View Information Collection (IC)

View Information Collection (IC)

IC Title:	QC - SNAP Case and Procedural Case Action Review Schedule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 275.14(d) 7 CFR 275.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-245	Quality Control - SNAP Case and Procedural Case Action Review Schedule	FNS-245 for 0584-0034 SupStmnt 12-20-2021.pdf	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			B. FNS Handbook 310 10.2020.pdf		Yes	No	Paper Only
Other-FNS 245 Screenshots			G. Screen Shots of SNAP QCS - FNS 245.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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 237

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	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	177,230	0	0	99,290	0	77,940
Annual IC Time Burden (Hours)	112,491	0	0	-3,023	0	115,514
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
H. SNAPQCS Privacy Impact Assessment	H. SNAPQCS PIA.pdf	04/30/2021

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