SNAP Repayment Demand and Program Disqualification

Forms and Documents

Document Name	Status
0584-0492 SuptStmt Revised RB 3-14-2018OMB updates.docx Supporting Statement A	2018-03-22
Appendix 5 - OMB 0492 FINAL Burden table for SS PRAO comments 3.14.2018 (2).xlsx Supplementary Document	2018-03-22
Appendix 2 eDRS Home Page updated 3-22-18.pdf Supplementary Document	2018-03-22
Appendix 1 Legal Authority.docx Supplementary Document	2017-08-22

IC Document Collections

IC ID	Document Title	Status
3099	States- SNAP Repayment Demand and Program Disqualification Other-eDRS Screen Shot	Modified
184679	Households - SNAP Program Repayment Demand and Program Disqualification	Modified

ICR Details

OMB Control No: 0584-0492	ICR Reference No: 201706-0584-002
Status: Active	Previous ICR Reference No: 201402-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: SNAP Repayment Demand and Program Disqualification
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/23/2018
	Date Received in OIRA: 08/29/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	3,051,894	0	2,125,031
Time Burden (Hours)	203,587	0	207,834
Cost Burden (Dollars)	0	0	0

---

Abstract: Require State agencies to pursue collection action against overissued households and to extend the currently approved information collection requirements relating to intentional Program violation (IPV) determinations.

---

Authorizing Statute(s): PL: Pub.L. 108 - 269 13(b) Name of Law: Food Stamp Act 1977
   US Code: 7 USC Section 13 [2022] Name of Law: Food Stamp Act 1977
   PL: Pub.L. 95 - 113 Stat. 913-1045 Name of Law: Food Stamp Act 1977
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 17627	04/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 40983	08/29/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
States- SNAP Repayment Demand and Program Disqualification
Households - SNAP Program Repayment Demand and Program Disqualification

---

ICR Summary of 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	3,051,894	2,125,031	0	112,447	814,416	0
Annual Time Burden (Hours)	203,587	207,834	0	180	-4,427	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved collection. These adjustments are a result of a decrease in overissuance collections, an increase in IPV activity for States, and a decrease for IPV activity for households. The overall current burden inventory for this collection is 207,834 and this revision is requesting 203,587. This revision burden estimates reflects a total decrease of -4,247 burden hours reported in this information collection. The current total of households who had received notices due to this data collection is 917,566 and this revision has 884,516, this -33,050 decrease is due to adjustments with the number of households who have received improper payment notices which also reflects the total number of annual responses.

---

Annual Cost to Federal Government: $1,763,365

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/29/2017

---