruction
3 dss info Exhibit 3. DSS Brochure.pdf	Form and Instruction
3 dss info Exhibit 3. DSS Brochure.pdf	Form and Instruction
4 food assistance info Exhibit 4. Excerpt from Food Assistance Application.pdf	Form and Instruction
4 food assistance info Exhibit 4. Excerpt from Food Assistance Application.pdf	Form and Instruction
5 fraud website Exhibit 5. Fraud Reporting Website.pdf	Form and Instruction
5 fraud website Exhibit 5. Fraud Reporting Website.pdf	Form and Instruction
6 fraud flyer Exhibit 6. Fraud Reporting Flyer.pdf	Form and Instruction
6 fraud flyer Exhibit 6. Fraud Reporting Flyer.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 Delaware Cognitive Interview Protocol.docx Delaware Cognitive Interview Protocol	IC Document
Attachment 1 Delaware Cognitive Interview Protocol.docx Delaware Cognitive Interview Protocol	IC Document
Attachment 3 Recruitment materials.docx Recruitment materials	IC Document
Attachment 3 Recruitment materials.docx Recruitment materials	IC Document
Attachment 4 Consent Form.docx Consent Form	IC Document
Attachment 4 Consent Form.docx Consent Form	IC Document
Attachment 5 Additional screening questions.docx Additional screening questions	IC Document
Attachment 5 Additional screening questions.docx Additional screening questions	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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

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: 15

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo		03/14/2023
Delaware Cognitive Interview Protocol		03/14/2023
Recruitment materials		03/14/2023
Consent Form		03/14/2023
Additional screening questions		03/14/2023

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

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