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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
050213 Part B - Assessment of the Contributions of SNAP Interview.docx	Supporting Statement B	Uploaded 2013-05-13	Available
050213 Part A - Assessment of the Contributions of SNAP Interview.docx	Supporting Statement A	Uploaded 2013-05-13	Available
Ap J_ QC-like Review Form.docx	Supplementary Document	Uploaded 2012-08-20	Available
Ap B_Tailored Performance Data Indicators.docx	Supplementary Document	Uploaded 2012-08-20	Available
Ap A_Administrative Data Elements.docx	Supplementary Document	Uploaded 2012-08-20	Available
Ap K_Mathematica Confidentiality Agreement.pdf	Supplementary Document	Uploaded 2012-08-15	Available
NASS Comments.docx	Supplementary Document	Uploaded 2012-06-29	Available
Assessment of the Contribution of an Interview to the Supplemental Nutrition Assistance Program Eligibility and Benefit Determinations Full Approval.pdf	Supplementary Document	Uploaded 2012-06-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203648	Individuals/Househoulds-Non-Respondents	Other-Non-Respondent Placeholder	Modified
202644	Individual/Households	Other-Appendix D1 - Client Survey	Modified
202643	Business (CBO Staff)	Other-Appendix I- Site Visit and Interview Protocol	Modified
202642	State Agencies (SNAP Staff)	Other-Ap I Site Visits and Interview Protocol	Modified

ICR Details

OMB Control No: 0584-0582	ICR Reference No: 201210-0584-001
Status: Historical Active	Previous ICR Reference No: 201206-0584-002
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: Approved without change	Conclusion Date: 07/08/2013
	Date Received in OIRA: 05/16/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2016	36 Months From Approved
Responses	4,359	0	0
Time Burden (Hours)	986	0	0
Cost Burden (Dollars)	0	0	0

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

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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

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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:
	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

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

table that charts list of burden

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

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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	4,359	0	0	4,359	0	0
Annual Time Burden (Hours)	986	0	0	986	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 986 burden hours.

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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

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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: 05/16/2013

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