Information Collection

SNAP Households

IC 197682 under ICR 201105-0584-002 · OMB 0584-0563.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0563 can be found here:

Documents and Forms

Document Name Document Type
AppA Telephone Survey English.doc Other-English survey
AppB Telephone Survey Spanish.doc Other-Spanish Survey
AppF1 Respondent Advance letter English.doc AppF1 Respondent Advance letter English IC Document
AppF2 Respondent letter Spanish.doc AppF2 Respondent letter Spanish IC Document
AppG1 Respondent Reminder Post Card English.doc AppG1 Respondent Reminder Post Card English IC Document
AppG2 Respondent Reminder Post Card Spanish.doc AppG2 Respondent Reminder Post Card Spanish IC Document
AppH1 RESPONDENT ADVANCE LETTER � FOLLOW-UP TELEPHONE SURVEY English.doc AppH1 RESPONDENT ADVANCE LETTER � FOLLOW-UP TELEPHONE SURVEY English IC Document
AppH2 RESPONDENT ADVANCE LETTER � FOLLOW-UP TELEPHONE SURVEY Spanish.doc AppH2 RESPONDENT ADVANCE LETTER � FOLLOW-UP TELEPHONE SURVEY Spanish IC Document
AppI1 Respondent Thank You Letter English.doc AppI1 Respondent Thank You Letter English IC Document
AppI2 Respondent Thank You Letter Spanish.doc AppI2 Respondent Thank You Letter Spanish IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SNAP Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-English survey			AppA Telephone Survey English.doc		No		Paper Only
Other-Spanish Survey			AppB Telephone Survey Spanish.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS 8 FNS Studies and Reports	FR Citation: 65 FR 17251

Number of Respondents: 11,638	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,729	15,729
Annual IC Time Burden (Hours)	7,963	7,963
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
AppF1 Respondent Advance letter English	AppF1 Respondent Advance letter English.doc	07/11/2011
AppF2 Respondent letter Spanish	AppF2 Respondent letter Spanish.doc	07/11/2011
AppG1 Respondent Reminder Post Card English	AppG1 Respondent Reminder Post Card English.doc	07/11/2011
AppG2 Respondent Reminder Post Card Spanish	AppG2 Respondent Reminder Post Card Spanish.doc	07/11/2011
AppH1 RESPONDENT ADVANCE LETTER ï¿½ FOLLOW-UP TELEPHONE SURVEY English	AppH1 RESPONDENT ADVANCE LETTER ï¿½ FOLLOW-UP TELEPHONE SURVEY English.doc	07/11/2011
AppH2 RESPONDENT ADVANCE LETTER ï¿½ FOLLOW-UP TELEPHONE SURVEY Spanish	AppH2 RESPONDENT ADVANCE LETTER ï¿½ FOLLOW-UP TELEPHONE SURVEY Spanish.doc	07/11/2011
AppI1 Respondent Thank You Letter English	AppI1 Respondent Thank You Letter English.doc	07/11/2011
AppI2 Respondent Thank You Letter Spanish	AppI2 Respondent Thank You Letter Spanish.doc	07/11/2011

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