Individual/Households

Assessment of the Contribution of an Interview to SNAP Program Eligibility and Benefit Determination Study

OMB: 0584-0582

IC ID: 202644

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0582 can be found here:

Documents and Forms

Document Name Document Type
Ap D1 - Client Survey.docx Other-Appendix D1 - Client Survey
Ap D2_Client Survey_Spanish.docx Other-Appendix D2 - Client Survey-Sp
Ap F2_Focus Groups with Procedural Denials Guide_Spanish.docx Other-Ap F2_Focus Groups with Proced
Ap F1 - Focus Groups with Procedural Denials Guide-English.docx Other-Ap F1-Focus Groups with Proced
Ap E1 - Client Survey Correspondence-Advance Letter.docx Appendix E1 - Client Survey Correspondence-Advance Letter (Revised) IC Document
Ap E2 - Client Survey Correspondence-Client Survey FAQs.docx Appendix E2 - Client Survey Correspondence-Client Survey FAQs (Revised).docx IC Document
Ap G1 - Focus Group Advance Letter.docx Appendix G1 - Focus Group Advance Letter IC Document
Ap G2 - Focus Group Correspondence-Recruitment Script.docx Appendix G2 - Focus Group Correspondence-Recruitment Script (Revised) IC Document
Ap G3 - Focus Group FAQs.docx Appendix G3 - Focus Group FAQ (Revised) IC Document
Ap G4_Focus Group Reminder Script.docx Appendix G4 - Focus Group Reminder Script. IC Document
Ap G5_Focus Group Participant Consent Form.docx Appendix G5 - Focus Group Participant Consent Form (Revised). IC Document
Ap E1.2 - Client Survey Correspondence-SPANISH Advance Letter.docx Appendix E1.2- Client Survey Correspondence-Advance Letter Spanish IC Document
Ap E2.2 - Client Survey Correspondence-SPANISH Client Survey FAQs.docx Appendix E2.2- Client Survey Correspondence-Client Survey FAQs Spanish IC Document
Ap G1.2 - Focus Group Advance Letter SPANISH.docx Appendix G1.2-Focus Group Advance Letter Spanish IC Document
Ap G2.2 - Focus Group Correspondence-Recruitment Script SPANISH.docx Appendix G2.2- Focus Group Correspondence-Recruitment Script Spanish IC Document
Ap G3.2 Focus Group FAQs SPANISH.docx Appendix G3.2-Focus Group FAQ Spanish IC Document
Ap G4.2_Focus Group Reminder Script SPANISH.docx Appendix G4.2- Focus Group Reminder Script Spanish IC Document
Ap G5.2_Focus Group Participant Consent Form-SPANISH.docx Appendix G5.2- Focus Group Participant Consent Form Spanish IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Individual/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	Instrument File	Available Electronically?	Electronic Capability
Other-Ap F2_Focus Groups with Procedural Denials Guide_(Revised 062112)_Spanish	Ap F2_Focus Groups with Procedural Denials Guide_Spanish.docx	No	Paper Only
Other-Ap F1-Focus Groups with Procedural Denials	Ap F1 - Focus Groups with Procedural Denials Guide-English.docx	No	Paper Only
Other-Appendix D1 - Client Survey	Ap D1 - Client Survey.docx	No	Paper Only
Other-Appendix D2 - Client Survey-Spanish (Revised)	Ap D2_Client Survey_Spanish.docx	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

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

Number of Respondents: 3,776	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,776	3,776
Annual IC Time Burden (Hours)	736	736
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E1 - Client Survey Correspondence-Advance Letter (Revised)	Ap E1 - Client Survey Correspondence-Advance Letter.docx	08/20/2012
Appendix E2 - Client Survey Correspondence-Client Survey FAQs (Revised).docx	Ap E2 - Client Survey Correspondence-Client Survey FAQs.docx	08/20/2012
Appendix G1 - Focus Group Advance Letter	Ap G1 - Focus Group Advance Letter.docx	08/20/2012
Appendix G2 - Focus Group Correspondence-Recruitment Script (Revised)	Ap G2 - Focus Group Correspondence-Recruitment Script.docx	08/20/2012
Appendix G3 - Focus Group FAQ (Revised)	Ap G3 - Focus Group FAQs.docx	08/20/2012
Appendix G4 - Focus Group Reminder Script.	Ap G4_Focus Group Reminder Script.docx	08/20/2012
Appendix G5 - Focus Group Participant Consent Form (Revised).	Ap G5_Focus Group Participant Consent Form.docx	08/20/2012
Appendix E1.2- Client Survey Correspondence-Advance Letter Spanish	Ap E1.2 - Client Survey Correspondence-SPANISH Advance Letter.docx	08/20/2012
Appendix E2.2- Client Survey Correspondence-Client Survey FAQs Spanish	Ap E2.2 - Client Survey Correspondence-SPANISH Client Survey FAQs.docx	08/20/2012
Appendix G1.2-Focus Group Advance Letter Spanish	Ap G1.2 - Focus Group Advance Letter SPANISH.docx	08/20/2012
Appendix G2.2- Focus Group Correspondence-Recruitment Script Spanish	Ap G2.2 - Focus Group Correspondence-Recruitment Script SPANISH.docx	08/20/2012
Appendix G3.2-Focus Group FAQ Spanish	Ap G3.2 Focus Group FAQs SPANISH.docx	08/20/2012
Appendix G4.2- Focus Group Reminder Script Spanish	Ap G4.2_Focus Group Reminder Script SPANISH.docx	08/20/2012
Appendix G5.2- Focus Group Participant Consent Form Spanish	Ap G5.2_Focus Group Participant Consent Form-SPANISH.docx	08/20/2012

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