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Federal forms, ICRs, and supporting documents

Information Collection Request

FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews

ICR 201303-0584-001 · OMB 0584-0074 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FNS-380 SNAP Quality Control Reviews - State Burden Form and Instruction Modified Available
FNS380 SS Part A OMB 0584-0074 final 4-11-13.doc Supporting Statement A Uploaded 2013-04-11 Available
3. FNS380 SS OMB 0584-0074 SS part B 2-25-13.doc Supporting Statement B Uploaded 2013-03-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
45873 SNAP Quality Control Review - Household Burden Modified
2971 SNAP Quality Control Reviews - State Burden Form and Instruction Modified
ICR Details
0584-0074 201303-0584-001
Historical Active 201002-0584-001
USDA/FNS
FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews
Revision of a currently approved collection   No
Regular
Approved without change 05/22/2013
Retrieve Notice of Action (NOA) 04/18/2013
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 05/31/2013
155,877 0 112,130
489,641 0 528,333
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 field investigation and gathering, comparing, analyzing and evaluating data.
PL: Pub.L. 108 - 269 16 Name of Law: Food Stamp Act of 1977
  
None
Not associated with rulemaking
  78 FR 3390 01/16/2013
78 FR 72 04/15/2013
No
  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 155,877 112,130 0 0 43,747 0
Annual Time Burden (Hours) 489,641 528,333 0 0 -38,692 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a revision of a currently approved information collection. The proposed OMB inventory for the reporting and recordkeeping burdens associated with this collection is approximately 489,640.8 annual burden hours. The difference between the old burden of 528,333 and the new burden of 489,640.8 is a decrease of 38,692 hours. This also resulted in a -4,106 decrease in the number of overall completed case reviews of household participants from 56,065 in FY 2007 to 51,959 in FY for reporting. There is an additional adjustment. During the previous submission, annual responses for recordkeeping were not taken into account when entering this request into ROCIS. Subsequently, there is an increase of 47,853 responses for recordkeeping. There is an additional adjustment. During the previous submission, annual responses for recordkeeping were not taken into account when entering this request into ROCIS. The total annual response for recordkeeping for this collection is 51,959 subtracted from the 56,065 current annual responses for recordkeeping reflects a decrease of -4,106. Subsequently, there is an increase of 47,853 responses for recordkeeping. .
$5,282,065
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Rachelle Ragland-Greene 703 605-0038 [email protected]
  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.
04/18/2013