Food Stamp Forms: Applications, Periodic Reporting, Notices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0064 Supporting Statement 9-2007.doc	Supporting Statement A	Uploaded 2007-09-27	Available
Burden Summary 0584-0064.xls	Supplementary Document	Uploaded 2007-09-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2960	State: Applications, Periodic Reporting, Notices		Modified
182154	Local Agencies Recordkeeping		New
182153	Household/Individual: Application & Periodic Reporting		New

ICR Details

OMB Control No: 0584-0064	ICR Reference No: 200709-0584-004
Status: Historical Active	Previous ICR Reference No: 200405-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Stamp Forms: Applications, Periodic Reporting, Notices
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/12/2007
	Date Received in OIRA: 09/27/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved	12/31/2007
Responses	286,545,662	0	157,216,781
Time Burden (Hours)	23,642,768	0	29,994,434
Cost Burden (Dollars)	0	0	1,647,000

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Abstract: Information collected is used to determine eligibility and participation in the food stamp program. Certifications and periodic reporting are to verify current eligibility.

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Authorizing Statute(s): PL: Pub.L. 108 - 267 3, 5, 11 Name of Law: The Food Stamp Act of 1977
   PL: Pub.L. 107 - 171 Title IV Subtitle A Name of Law: FSRIA 2002
   PL: Pub.L. 104 - 193 Title IV Name of Law: PRWORA
   PL: Pub.L. 104 - 208 Title I Name of Law: Omnibus Consoidated Appropriations Act
   PL: Pub.L. 105 - 185 Title IV Name of Law: Ag Research, Extension, & Education Reform Act of 1998
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 3447	06/22/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 54889	09/27/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
State: Applications, Periodic Reporting, Notices
Household/Individual: Application & Periodic Reporting
Local Agencies Recordkeeping

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	286,545,662	157,216,781	0	0	129,328,881	0
Annual Time Burden (Hours)	23,642,768	29,994,434	0	0	-6,351,666	0
Annual Cost Burden (Dollars)	0	1,647,000	0	0	-1,647,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision to the currently approved information collection. The currently approved burden for this ICR is 29,994,434 hours. The total burden requested in this submission is 23,642,768 hours. This is a decrease of 6,351,666 hours. The majority of the change is the result of a review of calculations used in deriving the burden. These changes are being reported as an adjustment due to agency estimates. Also, this submission reports an increase in the number of annual responses from 157,216,781 to 286,545,662. The increase of 129,328,881 responses is due to the increase in number of applications and corrections in the calculations of responses, but there was an overall decrease in the total burden hours.

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Annual Cost to Federal Government: $220,639,053

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/27/2007

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