Information Collection

States- SNAP Repayment Demand and Program Disqualification

IC 3099 under ICR 201012-0584-003 · OMB 0584-0492.

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Information Collection (IC) Details

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IC Title:	States- SNAP Repayment Demand and Program Disqualification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.16 7 CFR 273.16(e)(3) 7 CFR 273.18 7 CFR 273.16(h) 7 CFR 273.18(e)(3)(iv)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: Claims Against Food Stamp Recipients	FR Citation: 63 FR 14894

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	897,687	164,322	733,365
Annual IC Time Burden (Hours)	140,706	26,195	114,511
Annual IC Cost Burden (Dollars)	0	0	0

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