State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 REVISED FOR AE79

RIN 0584-AE79 Reform Provisions for the Supplemental Nutrition Assistance Program’s Quality Control System

Documents and Forms

Document Name Document Type
Form FNS 74A State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 REVISED FOR AE79 Form and Instruction
Form FNS 74A State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 REVISED FOR AE79 Form and Instruction
FNS 74A QC-Related New Investment Plan FFY B. FNS-74A pending OMB approval.pdf snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303) Form and Instruction
FNS 74B QC New Investment Plan Progress Report FNS-74B.pdf snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303) Form and Instruction
Appendix E- FNS 311.pdf Appendix E FNS SNAP QC Sampling Handbook IC Document

Information Collection (IC) Details

IC Title:	State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 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 275.11(a)(1)-(a)(2) 7 CFR 275.11(a)(4)(i) 7 CFR 275.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 74A	QC-Related New Investment Plan FFY	B. FNS-74A pending OMB approval.pdf	https://snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303)	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 74B	QC New Investment Plan Progress Report	FNS-74B.pdf	https://snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303)	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	246	246
Annual IC Time Burden (Hours)	2,829	2,829
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E FNS SNAP QC Sampling Handbook	Appendix E- FNS 311.pdf	01/14/2020

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