Information Collection Request

SNAP Repayment Demand and Program Disqualification

ICR 201012-0584-003 · OMB 0584-0492 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0584-0492_Repayment_Demand_SS_FINAL_July_28_2011.doc Supporting Statement A Uploaded 2011-07-28 Available
#0492 FINAL Burden table May 27 2011.xlsx Supplementary Document Uploaded 2011-06-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
3099 States- SNAP Repayment Demand and Program Disqualification Modified
184679 Households - SNAP Program Repayment Demand and Program Disqualification Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved 09/30/2011
1,718,603 0 1,404,718
166,346 0 135,393
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
States- SNAP Repayment Demand and Program Disqualification
Households - SNAP Program Repayment Demand and Program Disqualification

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 1,718,603 1,404,718 0 0 313,885 0
Annual Time Burden (Hours) 166,346 135,393 0 0 30,953 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No