Assessment of the Contribution of an Interview to SNAP Program Eligibility and Benefit Determination Study

Forms and Documents

Document Name	Status
Ap J_ QC-like Review Form.docx Supplementary Document	2012-08-20
Ap B_Tailored Performance Data Indicators.docx Supplementary Document	2012-08-20
Ap A_Administrative Data Elements.docx Supplementary Document	2012-08-20
Ap K_Mathematica Confidentiality Agreement.pdf Supplementary Document	2012-08-15
NASS Comments.docx Supplementary Document	2012-06-29
Assessment of the Contribution of an Interview to the Supplemental Nutrition Assistance Program Eligibility and Benefit Determinations Full Approval.pdf Supplementary Document	2012-06-22
Assessment of Interview Contributions - OMB PART A (8-14-12) Final.docx Supporting Statement A	2012-08-28
Assessment of Interview Contributions-OMB-PART-B (8-14-12) Final.docx Supporting Statement B	2012-08-28

IC Document Collections

IC ID	Document Title	Status
203648	Individuals/Househoulds-Non-Respondents Other-Non-Respondent Placeholder	New
202644	Individual/Households Other-Ap F2_Focus Groups with Procedural Denials Guide_(Revised	New
202643	Business (CBO Staff) Other-Appendix I- Site Visit and Interview Protocol	New
202642	State Agencies (SNAP Staff) Other-Ap I Site Visits and Interview Protocol	New

ICR Details

OMB Control No: 0584-0582	ICR Reference No: 201206-0584-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Assessment of the Contribution of an Interview to SNAP Program Eligibility and Benefit Determination Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 09/28/2012
	Date Received in OIRA: 08/28/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The overall aim of this evaluation is to examine the impact of eliminating client interviews at SNAP certification and recertification.

---

Authorizing Statute(s): US Code: 7 USC 2026 Section 17 Name of Law: Food and Nutrition Act of 2008
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 73586	11/29/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 167	08/28/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Individual/Households
State Agencies (SNAP Staff)
Business (CBO Staff)
Individuals/Househoulds-Non-Respondents

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request resulting in a program change of 1,082 burden hours.

---

Annual Cost to Federal Government: $622,441

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 08/28/2012

---