SNAP Repayment Demand and Program Disqualification

OMB 0584-0492

Require State agencies to pursue collection action against overissued households and to extend the currently approved information collection requirements relating to intentional Program violation (IPV) determinations.

The latest form for SNAP Repayment Demand and Program Disqualification expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Appendix A Legal Authority (002) (1).docx Supplementary Document
Appendix E System of Records Notice.docx Supplementary Document
Appendix D Burden Table.xlsx Supplementary Document
Appendix C Burden Narrative.docx Supplementary Document
Appendix B eDRS Home Page 7.9.2024.pdf Supplementary Document
FINAL 0584-0492 SNAP Repayment Demand and DQ Supportitng.docx Supporting Statement A
States- SNAP Repayment Demand and Program Disqualification Other-eDRS Screen Shot
Households - SNAP Program Repayment Demand and Program Disqualification

All Historical Document Collections

202407-0584-003	Revision of a currently approved collection	2024-07-29
202102-0584-004 Approved without change	Revision of a currently approved collection	2021-03-15
201706-0584-002 Approved with change	Revision of a currently approved collection	2017-08-29
201402-0584-003 Approved without change	Revision of a currently approved collection	2014-07-29
201012-0584-003 Approved without change	Revision of a currently approved collection	2011-07-28
200803-0584-005 Approved without change	Revision of a currently approved collection	2008-04-29
200502-0584-005 Approved without change	Revision of a currently approved collection	2005-02-24
200109-0584-001 Approved without change	Revision of a currently approved collection	2001-09-17
199806-0584-005 Approved without change	New collection (Request for a new OMB Control Number)	1998-06-23

OMB Details

States- SNAP Repayment Demand and Program Disqualification

Federal Enterprise Architecture: Income Security - Food and Nutrition Assistance