Information Collection

QC - FS Negative Case Action Review Schedule - Reporting

IC 2919 under ICR 200911-0584-006 · OMB 0584-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-245 QC - FS Negative Case Action Review Schedule - Reporting	Form and Instruction
FNS-245 Quality Control - Food Stamp Negative Case Action Review FNS 245 form _instruction from Handbook 310 pgs D1-D21.pdf	Form and Instruction
FNS-248 STATUS OF SAMPLE SELECTION AND COMPLETION FNS-248.pdf	Form and Instruction

IC Title:

QC - FS Negative Case Action Review Schedule - Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 275.14(d) 7 CFR 275.21

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-245	Quality Control - Food Stamp Negative Case Action Review Schedule	FNS 245 form _instruction from Handbook 310 pgs D1-D21.pdf		Yes	Yes	Printable Only
Form and Instruction	FNS-248	STATUS OF SAMPLE SELECTION AND COMPLETION	FNS-248.pdf		Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	39,547	38,911	636
Annual IC Time Burden (Hours)	118,635	116,712	1,923
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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