[Federal Register Volume 88, Number 64 (Tuesday, April 4, 2023)]
[Notices]
[Pages 19903-19905]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06956]


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DEPARTMENT OF AGRICULTURE

Food and Nutrition Service


Agency Information Collection Activities: Proposed Collection; 
Comment Request: Improving Coordination Between SNAP and Medicaid in 
State Agencies

AGENCY: Food and Nutrition Service (FNS), USDA.

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ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995, this 
notice invites the general public and other public agencies to comment 
on this proposed information collection. This collection is a new 
collection for (1) identifying and describing relevant federal 
statutory, regulatory, and operational barriers and facilitators that 
have considerable impact on coordination between the Supplemental 
Nutrition Assistance Program (SNAP) and Medicaid agencies; (2) 
identifying and describing relevant State statutory, regulator, and 
operational barriers and facilitators that have considerable impact on 
coordination between SNAP and Medicaid agencies; (3) identifying and 
describing systems used by States to determine eligibility and manage 
SNAP and Medicaid application and recertification information; (4) 
identifying and describing similarities and differences in State SNAP 
and Medicaid applications; and (5) using information collected from 
Objectives 1-4 to develop a Best Practices Guide that explains how 
States can better improve coordination between SNAP and Medicaid.

DATES: Written comments must be received on or before June 5, 2023.

ADDRESSES: Comments may be sent to: Michael Burke, Senior Social 
Science Research Analyst, Food and Nutrition Service, U.S. Department 
of Agriculture, 1320 Braddock Place, Alexandria, VA 22314. Comments may 
also be submitted via email to [email protected]. Comments will 
also be accepted through the Federal eRulemaking Portal. Go to http://www.regulations.gov and follow the online instructions or submitting 
comments electronically.
    All written comments will be open for public inspection at the 
office of the Food and Nutrition Service during regular business hours 
(8:30 a.m. to 5:00 p.m.), Monday through Friday at Braddock Metro 
Center II, 1320 Braddock Place, Alexandria, VA 22314.
    All responses to this notice will be summarized and included in the 
request for Office of Management and Budget approval. All comments will 
be a matter of public record.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of this information collected should be directed to Michael 
Burke by email at [email protected] or by phone at (703) 305-4369.

SUPPLEMENTARY INFORMATION: Comments are invited on (a) whether the 
proposed collection of information is necessary for the proper 
performance of the functions of the agency, including whether the 
information shall have practical utility; (b) the accuracy of the 
agency's estimate of the burden of the proposed collection of 
information, including the validity of the methodology and assumptions 
that were used; (c) ways to enhance the quality, utility, and clarity 
of the information to be collected; and (d) ways to minimize the burden 
of the collection of information on those who are to respond, including 
use of appropriate automated, electronic, mechanical, or other 
technological collection techniques or other forms of information 
technology.
    Title: Improving Coordination Between SNAP and Medicaid in State 
Agencies.
    Form Number: Not applicable.
    OMB Number: 0584-NEW.
    Expiration Date: Not yet determined.
    Type of Request: New collection.
    Abstract: This is a new information collection request. SNAP and 
Medicaid serve similar populations, which provides opportunities for 
State Agencies administering the programs to coordinate policies and 
processes to improve efficiency, customer service, and program access. 
This study will conduct case studies in up to five states to understand 
the challenges with improving program coordination and highlight the 
best practices that could be shared with other states. FNS has 
identified five objectives for this study:
    1. Identify and describe relevant federal statutory, regulatory, 
and operational barriers and facilitators that have considerable impact 
on coordination between SNAP and Medicaid agencies.
    2. Identify and describe relevant State statutory, regulatory, and 
operational barriers and facilitators that have considerable impact on 
coordination between SNAP and Medicaid agencies.
    3. Identify and describe systems used by States to determine 
eligibility and manage SNAP and Medicaid application and 
recertification information.
    4. Identify and describe similarities and differences in State SNAP 
and Medicaid applications.
    5. Using information collected from Objectives 1-4, develop a Best 
Practices Guide that explains how States can better improve 
coordination between SNAP and Medicaid.
    Affected Public: Members of the public affected by the data 
collection include (1) State and local governments, (2) business not-
for-profit organizations, or (3) business for-profit agencies.
    Case Studies: FNS will reach out to a maximum of ten States to 
participate in in-depth case studies and expects five to participate. 
The case studies will involve semi-structured interviews with policy 
and program administrators and staff of State SNAP and Medicaid 
agencies, data systems staff from SNAP and Medicaid offices, local SNAP 
and Medicaid offices, and community-based providers that assist in SNAP 
and Medicaid application and renewals. After recruiting the five State 
SNAP and Medicaid agencies, FNS expects one selected local SNAP agency 
and one selected local Medicaid office to participate in each State. 
FNS expects that approximately 50 percent of individuals invited to 
participate will choose not to participate and oversampled to account 
for nonresponse.
    Respondent groups identified for the case studies include the 
following:

 State and local government
    [cir] State Government or territory SNAP Directors and policy staff 
(5 case study recruitment respondents, 5 case study recruitment 
nonrespondents, 15 case study interview respondents, and 0 case study 
nonrespondents)
    [cir] State Government or territory Medicaid Directors (5 case 
study recruitment respondents, 5 case study recruitment nonrespondents, 
15 case study interview respondents, and 0 case study nonrespondents
    [cir] State or territory Medicaid Director and policy staff (15 
case study interview respondents, and 0 case study nonrespondents)
    [cir] State or territory data staff (15 case study interview 
respondents, and 0 case study nonrespondents)
    [cir] Local SNAP office administrator (10 case study respondents 
and 0 case study nonrespondents)
    [cir] Local SNAP office frontline staff (20 case study respondents 
and 0 case study nonrespondents)
    [cir] Local Medicaid office administrator (10 case study 
respondents and 0 case study nonrespondents)
    [cir] Local Medicaid office frontline staff (20 case study 
respondents and 0 case study nonrespondents)
 Business for-profit organizations (5 case study recruitment 
respondents, 5 case study recruitment nonrespondents, 15 case study 
respondents, and 0 case study nonrespondents)
 Business not-for-profit organizations (5 case study 
recruitment respondents, 5 case study recruitment nonrespondents, 15 
case study respondents and 0 study non respondents)


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    Estimated Number of Respondents: The total estimated number of 
respondents is 155 (115 State and local government staff, 20 business 
not-for-profit organizations, 20 business for-profit organizations). Of 
the 155 contacted, 135 are estimated to be responsive and 20 are 
estimated to be nonresponsive. This includes:

 10 State or territory SNAP directors will participate in 
recruitment calls (a max of 5 States will participate in the case 
studies)
 10 State or territory Medicaid directors will participate in 
recruitment calls (a max of 5 States will participate in the case 
studies)
 15 State or territory SNAP directors and policy staff will 
participate in a semi-structured interview (five State directors will 
have participated in recruitment calls and interviews; 100 percent of 
whom will be asked to review and provide feedback on the process map)
 15 State or territory Medicaid directors and policy staff will 
participate in a semi-structured interview (five State directors will 
have participated in recruitment calls and interviews; 100 percent of 
whom will be asked to review and provide feedback on the process map)
 15 State or territory data staff will participate in a semi-
structured interview (100 percent of whom will be asked to review and 
provide feedback on the process map)
 10 local SNAP office administrators will participate in a 
semi-structured interview
 10 local Medicaid office administrators will participate in a 
semi-structured interview
 20 local SNAP office frontline staff will participate in a 
semi-structured interview
 20 local Medicaid office frontline staff will participate in a 
semi-structured interview
 10 business for-profit organizations will participate in a 
recruitment call (a max of five will participate in semi-structured 
interviews)
 10 business not-for-profit organizations will participate in a 
recruitment call (a max of five will participate in semi-structured 
interviews)
 15 business for-profit organizations will participate in a 
semi-structured interview (five community partner directors will have 
participated in recruitment calls and semi-structured interviews)
 15 business non-for-profit organizations will participate in a 
semi-structured interview (five community partner directors will have 
participated in recruitment calls and semi-structured interviews)

    Estimated Number of Responses per Respondent: 2.42 (2.56 for 
responsive participants and 1.50 for nonresponsive participants).
    Estimated Total Annual Responses: 375 (345 annual responses for 
responsive participants and 30 annual responses for nonresponsive 
participants).
    Estimated Time per Response: .53 hours (.52 for responsive 
participants and .68 for nonresponsive participants).
    The estimated time of response varies from 0.5 to 1.0357 hours (30 
minutes to 62 minutes), depending on the respondent group and activity, 
as shown in the table below, with an average estimated time of 0.53 
hours (32 minutes) for all responses. The average estimated time is 
calculated by dividing the 198.21 estimated total hours for responses 
in the table below by the 375 total estimated responses.
    Estimated Total Annual Burden on Respondents: 198.21 hours (177.86 
for responsive participants and 20.36 for nonresponsive participants). 
See the table below for estimated total annual burden for each type of 
respondent by data collection activity including the non-responses.

Tameka Owens,
Assistant Administrator, Food and Nutrition Service.
[FR Doc. 2023-06956 Filed 4-3-23; 8:45 am]
BILLING CODE 3410-30-P