Information Collection

SNAP Quality Control Reviews - State Burden

IC 2971 under ICR 201303-0584-001 · OMB 0584-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-380 SNAP Quality Control Reviews - State Burden	Form and Instruction
FNS-380 Worksheet for SNAP Quality Control Reviews FNS-380.pdf	Form and Instruction
FNS-380 Worksheet for SNAP Quality Control Reviews (Web-based) FNS-380 SCREEN SHOTS convertpdf4-2013.pdf not yet available	Form and Instruction
SNAPQCS PIA Jan2013_F_signed.pdf Privacy Impact Assessment	IC Document

IC Title:

SNAP Quality Control Reviews - State Burden

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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-380	Worksheet for SNAP Quality Control Reviews	FNS-380.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FNS-380	Worksheet for SNAP Quality Control Reviews (Web-based)	FNS-380 SCREEN SHOTS convertpdf4-2013.pdf	not yet available	Yes	Yes	Fillable Fileable Signable

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: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	103,918	47,853	56,065
Annual IC Time Burden (Hours)	463,661	-36,640	500,301
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Impact Assessment	SNAPQCS PIA Jan2013_F_signed.pdf	04/11/2013

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