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

Forms and Documents

Document Name	Status
Appendix H2a FNS response to NH FNS 380.pdf Supplementary Document	2020-01-15
Appendix H1a FNS Response to NC FNS 380.pdf Supplementary Document	2020-01-15
Appendix H2 NH comment 380.pdf Supplementary Document	2020-01-15
Appendix H1 NC comment 380.pdf Supplementary Document	2020-01-15
Appendix J Excel Chart for OMB 0584-0074 FNS 380 Burden Table 1-10-20.xlsx Supplementary Document	2020-01-15
Appendix I - Burden Narrative 0584-0074 FNS 380 1-10-20.docx Supplementary Document	2020-01-15
OMB 0584-0074 FNS 380 SS Part A after OCIO 2-5-2020.docx Supporting Statement A	2020-02-06
OMB 0584-0074 FNS 380 SS Part B.docx Supporting Statement B	2020-02-12

IC Document Collections

IC ID	Document Title	Status
45873	SNAP Quality Control Review - Household Burden	Modified
2971	SNAP Quality Control Reviews - State Burden	Modified

ICR Details

OMB Control No: 0584-0074	ICR Reference No: 201904-0584-003
Status: Active	Previous ICR Reference No: 201602-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No: Reinstatement in use w/o OMB approval
Title: FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/2020
	Date Received in OIRA: 02/12/2020
Terms of Clearance: *

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved
Responses	318,478	0	0
Time Burden (Hours)	405,996	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This form provides a systematic means of aiding the State's Quality Control Reviewer in analyzing the case record, planning and doing field investigation and gathering, comparing, analyzing and evaluating data.

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Authorizing Statute(s): PL: Pub.L. 108 - 269 16 Name of Law: Food Stamp Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 28003	06/17/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 7713	02/11/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
SNAP Quality Control Reviews - State Burden
SNAP Quality Control Review - Household Burden

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ICR Summary 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	318,478	0	0	0	153,277	165,201
Annual Time Burden (Hours)	405,996	0	0	0	-112,934	518,930
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request to reinstate an expired information collection. Due to statue, FNS is still legally required to collection this data and thereby continuing to collection in violation of the Paperwork Reduction Act. The current burden inventory is 518,930 burden hours. The revised OMB inventory for the reporting and recordkeeping burden associated with the FNS-380 is approximately 405,995.50 annual burden hours (382,173.04 SA reporting + 22,748.50 I/H reporting + 1,073.73 SA recordkeeping) and 318,477.95 total annual response (227,483.95 SA reporting + 45,497 I/H reporting + 45,497 SA recordkeeping). This program adjustment reflects a decrease of approximately -112,935 burden hours and an increase of 153,277 total annual responses. The difference is primarily a result of the decrease in the overall active household caseload sample reported where the number of completed reviews decreased from 55,067 to 45,497 since our last collection and an increase in the total annual responses due to a miscalculations in how to account for the different burden activities.

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Annual Cost to Federal Government: $6,510,090

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

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Common Form ICR:  No

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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: 02/12/2020

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