Information Collection

SNAP Quality Control Reviews - State Burden

IC 2971 under ICR 201904-0584-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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: 7 CFR 275.12(c) 7 CFR 275.12(c)(1) 7 CFR 275.4 7 CFR 272.1(f) 7 CFR 275.12(b)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 5 Information on Persons Disqualified from the Supplemental Nutrition Assistance Program

FR Citation: 75 FR 81205

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	272,981	162,847	110,134
Annual IC Time Burden (Hours)	383,247	-108,149	491,396
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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