OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201602-0584-003 · OMB 0584-0074 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FNS-380 SNAP Quality Control Reviews - State Burden Form and Instruction Modified Available
e. FNA2008-wAgAct14-pgs 96-102 QCprovisions.pdf Supplementary Document Uploaded 2016-05-31 Available
OMB 0584-0074 FNS 380 SSA 5-31-2016 w ROCIS calc no mark up.docx Supporting Statement A Uploaded 2016-05-31 Available
OMB 0584-0074 FNS 380 SS Part B 4-27-16.docx Supporting Statement B Uploaded 2016-05-25 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 201602-0584-003
Historical Active 201303-0584-001
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 09/26/2016
Retrieve Notice of Action (NOA) 05/31/2016
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved 09/30/2016
165,201 0 155,877
518,930 0 489,641
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
  81 FR 10567 03/01/2016
81 FR 33461 05/26/2016
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 165,201 155,877 0 0 9,324 0
Annual Time Burden (Hours) 518,930 489,641 0 0 29,289 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a revision of a currently approved data collection. The current burden inventory is 489,641 burden hours and 155,877 responses. The revised OMB inventory for the reporting and recordkeeping burdens associated with the FNS-380 is approximately 518,930 annual burden hours and 165,203 responses. This program adjustment reflects an increase of approximately 29,289 hours and 9,324 responses. This difference is primarily a result of the increase in the overall active household caseload sample reported where the number of completed reviews went up from 51,959 to 55,067 since our last collection revision.
$8,646,940
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.
05/31/2016