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States- SNAP Repayment Demand and Program Disqualification
SNAP Repayment Demand and Program Disqualification
OMB: 0584-0492
IC ID: 3099
OMB.report
USDA/FNS
OMB 0584-0492
ICR 201706-0584-002
IC 3099
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0492 can be found here:
2024-07-29 - Revision of a currently approved collection
2021-03-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
eDRS front page.docx
www.fns.usda.gov
Other-eDRS Screen Shot
AdminGuide.pdf
www.fns.usda.gov
Instruction
AdminQuickGuide.pdf
www.fns.usda.gov
Instruction
eDRS Screen Shots.docx
www.fns.usda.gov
Other-eDRS Screen Shots
UserGuide.pdf
www.fns.usda.gov
Instruction
UserQuickGuide.pdf
www.fns.usda.gov
Instruction
Appendix 2 eDRS Home Page updated 3-22-18.pdf
www.fns.usda.gov
Other-eDRS Home Page with PBS
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
States- SNAP Repayment Demand and Program Disqualification
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 273.18
7 CFR 273.16(h)
7 CFR 273.16(e)(3)
7 CFR 273.16
7 CFR 273.18(e)(3)(iv)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-eDRS Screen Shot
eDRS front page.docx
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Instruction
AdminGuide.pdf
www.fns.usda.gov
Yes
Yes
Fillable Fileable
Instruction
AdminQuickGuide.pdf
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Other-eDRS Screen Shots
eDRS Screen Shots.docx
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Instruction
UserGuide.pdf
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Instruction
UserQuickGuide.pdf
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Other-eDRS Home Page with PBS
Appendix 2 eDRS Home Page updated 3-22-18.pdf
www.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
Claims Against Food Stamp Recipients
FR Citation:
63 FR 14894
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,054,931
0
0
959,913
0
1,095,018
Annual IC Time Burden (Hours)
171,752
0
0
-3,209
0
174,961
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.