Annual State Report on Verification of Supplemental Nutrition Assistance Program (SNAP) Participation (Renewal)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0584-0605 Annual State Report on Verificaion of SNAP revised 4.19.22.docx	Supporting Statement A	Uploaded 2022-04-19	Missing upstream
Appendix E System of Records Notice.pdf	Supplementary Document	Uploaded 2022-04-14	Repair queued
Copy of Appendix B Burden Table revised 4.6.22.xlsx	Supplementary Document	Uploaded 2022-04-12	Missing upstream
Appendix A Legal Authority.docx	Supplementary Document	Uploaded 2022-04-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218873	State Agencies		Modified

ICR Details

OMB Control No: 0584-0605	ICR Reference No: 202203-0584-005
Status: Received in OIRA	Previous ICR Reference No: 201812-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Annual State Report on Verification of Supplemental Nutrition Assistance Program (SNAP) Participation (Renewal)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/19/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2022
Responses	212	212
Time Burden (Hours)	119	119
Cost Burden (Dollars)	0	0

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Abstract: This collection requiring State agencies to verify that systems are in place to comply with associated regulations governing SNAP. FNS require that State agencies disqualify an individual who has committed an intentional program violation (IPV). Additionally, it requires that these individuals “be disqualified in accordance with the disqualification periods and procedures and requires State agencies to report information concerning each individual disqualified for an IPV to the disqualified recipient database, the electronic Disqualified Recipient System (eDRS), and to use eDRS data to determine the eligibility of individual applicants prior to certification. FNS also require that each State agency establish a system to verify and ensure that benefits are not issued to individuals who are deceased, and that data source is the Social Security Administration’s (SSA) Death Master File.

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Authorizing Statute(s): PL: Pub.L. 113 - 79 4032 Name of Law: the Aicultural Act of 2014
  

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:
	86 FR 48663	08/31/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 23160	04/19/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
State Agencies

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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	212	212	0	0	0	0
Annual Time Burden (Hours)	119	119	0	0	0	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:

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Annual Cost to Federal Government: $12,774

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.     No

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.     No

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: 04/19/2022

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