SNAP Quality Control Reviews - State Burden

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0074 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-380 SNAP Quality Control Reviews - State Burden Form and Instruction
FNS-380 Worksheet for SNAP Quality Control Reviews FNS-380.pdf Form and Instruction
FNS-380 Worksheet for SNAP Quality Control Reviews (Web-based) FNS-380 SCREEN SHOTS convertpdf4-2013.pdf not yet available Form and Instruction
SNAPQCS PIA Jan2013_F_signed.pdf Privacy Impact Assessment IC Document

Information Collection (IC) Details

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:

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	Worksheet for SNAP Quality Control Reviews	FNS-380.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FNS-380	Worksheet for SNAP Quality Control Reviews (Web-based)	FNS-380 SCREEN SHOTS convertpdf4-2013.pdf	not yet available	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	103,918	47,853	56,065
Annual IC Time Burden (Hours)	463,661	-36,640	500,301
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Privacy Impact Assessment	SNAPQCS PIA Jan2013_F_signed.pdf	04/11/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.