Operating Guidelines, Forms, and Waivers, Program and Budget Summary Statement (Forms FNS-366A &FNS-366B)

Forms and Documents

Document Name	Status
Form FNS-366A Program & Budget Summary Statement FNS 366A; FNS 366B Form and Instruction	Modified
0584-0083_Supporting_Statement REVISED with SWIM -kas edits 10 22 13 RG comments v1.docx Supporting Statement A	2013-10-22

IC Document Collections

IC ID	Document Title	Status
2990	Program & Budget Summary Statement FNS 366A; FNS 366B Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0083	ICR Reference No: 201304-0584-002
Status: Historical Active	Previous ICR Reference No: 201302-0584-009
Agency/Subagency: USDA/FNS	Agency Tracking No: SWIM Database Addendum
Title: Operating Guidelines, Forms, and Waivers, Program and Budget Summary Statement (Forms FNS-366A &FNS-366B)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/26/2013
	Date Received in OIRA: 10/29/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	1,025	0	1,193
Time Burden (Hours)	2,866	0	7,577
Cost Burden (Dollars)	0	0	0

---

Abstract: The FNS-366A is used by State agencies to request Federal funding of State administrative costs to operate the SNAP. The FNS-366B is used to report Program activity. The data is used for monitoring.

---

Authorizing Statute(s): PL: Pub.L. 108 - 269 11(d) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11(e) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 7(i) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 16(a) Name of Law: Food Stamp Act of 1977
  

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:
	78 FR 39704	07/02/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 209	10/29/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Program & Budget Summary Statement FNS 366A; FNS 366B	SF 425 , FNS-366A, FNS-366B, SF 425	Part A - Program and Budget Summary Statement ,   Part B - Program and Budget Summary Statement ,   Federal Financial Report ,   Federal Finanacial Report Remarks screen

---

ICR Summary 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	1,025	1,193	0	-168	0	0
Annual Time Burden (Hours)	2,866	7,577	0	-4,711	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision of a currently approved collection. The revised burden estimates have decreased from 7,577 to 2,866 hours, for an overall reduction of -4,711 burden hours for reporting and recordkeeping. The reason for the decrease is due program changes for the removal of the estimated burden hours for (-4,711) financial reporting via SF-425, which are approved and maintained in the Uniform Grant Application for Non-Entitlement Discretionary Grants, OMB Control No.: 0584-0512; Expiration date: 1/31/2016.

---

Annual Cost to Federal Government: $750,836

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 10/29/2013

---