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Federal forms, ICRs, and supporting documents

Information Collection Request

Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380

ICR 200009-0584-005 · OMB 0584-0074 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
2970 Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380 Form Migrated
ICR Details
0584-0074 200009-0584-005
Historical Active 199911-0584-002
USDA/FNS
Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380
Revision of a currently approved collection   No
Regular
Approved without change 11/17/2000
Retrieve Notice of Action (NOA) 09/26/2000
  Inventory as of this Action Requested Previously Approved
11/30/2003 11/30/2003 01/31/2003
54,663 0 55,844
491,967 0 503,914
0 0 0
This form provides a systematic means of aiding the state's quality control reviewer in analyzing the case record, planning and doing the field investigation and gathering, comparing, analyzing and evaluating data.
None
None
No
1
IC Title Form No. Form Name
Worksheet for Food Stamp Program Quality Control Reveiws, FNS-380 FNS-380
  Total Approved 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 54,663 55,844 0 -1,181 0 0
Annual Time Burden (Hours) 491,967 503,914 0 -11,947 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/26/2000