Information Collection Request

SNAP Repayment Demand and Program Disqualification

ICR 202102-0584-004 · OMB 0584-0492 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix F System of Records Notice - USDA-FNS-3 Claims Against Recipents Treasury Offset.pdf Supplementary Document Uploaded 2021-03-03 Missing upstream
Appendix D Burden Table PRAO coments 3-2-2021.xlsx Supplementary Document Uploaded 2021-03-03 Repair queued
0584-0492 SNAP Repayment Demand and DQ Supportitng Statement PRAO comments SMC (Privacy Review_Clean).docx Supporting Statement A Uploaded 2021-03-15 Missing upstream
Appendix C Burden Narrative.docx Supplementary Document Uploaded 2021-03-15 Repair queued
Appendix B eDRS Screenshot.pdf Supplementary Document Uploaded 2021-03-03 Repair queued
Appendix A Legal Authority (002).docx Supplementary Document Uploaded 2021-03-03 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
3099 States- SNAP Repayment Demand and Program Disqualification Instruction Modified
184679 Households - SNAP Program Repayment Demand and Program Disqualification Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2021
2,033,845 3,051,894
135,526 203,587
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
States- SNAP Repayment Demand and Program Disqualification
Households - SNAP Program Repayment Demand and Program Disqualification

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 2,033,845 3,051,894 0 0 -1,018,049 0
Annual Time Burden (Hours) 135,526 203,587 0 0 -68,061 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No