Information Collection

State Agency Reporting & Recordkeeping FNS 380-1 - OMB 0584-0299 REVISED FOR AE79

IC 245270 under ICR 201909-0584-003 · OMB 0584-0692.

Documents and Forms

Document Name Document Type
Form FNS 380-1 State Agency Reporting & Recordkeeping FNS 380-1 - OMB 0584-0299 REVISED FOR AE79 Form and Instruction
Form FNS 380-1 State Agency Reporting & Recordkeeping FNS 380-1 - OMB 0584-0299 REVISED FOR AE79 Form and Instruction
FNS 380-1 QUALITY CONTROL REVIEW SCHEDULE G- FNS 380-1 exp 9-30-26.pdf snapqcs.fns.usda.gov/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency Reporting & Recordkeeping FNS 380-1 - OMB 0584-0299 REVISED FOR AE79	Agency IC Tracking Number:	Rev for only the hours needed for the merge

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 275.12(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 380-1	QUALITY CONTROL REVIEW SCHEDULE	G- FNS 380-1 exp 9-30-26.pdf	https://snapqcs.fns.usda.gov/	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA.FNS-5 Information on Persons Disqualified from the Supplemental Nutrition Assistance Program	FR Citation: 75 FR 81205

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	118,292	118,292
Annual IC Time Burden (Hours)	63,854	63,854
Annual IC Cost Burden (Dollars)	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.