OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Shopping Patterns: SNAP Recipient Survey (I/H)

IC 203112 under ICR 201207-0584-001 · OMB 0584-0564.

Documents and Forms
Document Name
Document Type
Other-FMCS OMB B1 Survey English
Other-FMCS OMB B2 Survey Spanish
Other-FMCS OMB D1 Telephone Script f
Other-FMCS OMB D2 Telephone Script f
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Shopping Patterns: SNAP Recipient Survey (I/H)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-FMCS OMB B1 Survey English FMCS OMB B1 Survey English_v4.docx No   Paper Only
Other-FMCS OMB B2 Survey Spanish FMCS OMB B2 Survey Spanish_v4.docx No   Paper Only
Other-FMCS OMB D1 Telephone Script for Survey via Interview English FMCS OMB D1 Telephone Script English_v4.docx N/A - Interview responses are filed electronically Yes Yes Fillable Fileable
Other-FMCS OMB D2 Telephone Script for Survey via Interview Spanish FMCS OMB D2 Telephone Script Spanish_v4.docx N/A - Interview responses are filed electronically Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

 

3,724 0
   
Individuals or Households
 
   25 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,724 0 3,724 0 0 0
Annual IC Time Burden (Hours) 3,539 0 3,539 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FMCS OMB A1 SNAP Participant Study Introductory Letter English FMCS OMB A1 SNAP Participant Study Introductory Letter English_v4.docx 07/10/2012
FMCS OMB A2 SNAP Participant Study Introductory Letter Spanish FMCS OMB A2 SNAP Participant Study Introductory Letter Spanish_v4.docx 07/10/2012
FMCS OMB B3 Telephone Survey Screenshots English FMCS OMB B3 Telephone Survey Screenshots English_v4.doc 07/10/2012
FMCS OMB B4 Telephone Survey Screenshots Spanish FMCS OMB B4 Telephone Survey Screenshots Spanish_v4.doc 07/10/2012
FMCS OMB C1 SNAP Participant Reminder Letter English FMCS OMB C1 SNAP Participant Reminder Letter English_v4.docx 07/11/2012
FMCS OMB C2 SNAP Participant Reminder Letter Spanish FMCS OMB C2 SNAP Participant Reminder Letter Spanish_v4.docx 07/11/2012
FMCS OMB C3 SNAP Participant Thank you letter English FMCS OMB C3 SNAP Participant Thank you letter English.docx 07/11/2012
FMCS OMB C4 SNAP Participant Thank you letter Spanish FMCS OMB C4 SNAP Participant Thank you letter Spanish.docx 07/11/2012
FMCS OMB D3 Refusal Conversion English FMCS OMB D3 Refusal Conversion English_v4.docx 07/11/2012
FMCS OMB D4 Refusal Conversion Spanish FMCS OMB D4 Refusal Conversion Spanish_v4.docx 07/11/2012
FMCS OMB D5 Automated Phone Calls English FMCS OMB D5 Automated Phone Calls English_v4.docx 07/11/2012
FMCS OMB D6 Automated Phone Calls Spanish FMCS OMB D6 Automated Phone Calls Spanish_v4.docx 07/11/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.