Survey of Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Case Management

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix Z. Privacy Act Officer review_final.docx	Supplementary Document	Uploaded 2021-03-10	Repair queued
Appendix Y. NASS comments.docx	Supplementary Document	Uploaded 2021-02-19	Repair queued
Appendix J. Burden Table_revision2_clean.xlsx	Supplementary Document	Uploaded 2021-03-11	Repair queued
Appendix I. Confidentiality pledge.docx	Supplementary Document	Uploaded 2021-02-19	Repair queued
Appendix G. Pretest revisions_revision1_clean.docx	Supplementary Document	Uploaded 2021-02-19	Repair queued
Appendix A. Legal Authority - Food and Nutrition Act of 2008 - Section 17_revision1_clean.docx	Supplementary Document	Uploaded 2021-02-19	Repair queued
Survey of SNAP E&T Case Management_Supporting Statement Part B_revision1_clean.docx	Supporting Statement B	Uploaded 2021-02-11	Repair queued
Survey of SNAP E&T Case Management_Supporting Statement Part A_revision4_clean.docx	Supporting Statement A	Uploaded 2021-03-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245761	State, Local or Tribal Non-Respondents	Other-NON-RESPONDENT PLACEHOLDER	New
245760	Individuals/Households Non-Respondents	Other-NON-RESPONDENT PLACEHOLDER	New
245759	Individuals/Households Respondents	Other-Appendix D. Survey of SNAP E&T Case Management_Case Manage	New
245758	Business-for-and-not-for	Other-Appendix C. Survey of SNAP E&T Case Management_Master Disc	New
245757	State, Local or Tribal Respondents	Other-Appendix B. Survey of SNAP E&T Case Management_Survey inst	New

ICR Details

OMB Control No: 0584-0665	ICR Reference No: 202010-0584-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No: KC
Title: Survey of Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Case Management
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/07/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/24/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	36 Months From Approved
Responses	1,648	0	0
Time Burden (Hours)	555	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study will gather information on how SNAP E&T programs provide case management (including assessments, participant reimbursements, and other supports) that will help identify lessons learned and best practices that FNS can share with States to implement robust SNAP E&T programs and fulfill the new requirement.

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Authorizing Statute(s): US Code: 7 USC 2026(a)(1) Name of Law: The Food and Nutrition Act of 2008 as amended through the Agricultural Improvement Act of 2018
   PL: Pub.L. 115 - 334 Section 17 [7 U.S.C. 2026] Name of Law: The Food and Nutrition Act of 2008 as amended through the Agricultural Improvement Act of 2018
  

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:
	85 FR 40187	07/06/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 15452	03/23/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Business-for-and-not-for
Individuals/Households Non-Respondents
Individuals/Households Respondents
State, Local or Tribal Non-Respondents
State, Local or Tribal Respondents

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ICR Summary of Burden

table that charts list 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	1,648	0	0	1,648	0	0
Annual Time Burden (Hours)	555	0	0	555	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection which will add 554.02 (rounded up to 555) total annual burden hours and 1,648 total annual response to the burden inventory.

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Annual Cost to Federal Government: $194,002

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

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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: 03/24/2021

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