SNAP Forms: Applications, Periodic Reporting, Notices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB 0584-0064 ICR Supporting Statement Part A_10.19.2020_Clean.docx	Supporting Statement A	Uploaded 2020-10-20	Missing upstream
OMB 0584-0064 Appendix F Burden Narrative_10.19.2020_Clean.docx	Supplementary Document	Uploaded 2020-10-20	Available
OMB 0584-0064 Appendix E Burden Table_10.19.2020.xlsx	Supplementary Document	Uploaded 2020-10-20	Repair queued
OMB 0584-0064 Appendix B 7 CFR Parts 271, 272, and 273_20200828.pdf	Supplementary Document	Uploaded 2020-10-20	Repair queued
OMB 0584-0064 Appendix A Food and Nutrition Act of 2008_20200828.pdf	Supplementary Document	Uploaded 2020-10-20	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2960	53 State: Applications, Periodic Reporting, Notices		Modified
182154	2724 Local Agency Recordkeeping		Modified
182153	Household/Individual: Application & Periodic Reporting		Modified

ICR Details

OMB Control No: 0584-0064	ICR Reference No: 202002-0584-001
Status: Received in OIRA	Previous ICR Reference No: 201611-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No: Renewal 2020
Title: SNAP Forms: Applications, Periodic Reporting, Notices
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/30/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	937,793,285	643,938,886
Time Burden (Hours)	124,187,297	77,690,005
Cost Burden (Dollars)	0	0

---

Abstract: Information collected is used to determine eligibility and participation in the Supplemental Nutrition Assistance Program (SNAP). Certifications and periodic reporting are to verify current eligibility.

---

Authorizing Statute(s): US Code: 7 USC 2011, et. seq. Name of Law: Food and Nutrition Act of 2008
   PL: Pub.L. 110 - 246 Subtitle A Name of Law: Food, Conservation and Energy Act of 2008
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 34592	06/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 68833	10/30/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Household/Individual: Application & Periodic Reporting
53 State: Applications, Periodic Reporting, Notices
2724 Local Agency Recordkeeping

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	937,793,285	643,938,886	0	0	293,854,399	0
Annual Time Burden (Hours)	124,187,297	77,690,005	0	0	46,497,292	0
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 a revision of a currently approved information collection. The currently approved burden estimates for this data collection is 77,690,005 total annual burden hours and 643,938,886 total annual responses. In this revision, FNS is requesting 124,187,297 total annual burden hours and 937,793,285 total annual responses. These adjustments caused an increase which results in a 46,497,292 increase in total burden hours and 293,854,399 total annual burden hours for this information collection. This includes the addition of a set of existing requirements applicable to State agencies and households that were not delineated in previous burden estimates for this information collection. In addition, FNS updated the estimated burden hours per response for several activities in order to account for the full complexity of all requirements. For more details on the burden calculations, see “Appendix E: Burden Table” and “Appendix F: Burden Narrative.”

---

Annual Cost to Federal Government: $716,709,716

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

---

Common Form ICR:  No

---

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: 10/30/2020

---