SNAP Quality Control Review - Household Burden

FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
a. FNS-380 ready for PRAO 2-17-16.pdf a. FNS-380 ready for PRAO 2-17-16 IC Document

Information Collection (IC) Details

IC Title:	SNAP Quality Control Review - Household Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 275.1, 275.14(d), 275.21(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA.FNS-10 Persons Doing Business with FNS	FR Citation: 65 FR 17251

Number of Respondents: 55,067	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55,067	3,108	51,959
Annual IC Time Burden (Hours)	27,534	1,554	25,980
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
a. FNS-380 ready for PRAO 2-17-16	a. FNS-380 ready for PRAO 2-17-16.pdf	05/31/2016

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