View Information Collection Request (ICR) Package
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Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0584-0064
ICR Reference No:
201611-0584-003
Status:
Historical Active
Previous ICR Reference No:
201511-0584-006
Agency/Subagency:
USDA/FNS
Agency Tracking No:
AD87
Title:
SNAP Forms: Applications, Periodic Reporting, Notices
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:
07/13/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/09/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2020
36 Months From Approved
05/31/2019
Responses
643,938,886
0
658,539,828
Time Burden (Hours)
77,690,005
0
118,221,440
Cost Burden (Dollars)
0
0
0
Abstract:
Information collected is used to determine eligibility and participation in the Supplemental Nutrition Assistance Program (SNAP). Certifications and periodic reporting are to verify current eligibility.
Authorizing Statute(s):
US Code:
7 USC 2011, et. seq.
Name of Law: Food and Nutrition Act of 2008
PL:
Pub.L. 110 - 246 Subtitle A
Name of Law: Food, Conservation and Energy Act of 2008
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0584-AD87
Final or interim final rulemaking
82 FR 2010
01/06/2017
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 25413
05/11/2011
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 2010
01/06/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Household/Individual: Application & Periodic Reporting
State & Local Agency Recordkeeping
State: Applications, Periodic Reporting, Notices
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
643,938,886
658,539,828
0
-14,600,942
0
0
Annual Time Burden (Hours)
77,690,005
118,221,440
0
-40,531,435
0
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:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Changing Regulations
Short Statement:
There is a net decrease to OMB Control Number 0584-0064 of 40,531,435 hours due to program changes associated with rulemaking. There was an increase of 522,659 hours for States primarily due to the expansion of simplified reporting to include newly added elderly or disabled households, and a 41,054,094 hours decrease to SNAP recipients primarily due to changes to SNAP application interviews.
Annual Cost to Federal Government:
$367,149,310
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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
Agency Contact:
Lynnette Williams 703 605-4782 lynnette.williams@fns.usda.gov
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:
01/09/2017
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