OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201904-0584-003 · OMB 0584-0074 · Active

Forms and Documents
DocumentTypeStatusAvailability
Appendix H2a FNS response to NH FNS 380.pdf Supplementary Document Uploaded 2020-01-15 Repair queued
Appendix H1a FNS Response to NC FNS 380.pdf Supplementary Document Uploaded 2020-01-15 Available
Appendix H2 NH comment 380.pdf Supplementary Document Uploaded 2020-01-15 Available
Appendix H1 NC comment 380.pdf Supplementary Document Uploaded 2020-01-15 Available
Appendix J Excel Chart for OMB 0584-0074 FNS 380 Burden Table 1-10-20.xlsx Supplementary Document Uploaded 2020-01-15 Available
Appendix I - Burden Narrative 0584-0074 FNS 380 1-10-20.docx Supplementary Document Uploaded 2020-01-15 Available
OMB 0584-0074 FNS 380 SS Part A after OCIO 2-5-2020.docx Supporting Statement A Uploaded 2020-02-06 Repair queued
OMB 0584-0074 FNS 380 SS Part B.docx Supporting Statement B Uploaded 2020-02-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
45873 SNAP Quality Control Review - Household Burden Modified
2971 SNAP Quality Control Reviews - State Burden Modified
ICR Details
0584-0074 201904-0584-003
Active 201602-0584-003
USDA/FNS Reinstatement in use w/o OMB approval
FNS-380, Worksheet for the Supplemental Nutrition Assistance Program Quality Control Reviews
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/29/2020
Retrieve Notice of Action (NOA) 02/12/2020
*
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved
318,478 0 0
405,996 0 0
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
  84 FR 28003 06/17/2019
85 FR 7713 02/11/2020
Yes
2
IC Title Form No. Form Name
SNAP Quality Control Reviews - State Burden
SNAP Quality Control Review - Household Burden
  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 318,478 0 0 0 153,277 165,201
Annual Time Burden (Hours) 405,996 0 0 0 -112,934 518,930
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a request to reinstate an expired information collection. Due to statue, FNS is still legally required to collection this data and thereby continuing to collection in violation of the Paperwork Reduction Act. The current burden inventory is 518,930 burden hours. The revised OMB inventory for the reporting and recordkeeping burden associated with the FNS-380 is approximately 405,995.50 annual burden hours (382,173.04 SA reporting + 22,748.50 I/H reporting + 1,073.73 SA recordkeeping) and 318,477.95 total annual response (227,483.95 SA reporting + 45,497 I/H reporting + 45,497 SA recordkeeping). This program adjustment reflects a decrease of approximately -112,935 burden hours and an increase of 153,277 total annual responses. The difference is primarily a result of the decrease in the overall active household caseload sample reported where the number of completed reviews decreased from 55,067 to 45,497 since our last collection and an increase in the total annual responses due to a miscalculations in how to account for the different burden activities.
$6,510,090
Yes Part B of Supporting Statement
    Yes
    Yes
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.
02/12/2020