OMB control number

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

OMB 0584-0605 · USDA/FNS.

OMB 0584-0605

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.

The latest form for Annual State Report on Verification of Supplemental Nutrition Assistance Program (SNAP) Participation (Renewal) expires 2022-07-31 and is listed under ICR 201812-0584-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
0584-0605 Annual State Report on Verificaion of SNAP revised 4.19.22.docxSupporting Statement A
Appendix E System of Records Notice.pdf Supplementary Document
Copy of Appendix B Burden Table revised 4.6.22.xlsx Supplementary Document
Appendix A Legal Authority.docx Supplementary Document
State Agencies Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202203-0584-005 Extension without change of a currently approved collection 2022-04-19 Approved without change
201812-0584-002 Revision of a currently approved collection 2019-05-30 Approved with change
201511-0584-004 New collection (Request for a new OMB Control Number) 2015-12-22 Approved without change