OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SNAP E&T Program Participants (Individuals/Households) Respondents

IC 235333 under ICR 201903-0584-003 · OMB 0584-0606.

Documents and Forms
Document Name
Document Type
Other-Appendix A-5a Pretest Incoming
Other-Appendix A-5b Pretest Incoming
Other-Appendix A-6a_Survey of SNAP a
Other-Appendix A-6b_Survey of SNAP a
Other-Appendix A-6c Web Survey of SN
Other-Appendix A-6d Web Survey of SN
Other-Appendix A-6e Screen Shots_Web
Other-Appendix A-6f. Screen Shots We
Other-Appendix A-8a Semi Structured
Other-Appendix A-8b Semi Structured
IC Document
IC Document
IC Document
IC Document
IC Document
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)

SNAP E&T Program Participants (Individuals/Households) Respondents Primary ICR Renewal
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English_2_26_19.docx Appendix A-5a Pretest Incoming Call Script Eligibility Prescreener Guide English_2_26_19.docx No   Paper Only
Other-Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx Appendix A-5b Pretest Incoming Call Script Eligibility Prescreener Guide Spanish_2_26_19.docx No   Paper Only
Other-Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx Appendix A-6a_Survey of SNAP and Work CATI_English_2_26_19.docx CATI Yes Yes Fillable Fileable
Other-Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx Appendix A-6b_Survey of SNAP and Work CATI_Spanish_2_26_19.docx CATI Yes Yes Fillable Fileable
Other-Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx Appendix A-6c Web Survey of SNAP and Work English_1_30_19.docx www.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx Appendix A-6d Web Survey of SNAP and Work_Spanish_1_30_19.docx www.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix A-6e Screen Shots_Web Survey of SNAP and Work English 3-1-19.docx Appendix A-6e Screen Shots_Web Survey of SNAP and Work English 3-1-19.docx www.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix A-6f. Screen Shots Web Survey of SNAP and Work—Spanish Appendix A-6f Screen Shots--Web Survey of SNAP and Work--Spanish_2_12_19.docx www.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix A-8a Semi Structured Guide, CATI English_2_26_19.docx Appendix A-8a Semi Structured Guide, CATI English_2_26_19.docx CATI Yes Yes Fillable Fileable
Other-Appendix A-8b Semi Structured Guide CATI Spanish_2_26_19.docx Appendix A-8b Semi Structured Guide CATI Spanish_2_26_19.docx CATI Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

250 0
   
Individuals or Households
 
   10 %

  Requested 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 650 0 650 0 0 0
Annual IC Time Burden (Hours) 48 0 48 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix A-1_Detailed burden table_2_27_19.xlsx Appendix A-1_Detailed burden table_2_27_19.xlsx 03/14/2019
Appendix A-2a Pretest Craigslist Recruitment English CA_2_26_19.docx Appendix A-2a Pretest Craigslist Recruitment English CA_2_26_19.docx 03/14/2019
Appendix A-2b Pretest Craigslist Recruitment Spanish CA_2_26_19.docx Appendix A-2b Pretest Craigslist Recruitment Spanish CA_2_26_19.docx 03/14/2019
Appendix A-2c Pretest Craigslist Recruitment English DC_2_26_19.docx Appendix A-2c Pretest Craigslist Recruitment English DC_2_26_19.docx 03/14/2019
Appendix A-3a Pretest Flyer English CA_2_26_19.docx Appendix A-3a Pretest Flyer English CA_2_26_19.docx 03/14/2019
Appendix A-3b Pretest Flyer English DC_2_26_19.docx Appendix A-3b Pretest Flyer English DC_2_26_19.docx 03/14/2019
Appendix A-3c Pretest Flyer Spanish CA_2_26_19.docx Appendix A-3c Pretest Flyer Spanish CA_2_26_19.docx 03/14/2019
Appendix A-4a Filtered Database Recruitment English_2_26_19.docx Appendix A-4a Filtered Database Recruitment English_2_26_19.docx 03/14/2019
Appendix A-7a Email to confirm pretest interview appointment English CA.docx Appendix A-7a Email to confirm pretest interview appointment English CA.docx 03/14/2019
Appendix A-7b Email to confirm pretest interview appointment Spanish CA.docx Appendix A-7b Email to confirm pretest interview appointment Spanish CA.docx 03/14/2019
Appendix A-7c Email to confirm pretest interview appointment English DC.docx Appendix A-7c Email to confirm pretest interview appointment English DC.docx 03/14/2019
Appendix A-9a Pretest consent form English_3_25_19.docx Appendix A-9a Pretest consent form English_3_25_19.docx 03/25/2019
Appendix A-9b Pretest consent form Spanish_3_25_19.docx Appendix A-9b Pretest consent form Spanish_3_25_19.docx 03/25/2019
Appendix A-10a Pretest Incentive Receipt English_2_26_19.docx Appendix A-10a Pretest Incentive Receipt English_2_26_19.docx 03/14/2019
Appendix A-10b Pretest Incentive Receipt Spanish_2_26_19.docx Appendix A-10b Pretest Incentive Receipt Spanish_2_26_19.docx 03/14/2019
Appendix A-11 Statement of Confidentiality and Nondisclosure.docx Appendix A-11 Statement of Confidentiality and Nondisclosure.docx 03/14/2019
Appendix A-12 IRB Approval.docx Appendix A-12 IRB Approval.docx 03/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.