Negative QC Review Schedule; Status of Sample Selection and Completion

Forms and Documents

Document Name	Status
Form FNS-248 Status of Sample Selection and Completion - Reporting Form	Removed
Form FNS-245 QC - FS Negative Case Action Review Schedule - Reporting Form and Instruction	Modified
FNS 310 Handbook - Attachment I.pdf Supplementary Document	2009-11-23
#0584-0034 Part B Statistical Methods 10-2009.doc Supporting Statement B	2009-11-17
Supporting_Statement_OMB_0584-0034 11-02-09.doc Supporting Statement A	2009-11-18

IC Document Collections

IC ID	Document Title	Status
44340	Status of Sample Selection and Completion - Recordkeeping	Removed
44338	Status of Sample Selection and Completion - Reporting Form	Removed
44337	QC - FS Negative Case Action Review Schedule - Recordkeeping	Removed
2919	QC - FS Negative Case Action Review Schedule - Reporting Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0034	ICR Reference No: 200911-0584-006
Status: Historical Active	Previous ICR Reference No: 200607-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Negative QC Review Schedule; Status of Sample Selection and Completion
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: 12/28/2009
	Date Received in OIRA: 11/23/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	12/31/2009
Responses	39,547	0	2,544
Time Burden (Hours)	118,635	0	2,286
Cost Burden (Dollars)	0	0	0

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Abstract: The QC review for FSP negative cases monitors the rate of error for negative actions. Form FNS-245 is the source document for this information. FNS-248 monitors the status of sample selection and completion.

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Authorizing Statute(s): PL: Pub.L. 108 - 269 16 Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11 Name of Law: Food Stamp Act of 1977
  

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:
	74 FR 38578	08/04/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 220	11/17/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Status of Sample Selection and Completion - Recordkeeping
QC - FS Negative Case Action Review Schedule - Recordkeeping
QC - FS Negative Case Action Review Schedule - Reporting	FNS-248, FNS-245	Quality Control - Food Stamp Negative Case Action Review Schedule ,   STATUS OF SAMPLE SELECTION AND COMPLETION
Status of Sample Selection and Completion - Reporting	FNS-248	Status of Sample Selection and Completion

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ICR Summary 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	39,547	2,544	0	-1,908	38,911	0
Annual Time Burden (Hours)	118,635	2,286	0	-363	116,712	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision of a currently approved information collection. Burden request is 118,635 annual burden hours. Due to errors during the last renewal, the current approved burden should have been 121,572. This is an increase of 116,349. This increase is due to adjustments due to erroneous data entry in ROCIS. However, due to consolidating all the IC's into one the decreased is reflected as a program change.

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Annual Cost to Federal Government: $1,361,629

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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)? No

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: 11/23/2009

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