Information Collection

SNAP Quality Control Reviews - State Burden

IC 2971 under ICR 201602-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
f. 380 Screen shots for burden 5-25-16.docx www.notyetcreated.gov	Other-f. FNS 380 Screen shots for bu
FNS-380 Worksheet for SNAP Quality Control Reviews a. FNS-380 ready for PRAO 2-17-16.pdf	Form and Instruction
g. SNAPQCS PIA_FY15_1411.pdf G: Privacy Impact Assessment	IC Document
b. FY13 FNS_310_Handbook thru 14-02.pdf b. FY13 FNS_310_Handbook thru 14-02	IC Document
c. QC Policy Memos 14-03thru16-02.pdf c. QC Policy Memos 14-03thru16-02	IC Document
d. 0584-0074 Mar2016 Published 60 daynotice.pdf d. 0584-0074 Mar2016 Published 60 daynotice	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	a. FNS-380 ready for PRAO 2-17-16.pdf		Yes	Yes	Fillable Fileable
Other-f. FNS 380 Screen shots for burden 5-25-16			f. 380 Screen shots for burden 5-25-16.docx	www.notyetcreated.gov	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	110,134	6,216	103,918
Annual IC Time Burden (Hours)	491,396	27,735	463,661
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G: Privacy Impact Assessment	g. SNAPQCS PIA_FY15_1411.pdf	05/31/2016
b. FY13 FNS_310_Handbook thru 14-02	b. FY13 FNS_310_Handbook thru 14-02.pdf	05/31/2016
c. QC Policy Memos 14-03thru16-02	c. QC Policy Memos 14-03thru16-02.pdf	05/31/2016
d. 0584-0074 Mar2016 Published 60 daynotice	d. 0584-0074 Mar2016 Published 60 daynotice.pdf	05/31/2016

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