OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Study of the Effectiveness of Efforts to Improve Supplemental Nutrition Assistance Program Access Among Medicare's Extra Help Population Pilot Projects

ICR 201209-0584-001 · OMB 0584-0572 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
011613 Supplemental Responses.docx Supplementary Document Uploaded 2013-01-16 Available
OMB_SNAP Extra Help Part B.docx Supporting Statement B Uploaded 2012-11-19 Available
OMB_SNAP Extra Help Part A.docx Supporting Statement A Uploaded 2012-11-19 Available
APPENDIX E.docx Supplementary Document Uploaded 2012-10-02 Repair queued
APPENDIX E Response to Public Comments.docx Supplementary Document Uploaded 2012-10-15 Repair queued
Legislation.docx Supplementary Document Uploaded 2012-09-06 Available
Appendix R - NASS Review.docx Supplementary Document Uploaded 2012-10-15 Available
Appendix Q - SNAP Extra Help Full Approval letter (2).pdf Supplementary Document Uploaded 2012-10-15 Available
Appendix Q cover page.docx Supplementary Document Uploaded 2012-10-15 Repair queued
Appendix P - SNAP IRB FINAL.docx Supplementary Document Uploaded 2012-10-15 Available
Appendix G -Pretest summary 10 12 12.docx Supplementary Document Uploaded 2012-10-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
203966 Focus Group Protocol Non-Respondent Other-Non-Respondent Place Holder New
203965 Focus Group Protocol Other-Appendix C-Focus Group Protocol New
203964 SNAP CATI Client Survey-Non Respondent Other-Non-Respondent Place Holder New
203952 SNAP CATI Client Survey Other-Appendix A-SNAP Extra Help CATI Client Survey New
ICR Details
0584-0572 201209-0584-001
Historical Active
USDA/FNS
Study of the Effectiveness of Efforts to Improve Supplemental Nutrition Assistance Program Access Among Medicare's Extra Help Population Pilot Projects
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/25/2013
Retrieve Notice of Action (NOA) 11/20/2012
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved
6,138 0 0
1,940 0 0
0 0 0
The purpose of the Pilot Project collection in WA, PA, and NM is to increase SNAP participation among beneficiaries of Medicare's Extra Help.
US Code: 7 USC 2011-2036 Name of Law: The Food and Nutrition Act
  
None
Not associated with rulemaking
  76 FR 48798 08/09/2011
77 FR 224 11/20/2012
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,138 0 0 6,138 0 0
Annual Time Burden (Hours) 1,940 0 0 1,940 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request. This information collection will add 1,940 hours and 6,138 responses to the OMB Inventory.
$432,644
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jameela Turay 703 305-9445 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/20/2012