Information Collection

QC - FS Negative Case Action Review Schedule - Reporting

IC 2919 under ICR 200607-0584-004 · OMB 0584-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0034 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-245 QC - FS Negative Case Action Review Schedule - Reporting Form
FNS-245 Quality Control - Food Stamp Negative Case Action Review FNS-245.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	QC - FS Negative Case Action Review Schedule - Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 275.21 7 CFR 275.14(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-245	Quality Control - Food Stamp Negative Case Action Review Schedule	FNS-245.pdf		Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	636	-40,262	0	40,898
Annual IC Time Burden (Hours)	1,923	-118,425	-3,026	123,374
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.