SNAP Quality Control Reviews - State 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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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.