Information Collection

QC - SNAP Case and Procedural Case Action Review Schedule

IC 2919 under ICR 202104-0584-003 · OMB 0584-0034.

Documents and Forms

Documents and forms in this information collection
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	Other-FNS 245 Screenshots
FNS-245 Quality Control - SNAP Case and Procedural Case Action R A. FNS-245 with Instructions.pdf	Form and Instruction
H. SNAPQCS PIA.pdf H. SNAPQCS Privacy Impact Assessment	IC Document

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.