Information Collection

SNAP Quality Control Reviews - State Burden

IC 2971 under ICR 202106-0584-001 · OMB 0584-0074.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	SNAP Quality Control Reviews - State Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 275.12(c) 7 CFR 275.12(c)(1) 7 CFR 275.4 7 CFR 272.1(f) 7 CFR 275.12(b)

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	Screenshots for FNS 380 Worksheet for Quality Control Reviews		https://snapqcs.fns.usda.gov/.	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 380	FNS 380 Worksheet for Quality Control Reviews		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: 100 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	272,986	5	272,981
Annual IC Time Burden (Hours)	383,247	0	383,247
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.