SNAP Waivers (SWIM)

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FNS | SWIM

Create New Administrative Waiver
Step: 1 of 5

Title
Please Select the Waiver title.

Waiver Title*

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FNS | SWIM

Waiver Title

Create New Administrative Waiver
Step: 1 of 5

Please enter the title of your waiver.
Waiver Title*

Title
Please Select the Waiver title.
Continue

Waiver Title*

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FNS | SWIM

Add Citation

Create New Administrative Waiver
Step: 1 of 5

Please enter the Citation Number
and Requirement.
Citation Number*
Requirement*

Title

Please Select the Waiver title.

Waiver Title*

Custom Waiver Title
Continue

Citation
Add Citations

Add Citation

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FNS | SWIM

Create New Administrative Waiver
Step: 2 of 5

Proposed Alternative Procedures
Required to ensure successful and desired outcomes of this waiver and to guard
against potential negative impacts:

Proposed Alternative Procedures*

Justification for Request
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Justification for Request*

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FNS | SWIM

Create New Administrative Waiver
Step: 3 of 5

Anticipated impact on households and State agency operations
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Anticipated impact on households and State agency operations*

Caseload Information
Provide caseload information, including percent of caseload and description of
population expected to be affected by this waiver.

Percent of caseload*
Description of population expected to be affected by this wiaver*

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FNS | SWIM

Create New Administrative Waiver
Step: 4 of 5

Anticipated implementation data and time period
for which waiver is needed
The State agency requests the waiver for a period of:

From*

To*

If the waiver approval is needed to make system adjustments prior to the implementation date,
please indicate the date the State needs the approval.

Requested Approval Date

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FNS | SWIM

Create New Administrative Waiver
Step: 5 of 5

Requesting Official
Add a Requesting Official.

Contact Name*

Title*

Phone Number*

Add the Requesting Officials Address.

Street Address*

Apt / Suite / Other

City*

State*

ZIP Code*

State Agency Contact
Add a contact.

Contact Name*

Contact Email*

Phone Number*

David Jebo

[email protected]

(703) 966-6961

Attachments
Please upload supporting documentation.

Add Attachment

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DJ

FNS | SWIM

Create New Administrative Waiver
Please review, sign and submit your waiver.

Title
Edit

Face to Face

Citation
Edit

273.2(c)(5)

273.2(e)(3)

Required Verification Notice

Missed Interview Notice

Requirements
273.2(c)(5)

Require the State agency to provide each household with a
notice of required verification at the time of the application.

273.2(e)(3)

Require the State agency to notify each household that
misses its interview appointment that it missed the scheduled
interview and is responsible for rescheduling.

Proposed Alternative Procedures
This waiver would offer SNAP households the option of receiving system generated notices electronically, instead
of paper notices via the United States Postal Service (USPS).
Households would receive notices issued by the State that are related to the household’s SNAP benefits in an
electronic format via a web portal. The electronic notices will be the same notice that would otherwise be sent
through USPS.
Households that opt to receive electronic notices would be required to electronically sign a disclosure statement
in which they agree to receive and read the electronic notices sent by the State agency. After signing the
disclosure statement, the household would receive a confirmation e-mail and paper notice via USPS with
instructions on how to log-in to their account to view notices. When a notice is sent electronically to a household,
it would receive email notification that a notice is waiting in its online account, along with a link to the State’s
customer home page where the household could log-in to view the notice.
Households that opt to receive electronic notifications would be able to opt-out at any time. If the State agency
finds that the e-mail account provided by a client is invalid or no longer active, the client’s household would
automatically be opted out of receiving electronic notices and the State agency will mail the notices to the
household. The household would then be able to receive electronic notices again if it repeats the enrollment
process using a valid e-mail address.
The State agency would provide hard copy notices to all clients subject to the waiver upon request. Electronic
notices would be accessible in the State’s eligibility system to both Federal and State Quality Control (QC)
reviewers.
By submitting this waiver request the State Agency is ensuring to the Food and Nutrition Service (FNS) that
the State agency has:
•
•
•

The capacity to provide the evaluation data required for waivers of this type;
Sufficient administrative and automation controls in place to correctly implement the terms for waivers of this
type and;
Considered the following best practices:
•
•
•
•
•

Provided notices through a protal or system that is independent from the rest of the State system to
reduce system strain;
Ensuring that their system can track when e-notices are opened/viewed and sending paper notices if enotices are not opened by clients within a reasonable amount of time;
Making notices available on the website/portal for at least 36 months;
Including information in the confirmation email explaining that the recipient is responsible for reading the
e-notices and instructions for how to log-in to their account to view the e-notices; and
Providing a link to the secure website/portal in the email notification.

State Specific Proposed Alternative Procedures
Edit

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse do eiusmod tempor incididunt ut labore.

Additional Notices
Edit

Claims

Fair Hearings

Text Messages
Edit

The State Agency will also supply clients with text messages in addition to email notifications, with the
understandingthat text messages sent to mobile phone numbers act as a supplement to, not a replacement for,
email communication sent to households.

Justification for Request
Approval of this waiver would enable the State to continue program improvement by increasing the effectivness
and efficiency of our service to SNAP applicants and participants.

Anticipated impact on households and State agency operations
Households opting to receive electronic notices would be able to view their notices faster and the State agency
would reduce administrative costs.

Caseload Information
Edit

Percent of caseload

76%
Description of population expected to be affected by this wiaver

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse.

Anticipated implementation data and time period
for which waiver is needed
Edit

From

To

Expected Approval Date

01/01/2017

12/31/2018

11/30/2016

Proposed quality control review procedures
No special QC procedures are required for case subject to the provisions of this waiver. Cases should be
reviewed using standard review procedures contained in the FNS Handbook 310.

Requesting Official
Edit

Contact Name

Title

Contact Email

David Jebo

SA Analyst

[email protected]

Address

1400 Independence Ave SW #5071
Washington, DC 20250

State Agency Contact
Edit

Contact Name

Contact Email

Phone Number

David Jebo

[email protected]

(703) 966-6961

Attachments
Edit

DocumentName.docx
DocumentName.docx
DocumentName.docx

Sign and Submit

DJ

FNS | SWIM

Create
New
Sign
and Submit

Administrative Waiver

Please review, sign and submit your waiver.

By penalty or perjury of law, I have the authorization to
sign this document on behalf of my SNAP State agency.

Title
Edit

Yes

No

Face to Face

Citation
Edit

273.2(c)(5)

273.2(e)(3)

Required Verification Notice

Missed Interview Notice

Requirements
273.2(c)(5)

Require the State agency to provide each household with a
notice of required verification at the time of the application.

273.2(e)(3)

Require the State agency to notify each household that
misses its interview appointment that it missed the scheduled
interview and is responsible for rescheduling.

Proposed Alternative Procedures
This waiver would offer SNAP households the option of receiving system generated notices electronically, instead
of paper notices via the United States Postal Service (USPS).
Households would receive notices issued by the State that are related to the household’s SNAP benefits in an
electronic format via a web portal. The electronic notices will be the same notice that would otherwise be sent
through USPS.
Households that opt to receive electronic notices would be required to electronically sign a disclosure statement
in which they agree to receive and read the electronic notices sent by the State agency. After signing the
disclosure statement, the household would receive a confirmation e-mail and paper notice via USPS with
instructions on how to log-in to their account to view notices. When a notice is sent electronically to a household,
it would receive email notification that a notice is waiting in its online account, along with a link to the State’s
customer home page where the household could log-in to view the notice.
Households that opt to receive electronic notifications would be able to opt-out at any time. If the State agency
finds that the e-mail account provided by a client is invalid or no longer active, the client’s household would
automatically be opted out of receiving electronic notices and the State agency will mail the notices to the
household. The household would then be able to receive electronic notices again if it repeats the enrollment
process using a valid e-mail address.
The State agency would provide hard copy notices to all clients subject to the waiver upon request. Electronic
notices would be accessible in the State’s eligibility system to both Federal and State Quality Control (QC)
reviewers.
By submitting this waiver request the State Agency is ensuring to the Food and Nutrition Service (FNS) that
the State agency has:
•
•
•

The capacity to provide the evaluation data required for waivers of this type;
Sufficient administrative and automation controls in place to correctly implement the terms for waivers of this
type and;
Considered the following best practices:
•
•
•
•
•

Provided notices through a protal or system that is independent from the rest of the State system to
reduce system strain;
Ensuring that their system can track when e-notices are opened/viewed and sending paper notices if enotices are not opened by clients within a reasonable amount of time;
Making notices available on the website/portal for at least 36 months;
Including information in the confirmation email explaining that the recipient is responsible for reading the
e-notices and instructions for how to log-in to their account to view the e-notices; and
Providing a link to the secure website/portal in the email notification.

State Specific Proposed Alternative Procedures
Edit

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse do eiusmod tempor incididunt ut labore.

Additional Notices
Edit

Claims

Fair Hearings

Text Messages
Edit

The State Agency will also supply clients with text messages in addition to email notifications, with the
understandingthat text messages sent to mobile phone numbers act as a supplement to, not a replacement for,
email communication sent to households.

Justification for Request
Approval of this waiver would enable the State to continue program improvement by increasing the effectivness
and efficiency of our service to SNAP applicants and participants.

Anticipated impact on households and State agency operations
Households opting to receive electronic notices would be able to view their notices faster and the State agency
would reduce administrative costs.

Caseload Information
Edit

Percent of caseload

76%
Description of population expected to be affected by this wiaver

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore
magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo
consequat aute irure dolor in reprehenderit in voluptate velit esse.

Anticipated implementation data and time period
for which waiver is needed
Edit

From

To

Expected Approval Date

01/01/2017

12/31/2018

11/30/2016

Proposed quality control review procedures
No special QC procedures are required for case subject to the provisions of this waiver. Cases should be
reviewed using standard review procedures contained in the FNS Handbook 310.

Requesting Official
Edit

Contact Name

Title

Contact Email

David Jebo

SA Analyst

[email protected]

Address

1400 Independence Ave SW #5071
Washington, DC 20250

State Agency Contact
Edit

Contact Name

Contact Email

Phone Number

David Jebo

[email protected]

(703) 966-6961

Attachments
Edit

DocumentName.docx
DocumentName.docx
DocumentName.docx

Sign and Submit