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Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents
Generic Clearance for Questionnaire Pretesting Research
OMB: 0607-0725
IC ID: 259099
OMB.report
DOC/CENSUS
OMB 0607-0725
ICR 202508-0607-002
IC 259099
( )
Documents and Forms
Document Name
Document Type
Form 1
Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents
Form and Instruction
1 Minnesota Protocol and Materials
Enclosure 3 - Minnesota Protocol and Materials.docx
Form and Instruction
2 Wisconsin Protocol and Materials
Enclosure 4 - Wisconsin Protocol and Materials.docx
Form and Instruction
OMB Memo - SNAP ABAWD Message Cognitive Testing in MN and WI.docx
OMB Memo
IC Document
Enclosure 1 - Recruitment Materials.docx
Recruitment Materials
IC Document
Enclosure 2 - Additional Screening Questions.docx
Additional Screening Questions
IC Document
Enclosure 5 - Consent Form.docx
Consent Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents
Agency IC Tracking Number:
IC Status:
Unchanged
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
Form and Instruction
1
Minnesota Protocol and Materials
Enclosure 3 - Minnesota Protocol and Materials.docx
No
Fillable Fileable
Form and Instruction
2
Wisconsin Protocol and Materials
Enclosure 4 - Wisconsin Protocol and Materials.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
33
0
0
0
0
33
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
OMB Memo - SNAP ABAWD Message Cognitive Testing in MN and WI.docx
03/13/2023
Recruitment Materials
Enclosure 1 - Recruitment Materials.docx
03/13/2023
Additional Screening Questions
Enclosure 2 - Additional Screening Questions.docx
03/13/2023
Consent Form
Enclosure 5 - Consent Form.docx
03/13/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.