Supplemental Nutrition Assistance Program: State Agency Options

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting State -OMB 584-0496 - 2013 Revision FINAL 112013.docx	Supporting Statement A	Uploaded 2013-11-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3107	SNAP Methodology: State Agency Options		Modified

ICR Details

OMB Control No: 0584-0496	ICR Reference No: 201311-0584-004
Status: Historical Active	Previous ICR Reference No: 201007-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Supplemental Nutrition Assistance Program: State Agency Options
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: 12/30/2013
	Date Received in OIRA: 11/26/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	122	0	115
Time Burden (Hours)	316	0	236
Cost Burden (Dollars)	0	0	0

---

Abstract: Information collection burden requirements and burden estimates associated with State agency options.

---

Authorizing Statute(s): PL: Pub.L. 108 - 269 2 Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 107 - 101 4109 Name of Law: Farm Security and rural Investment Act of 2002
  

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 44092	07/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 228	11/26/2013
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
SNAP Methodology: State Agency Options

---

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	122	115	0	7	0	0
Annual Time Burden (Hours)	316	236	0	80	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 revision of a currently approved data collection. There is a decrease of the total number of respondents from 52 to 53. Currently there are 53 State Agencies; however, only 52 have incorporated the options covered by this collection which captures actual data not estimates. A total of 18 State agencies have incorporated a methodology for determining the cost of doing business in self-employment cases. This is an increase from 10 to 18 States from the previous revision of this collection in 2010. Therefore, the increase in the number of respondents reflects a program change and burden increase from 236 hours (current OMB inventory) to 316 hours requested, a difference of 80 burden hours.

---

Annual Cost to Federal Government: $3,473

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: 11/26/2013

---