State Agecny Reporting (Sampling Plan Activity PART 275) OMB 0584-0303 Start-up 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
Appendix E Handbook 311.doc.pdf Appendix E Sampling QC Handbook for Part 275 IC Document

Information Collection (IC) Details

IC Title:	State Agecny Reporting (Sampling Plan Activity PART 275) OMB 0584-0303 Start-up 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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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	53	53
Annual IC Time Burden (Hours)	2,120	2,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E Sampling QC Handbook for Part 275	Appendix E Handbook 311.doc.pdf	09/09/2020

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