Operating Guidelines, Forms, Waivers, and Annual State Report on Verification of SNAP Participation

Forms and Documents

Document Name	Status
Form FNS 366A Recordkeeping Only: Program & Budget Summary Statement FNS 366A Form	Modified
Form FNS-388A Recordkeeping Only: 388A Form	New
Form FNS-388 Recordkeeping Only: FNS 388 Form	New
Form FNS 366B Record Keeping Only: FNS 366B Form	New
Form SF 425 FNS 778 SF-425/FNS-778 Submissions/Reports Form	New
0584-0083 Supporting Statement-Updates 8252023.docx Supporting Statement A	2023-08-25
Appendix I Burden Table.xlsx Supplementary Document	2023-08-24
Appendix A Legal Authority.docx Supplementary Document	2023-08-23

IC Document Collections

IC ID	Document Title	Status
2990	Recordkeeping Only: Program & Budget Summary Statement FNS 366A Form	Modified
261849	Recordkeeping Only: 388A Form	New
261847	Recordkeeping Only: FNS 388 Form	New
261846	Record Keeping Only: FNS 366B Form	New
261771	SF-425/FNS-778 Submissions/Reports Form	New
261770	Report Information to FNS via Email - Deceased Matching System	New
261769	Compile Information to Confirm Proper Systems are in Place for Matches	New
261768	Annual Email Reminder for FNS Regional Offices	New
261767	Maintain Confirmation Match - Puerto Rico	New
261766	Transmittal Letter for APD	New
261765	Report APD to FNS via email	New
261764	Advance Planning Document	New
261763	Territory Memorandum of Understanding (MOU) and Puerto Rico Plan of Operations	New
261761	Card Skimming Reporting	New
242588	Recordkeeping only for OMB number 0584-0081 FNS 388 A	Removed
242587	Recordkeeping only for OMB number 0584-0081 FNS 388	Removed
226460	Other APD Plan Update	Modified
226458	Plan of Operation Updates	Modified
226456	SNAP Waivers (WIMS) Other-SWIM online waiver form/database	Modified

ICR Details

OMB Control No: 0584-0083	ICR Reference No: 202308-0584-005
Status: Received in OIRA	Previous ICR Reference No: 201910-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No: 2023 Renewal
Title: Operating Guidelines, Forms, Waivers, and Annual State Report on Verification of SNAP Participation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/28/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2023
Responses	2,514	1,918
Time Burden (Hours)	1,232	1,124
Cost Burden (Dollars)	0	0

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Abstract: The FNS-366A is used and maintained by State agencies to request Federal funding of State administrative costs to operate the SNAP. The FNS-366B is used to report Program activity. The data is used for monitoring.

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Authorizing Statute(s): PL: Pub.L. 108 - 269 7(i) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 16(a) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11(d) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11(e) Name of Law: Food Stamp Act of 1977
  

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:
	88 FR 17784	03/24/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 58234	08/25/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 17

IC Title	Form No.	Form Name
Advance Planning Document
Annual Email Reminder for FNS Regional Offices
Card Skimming Reporting
Compile Information to Confirm Proper Systems are in Place for Matches
Maintain Confirmation Match - Puerto Rico
Other APD Plan Update
Plan of Operation Updates
Record Keeping Only: FNS 366B	FNS 366B	PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM ACTIVITY STATEMENT
Recordkeeping Only: Program & Budget Summary Statement FNS 366A	FNS 366A	PROGRAM AND BUDGET SUMMARY STATEMENT
Recordkeeping Only: 388A	FNS-388A	SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PROJECT AREA DATA FORMAT
Recordkeeping Only: FNS 388	FNS-388	STATE ISSUANCE AND PARTICIPATION ESTIMATES
Recordkeeping only for OMB number 0584-0081 FNS 388
Recordkeeping only for OMB number 0584-0081 FNS 388 A
Report APD to FNS via email
Report Information to FNS via Email - Deceased Matching System
SF-425/FNS-778 Submissions/Reports	SF 425 FNS 778	FEDERAL FINANCIAL REPORT SNAP-OP
SNAP Waivers (WIMS)
Territory Memorandum of Understanding (MOU) and Puerto Rico Plan of Operations
Transmittal Letter for APD

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ICR Summary 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	2,514	1,918	0	596	0	0
Annual Time Burden (Hours)	1,232	1,124	0	108	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: FNS is requesting 1,232 burden hours and 2514 total annual responses. The revised burden estimates have increased from 1,124 to 1,232.00 burden hours, for an overall increase of 107.56 burden hours. This increase is attributed to merging OMB control number 0584-0605, expiration date 06/30/2025, into this information collection request and accounting for US territory burden not previously reported in this OMB control number.

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Annual Cost to Federal Government: $32,567

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: 08/28/2023

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