FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews

OMB 0584-0074

This form provides a systematic means of aiding the State's Quality Control Reviewer in analyzing the case record, planning and doing field investigation and gathering, comparing, analyzing and evaluating data.

The latest form for FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
I. Excel Chart for AE64, 0584-0074 FNS 380 Burden Table 4-12-22.xlsx Supplementary Document
H. Burden Narrative 0584-0074 FNS 380 4-30-21cln PRAO comments 6-23-2021cln.docx Supplementary Document
G. FNS-5 REV FNS–5 Info on Persons Disqual from SNAP.pdf Supplementary Document
D. AgImpAct2018-QC provisions.pdf Supplementary Document
C. fna-2008-amended-through-pl-116-94 pgs 105-111.pdf Supplementary Document
OMB 0584-0074 FNS 380 SS Part A 4-21-22 clean.docx Supporting Statement A
OMB 0584-0074 FNS 380 SS Part B 2021 cln.docx Supporting Statement B
SNAP Quality Control Review - Household Burden Personal Interviews
SNAP Quality Control Reviews - State Burden Form and Instruction

All Historical Document Collections

202106-0584-001 Approved without change	Revision of a currently approved collection	2022-06-07
201904-0584-003 Approved without change	Reinstatement with change of a previously approved collection	2020-02-12
201602-0584-003 Approved without change	Revision of a currently approved collection	2016-05-31
201303-0584-001 Approved without change	Revision of a currently approved collection	2013-04-18
201002-0584-001 Approved without change	Revision of a currently approved collection	2010-02-25
200609-0584-012 Approved without change	Revision of a currently approved collection	2006-11-28
200309-0584-001 Approved without change	Revision of a currently approved collection	2003-09-12
200009-0584-005 Approved without change	Revision of a currently approved collection	2000-09-26
199911-0584-002 Approved without change	Revision of a currently approved collection	1999-11-09
199609-0584-004 Approved without change	Extension without change of a currently approved collection	1996-09-17
199401-0584-001 Approved without change	Revision of a currently approved collection	1994-01-31
199101-0584-003 Approved without change	Revision of a currently approved collection	1991-01-18
199008-0584-003 Approved without change	Extension without change of a currently approved collection	1990-08-03
199004-0584-001 Withdrawn and continue	Revision of a currently approved collection	1990-04-23
198907-0584-003 Approved without change	Extension without change of a currently approved collection	1989-07-13
198807-0584-004 Approved without change	Extension without change of a currently approved collection	1988-07-25
198506-0584-009 Approved without change	Revision of a currently approved collection	1985-06-06
198309-0584-006 Approved without change	Revision of a currently approved collection	1983-09-08
198209-0584-016 Approved without change	Revision of a currently approved collection	1982-09-20
198203-0584-010 Approved without change	Reinstatement with change of a previously approved collection	1982-03-17
198010-0584-005 Approved without change	Reinstatement with change of a previously approved collection	1980-10-31
197908-0584-002 Approved without change	New collection (Request for a new OMB Control Number)	1979-08-21

OMB Details

SNAP Quality Control Reviews - State Burden

Federal Enterprise Architecture: Income Security - Food and Nutrition Assistance