Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents

Generic Clearance for Questionnaire Pretesting Research

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

Documents for IC

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