QC - SNAP Case and Procedural Case Action Review Schedule

FNS-245: SNAP Negative Case Action Review Schedule

Documents and Forms

Document Name Document Type
Form FNS-245 QC - SNAP Case and Procedural Case Action Review Schedule Form and Instruction
B. FNS Handbook 310 10.2020.pdf Instruction
G. Screen Shots of SNAP QCS - FNS 245.docx www.fns.usda.gov Other-FNS 245 Screenshots
FNS-245 Quality Control - SNAP Case and Procedural Case Action R A. FNS-245 with Instructions.pdf www.fns.usda.gov Form and Instruction
H. SNAPQCS PIA.pdf H. SNAPQCS Privacy Impact Assessment IC Document

Information Collection (IC) Details

IC Title:	QC - SNAP Case and Procedural Case Action Review Schedule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 275.14(d) 7 CFR 275.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-245	Quality Control - SNAP Case and Procedural Case Action Review Schedule	A. FNS-245 with Instructions.pdf	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			B. FNS Handbook 310 10.2020.pdf		Yes	No	Paper Only
Other-FNS 245 Screenshots			G. Screen Shots of SNAP QCS - FNS 245.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

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 237

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	177,230	99,290	77,940
Annual IC Time Burden (Hours)	112,491	-3,023	115,514
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
H. SNAPQCS Privacy Impact Assessment	H. SNAPQCS PIA.pdf	04/30/2021

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