Provisions To Improve the Supplemental Nutrition Assistance Program's Quality Control System, 64756-64789 [2023-20023]
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Federal Register / Vol. 88, No. 180 / Tuesday, September 19, 2023 / Proposed Rules
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Parts 271 and 275
[FNS–2020–0016]
RIN 0584–AE79
Provisions To Improve the
Supplemental Nutrition Assistance
Program’s Quality Control System
Food and Nutrition Service
(FNS), USDA.
ACTION: Notice of proposed rulemaking.
AGENCY:
The U.S. Department of
Agriculture (the Department) is issuing
this notice of proposed rulemaking to
improve the Food and Nutrition
Service’s (FNS) Supplemental Nutrition
Assistance Program (SNAP) quality
control (QC) system as required in the
Agriculture Improvement Act of 2018
(2018 Farm Bill). The proposed changes
are intended to strengthen and improve
the integrity and accuracy of the SNAP
QC system and to better align SNAP
with requirements in the Payment
Integrity Information Act of 2019 (PIIA).
These changes include a significant
adjustment to the SNAP QC system that
involves changes to Federal and State
agency sampling processes, as well as
changes to the active case review
process. Quality Control case sampling
and review processes are key aspects of
the system used to annually assess
SNAP payment error rates. The
Department requests comment on this
rule’s proposed provisions.
DATES: Written comments must be
received on or before November 20,
2023 to ensure their consideration.
ADDRESSES: The Food and Nutrition
Service, USDA, invites interested
persons to submit written comments on
this proposed rule. Comments may be
submitted in writing by one of the
following methods:
—Federal eRulemaking Portal: Go to
https://www.regulations.gov. Follow
the online instructions for submitting
comments.
—Mail: Send comments to John M.,
Branch Chief, Quality Control Branch,
Program Accountability and
Administration Division; Food and
Nutrition Service; 1320 Braddock
Place, 5th Floor; Alexandria, Virginia
22314.
—Email: Send comments to
SNAPQCReform@usda.gov. Include
Docket ID Number FNS–2020–0016,
‘‘Provisions to Improve the SNAP QC
System’’ in the subject line of the
message.
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SUMMARY:
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—All written comments submitted in
response to this proposed rule will be
included in the record and will be
made available to the public. Please
be advised that the substance of the
comments and the identity of the
individuals or entities submitting the
comments will be subject to public
disclosure. FNS will make the written
comments publicly available on the
internet via
https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: John
M., 703–457–7747, Food and Nutrition
Service, 1320 Braddock Place, 5th Floor,
Alexandria, Virginia 22314,
SNAPQCReform@usda.gov.
SUPPLEMENTARY INFORMATION:
I. Table of Contents
a. Acronyms or Abbreviations
b. Severability Clause
II. Background/History
a. SNAP QC—In General
b. Farm Bill Provisions
c. Improper Payment Determinations
d. Historical Information Supporting
Congress’ Request for Improvement and
QC Reform
i. State QC Integrity Reviews (QCIRs)
ii. FNS Response
e. SNAP QC—Current Processes
f. New Proposed QC Approach
III. General (This section begins discussion of
the proposed provisions)
a. Terminology Clean Up
b. Subpart A—Administration
i. Staffing Standards
ii. FNS Access to State Systems
iii. Federal Monitoring—Federal
Subsampling
iv. Sampling—Federal Sub Sample
v. Federal Monitoring—Arbitration
c. Subpart C—Quality Control (QC)
Reviews
i. Sampling—General
ii. Sampling Plan—Content
iii. Sampling Plan—Design
iv. Sample Size—Active and Negative
Cases
v. Sample Size—Alternative Designs
vi. Sample Selection—Corrections
vii. Sample Frame—Active Cases
viii. Sample Universe—Active Cases
ix. Active Sample Allocation and
Weighting
x. Review of Active Cases—General
xi. Review of Active Cases—Household
Case Record Review
xii. Review of Active Cases—Field
Investigation
xiii. Review of Active Cases—Personal
Interviews
xiv. Review of Active Cases—Collateral
Contacts
xv. Review of Active Cases—Variance
Identification
xvi. Review of Active Cases—Variances
Excluded From the Error Analysis
xvii. Review of Active Cases—Other
Findings
xviii. Review of Active Cases—Reporting of
Review Findings
xix. Review of Active Cases—Disposition
of Case Reviews
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d. Subpart E—Corrective Action
i. Corrective Action Planning—Negative
Cases
ii. Corrective Action Planning—Incomplete
Cases
e. Subpart F—Responsibilities for
Reporting on Program Performance
i. Quality Control Review Reports—
Mandating the Use of SNAP QC System
f. Subpart G—Program Performance
i. Determination of State Agency Program
Performance—Determination of Payment
Error Rates
ii. State Agency Error Rates—Completion
Rate Penalty
iii. High Performance Bonuses
iv. Performance Measures—Program
Access Index
g. Proposed Timeframe for Implementation
of QC Sampling and Active Review
Changes
IV. Procedural Matters
V. Amendatory Text
Acronyms or Abbreviations
Agriculture Improvement Act of 2018 (Pub.
L. 115–334), the 2018 Farm Bill
Case and Procedural Error Rate, CAPER
Code of Federal Regulations, CFR
Corrective Action Plan, CAP
Department of Justice, DOJ
Federal Quality Control Reviewer, FQCR
Food and Nutrition Act of 2008, FNA
Food and Nutrition Service, FNS
Office of Management and Budget, OMB
Payment Error Rate, PER
Quality Control, QC
Quality Control Reviewer, QCR
Regional Office, RO
Request for Information, RFI
Supplemental Nutrition Assistance Program,
SNAP
Supplemental Nutrition Assistance Program’s
Automated Quality Control System,
SNAP–QCS
State Quality Control Reviewer, SQCR
U.S. Department of Agriculture, the
Department or USDA
U.S. Department of Agriculture Office of
Inspector General, USDA OIG
Severability: The Department
proposes that certain individual
components of this proposed rule are
severable and seeks comment on that
proposal. Specifically, the Department
considers changes proposed in the
following sections to be severable:
Staffing Standards; FNS Access to State
Systems; Federal Monitoring—
Arbitration; Review of Active Cases—
Other Findings; Review of Active
Cases—Disposition of Case Reviews
(with the exception of changes proposed
to 7 CFR 275.12(g)(2)); Corrective Action
Planning—Negative Cases; Corrective
Action Planning—Incomplete Cases;
State Agency Error Rates—Completion
Rate Penalty; and Performance
Measures. If a court were to find
unlawful any or some combination of
this rule as finalized, the Department
still would intend any individual or
combination of the above sections of
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this proposed rule to stand. The
Department seeks comment regarding
considerations about whether
stakeholders consider those and any
other provisions in this proposed rule
severable or not.
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Background
SNAP QC—In General
The Supplemental Nutrition
Assistance Program (SNAP) is the
nation’s largest domestic food assistance
program for Americans, reaching about
40 million people (approximately 12
percent of the nation’s population) per
month during fiscal year 2020.1
Although the Federal government
funds SNAP benefits, under 7 U.S.C.
2020(a)(1), State agencies are
responsible for general program
administration of SNAP within their
States, including determining the
eligibility of individuals and
households to receive SNAP benefits
and issuing monthly allotments of
benefits.
However, given the large volume of
SNAP cases, complexities of eligibility
policies, and availability of State
options, State agencies may issue
overpayments or underpayments of
SNAP allotments to participant
households.
Pursuant to Section 16 of the Food
and Nutrition Act of 2008, as amended
(FNA), each State agency is responsible
for monitoring and improving its
administration of SNAP. A Quality
Control (QC) system is necessary to help
ensure State agencies measure improper
payments and improve their
administration of SNAP. SNAP QC
reviews have four goals, identified at 7
CFR 275.10(b), which are to provide: (1)
a systematic method of measuring the
validity of the SNAP eligibility
caseload; (2) a basis for determining all
SNAP error rates; (3) a timely,
continuous flow of information on
which to base corrective action at all
levels of administration; and (4) a basis
for establishing State agency liability for
payment errors that exceed the National
performance measure pursuant to
Section 16(c)(1)(C) of the FNA.
To comply with Section 16 of the
FNA, State agencies conduct monthly
reviews of a statistically representative
sample of both participating SNAP
households (active cases) and
households for whom participation was
denied, terminated, or suspended
(negative cases). These reviews measure
the accuracy of SNAP eligibility and
1 https://www.ers.usda.gov/topics/food-nutritionassistance/food-assistance-data-collaborativeresearch-programs/snap-and-wic-administrativedata/.
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ongoing allotment determinations and
ultimately serve as the basis for the
SNAP payment error rate (PER) and case
and procedural error rate (CAPER).2 The
results of these reviews provide
feedback on State-by-State and national
administration of the Program,
including how State agencies’ chosen
policy options, waivers, and business
processes affect the accuracy of their
eligibility determinations. In short, the
QC system allows FNS and the States to
assess the integrity of SNAP by
determining the extent to which the
program is operating as required by
statute and regulations. The system
directly measures the accuracy of State
actions to certify households as eligible
for SNAP allotments and to determine
the amount of those allotments, which
are the actions that States should
prioritize to ensure effective
stewardship of taxpayer dollars and
effective service to households in need.
Farm Bill Provisions
On December 20, 2018, the President
signed Public Law 115–334, the
Agriculture Improvement Act of 2018
(2018 Farm Bill). Section 4013(b) of the
2018 Farm Bill required the Department
to issue an interim final rule to: (1)
ensure the SNAP QC system produces
valid statistical results; (2) provide for
the oversight of contracts entered into
by a State agency to improve payment
accuracy; (3) ensure the accuracy of data
collected in the QC system; and (4)
provide for the evaluation of the
integrity of the QC system for a
minimum of two State agencies per
fiscal year. Section 4013(e) of the 2018
Farm Bill also required that cost sharing
for State computerization costs be, in
part, contingent on State agencies
granting FNS access to all State
computer systems containing
documentation and evidence related to
SNAP eligibility. The Department
determined that the most effective way
to meet the statutory requirements was
to issue two rules: (1) an IFR for the
non-discretionary provisions, which
FNS believed were necessary to comply
with the 2018 Farm Bill and would be
effective immediately, and (2) a
proposed rule for the additional,
discretionary provisions to improve the
integrity and data quality of SNAP QC.
By doing so, the Department ensures
that major discretionary changes to
SNAP QC go through the full notice and
2 In fiscal year 2012, the procedures for reviewing
cases in the negative frame changed to include the
State’s procedural processes in determining a
negative case’s validity. FNS has referred to the
negative error rate since then as the case and
procedural error rate, or CAPER, to reflect this
change.
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comment process, which allows
stakeholders an opportunity to be part
of the rulemaking process.
The Department codified all the nondiscretionary requirements in Section
4013(b) in SNAP regulations by
publishing the interim final rule (IFR)
titled, ‘‘Supplemental Nutrition
Assistance Program: Non-Discretionary
Quality Control Provisions of the
Agricultural Improvement Act of 2018’’
on August 13, 2021 (86 FR 44575.3) A
correction to that interim final rule was
published on September 2, 2021 (86 FR
49229 4) and the final rule was
published on April 18, 2023 (88 FR
23559 5).
Improper Payment Determinations
The SNAP QC review process
precedes Federal improper payment
laws, including the Payment Integrity
Information Act of 2019 (PIIA) (Pub. L.
116–117.6) These PIIA requirements
include: identifying any case that a
reviewer is unable to determine the
accuracy of (known as an incomplete
case) as an improper payment (31 U.S.C.
3352(c)(2)); and measuring technically
improper payments, or payments in
which a recipient was entitled to a
payment but the payment failed to
follow statutory or regulatory
requirements (31 U.S.C. 3351(4)). With
Congress’ requirement to improve the
SNAP QC system, the Department is
including proposed changes in this rule
that will better align SNAP with
requirements in PIIA. In addition, the
proposed shift in review focus for active
cases (discussed later) will align the
SNAP QC review process for
determining SNAP payment errors more
closely with the processes used to
determine improper payments in other
Federal programs that provide benefits
to similar populations (e.g., Medicaid
and the Earned Income Tax Credit).
Historical Information Supporting
Congress’ Request for Improvement and
QC Reform
The section that follow discusses
challenges FNS faced and overcame that
impacted the integrity of the QC system
in the recent past; specifically, the
challenges that occurred when State
agencies introduced bias into the QC
system’s data. While FNS addressed the
3 https://www.govinfo.gov/content/pkg/FR-202304-18/pdf/2023-08122.pdf.
4 https://www.govinfo.gov/content/pkg/FR-202109-02/pdf/2021-18743.pdf.
5 https://www.govinfo.gov/content/pkg/FR-202304-18/pdf/2023-08005.pdf.
6 S.375—116th Congress (2019–2020): Payment
Integrity Information Act of 2019 | Congress.gov
|Library of Congress: https://www.congress.gov/bill/
116th-congress/senate-bill/375.
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issues and has since regained
confidence in the integrity of the data
collected by State agencies, additional
improvements and changes to the QC
system will help ensure SNAP’s QC
system will be less susceptible to bias.
The historical information below offers
context and support for Congress’
request for improvement and the reform
proposals in this rule.
In 2015, an audit of SNAP QC’s error
rate determination process by the
Department’s Office of Inspector
General (OIG)),7 and FNS’s study on
Enhancing Completion Rates for SNAP
QC Reviews,8 both identified issues
with the reliability of State-reported QC
data. The OIG recommendations
included that FNS amend and enforce
its policies to ensure payment error
rates are accurate and in compliance
with regulations, and that FNS
eliminate the two-comparison allotment
test process, which is used to determine
payment errors. FNS’s Completion Rate
study identified QC system issues
including: the performance bonus
system’s creation of financial incentives
for State agencies to underreport
payment errors (which was
subsequently eliminated by the 2018
Farm Bill), and State agencies’ improper
coding of QC cases as incomplete in
order to reduce their payment errors.
State QC Integrity Reviews (QCIRs)
To identify the full extent of the QC
data reliability issues, FNS began QCIRs
in April 2015 and completed reviews of
all 53 State agencies by September 2016.
The purpose of the QCIRs was to
validate that State agency QC systems
did not include bias, as bias impacts the
integrity of the data. During these
reviews, FNS was able to validate only
11 State agencies’ QC systems for FY
2015 and found data integrity issues in
the remaining 42 States. As a result,
FNS was unable to use the States’ QC
data to establish State or national SNAP
payment error rates for FY 2015 and FY
2016.
The findings from the reviews fell
into four categories related to integrity
in the QC system and aligned with ways
to mitigate errors. The first category
centered on inadequate documentation.
FNS found more than half of the State
agencies were not properly
documenting information in the QC case
file, as required in the SNAP QC Review
Handbook (the FNS–310).9 Inadequate
7 https://www.usda.gov/oig/webdocs/27601-000241.pdf.
8 https://www.fns.usda.gov/snap/enhancingcompletion-rates-supplemental-nutritionassistance-program-snap-quality-control-reviews.
9 https://fns-prod.azureedge.net/sites/default/
files/snap/FNS_310_Handbook.pdf.
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documentation prevents FNS from
having the information needed to do a
thorough and independent validation of
the cases completed by State agencies.
The second category concerned
improper use of error review
committees. State agencies may use
error review committees after State
quality control reviewers (SQCRs)
transmit completed QC cases to FNS, to
identify corrective actions that may be
needed to improve the accuracy of
eligibility and allotment determinations.
However, State agencies are strictly
prohibited from using error review
committees prior to the SQCR
transmission of completed QC cases to
FNS. On August 1, 2005, after
identifying concerns regarding the
improper use of error review
committees, FNS issued a policy
memorandum 10 on the proper use of an
error review committee to develop
corrective action to prevent future
errors. The memo reiterated that FNS
prohibited the use of such committees
to mitigate errors in cases actively under
review. Despite this longstanding
guidance, in the FY 2015 QCIRs, FNS
discovered more than half of the State
agencies continued to use error review
committees inappropriately to discuss
and mitigate the errors found in cases
actively under review before submitting
review results to FNS.
The third category of findings from
the QCIRs related to the failure of more
than half the State agencies to disclose
complete case information to FNS, as
required by 7 CFR 275.23(b). This
finding included some State agencies
refusing to give FNS access to their
systems for auditing purposes, as
required by Section 16(c)(4) of the FNA.
Section 4013(a)(2) of the 2018 Farm Bill
addressed this and required State
agencies to give FNS access to their
State systems for QC and oversight
purposes. Section 4013(e)(2) of the 2018
Farm Bill required cost-sharing for
computerization to be conditioned on
State agencies being able to provide FNS
access to their systems for audit and
inspection purposes. The 2018 IFR
codified the requirement to give FNS
access, and this proposed rule includes
the cost-sharing condition from Section
4013(e)(2) of the 2018 Farm Bill for
State agencies to give FNS access.
The fourth category of findings from
the QCIRs found that more than half of
the State agencies were incorrectly
interpreting and applying certification
policy, sometimes intentionally, to
mitigate QC errors. For example, during
QC reviews, some State agencies were
10 https://fns-prod.azureedge.net/sites/default/
files/snap/QCPolicyMemo05-01.pdf.
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using an inappropriate number of weeks
or months to determine a household’s
earned income. This approach led to the
QC reviewer artificially increasing or
decreasing the earned income amount of
the household, with the goal of
obtaining a result that more closely
matched the amount used at the
eligibility and allotment determination,
thus mitigating the likelihood and
potential impact of a payment error.
As a result of FNS’s initial integrity
findings in 2015, the Department of
Justice (DOJ) began investigating State
agencies for violations of Federal law in
connection with the underreporting of
SNAP QC payment errors. Between
2017 and 2021, DOJ settled with eight
States for False Claims Act allegations of
introducing bias into their QC
processes. In addition, DOJ settled with
a contracting company that provided QC
support to all eight State agencies.
FNS Response
In January 2016, in response to early
findings from the QCIRs, FNS issued a
policy memorandum 11 to address
concerns with the integrity of State
agency QC systems. The memorandum
reiterated and clarified FNS policies
that are necessary to prevent bias from
entering the QC system.
In September 2016, after completing
all QCIRs, FNS issued revisions to its
primary QC case review policy manual,
the FNS Handbook 310,12 to help
address FNS’ and OIG’s concerns
regarding the integrity of the QC system.
These revisions reinforced the January
2016 policy memorandum and
addressed other issues affecting QC
system integrity, including
documentation and verification in QC
reviews. By November 2016, FNS had
trained all Federal quality control
reviewers (FQCR) and SQCRs on the
new manual and integrity-related
provisions.
During the QCIRs, and while working
with State agencies to address findings
and resolve corrective action plans, FNS
found the complex structure of QC
reviews contributed to not only
unintentional mistakes, but also to an
environment that allowed for both the
manipulation and mitigation of SNAP
QC payment error findings. For
instance, the QC review begins with an
examination of the sample month
circumstances for a household, which
could be any month of the household’s
certification period. However, because
of the complexity of Federal SNAP
11 https://www.fns.usda.gov/snap/integrity-snapquality-control-system.
12 https://www.fns.usda.gov/snap/fns-handbook310 https://www.fns.usda.gov/snap/fns-handbook310.
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certification policy, as well as State
SNAP policy options and waivers,
reviews regularly involve a reviewer
assessing household circumstances
across multiple months. FNS
determined this complexity creates an
opportunity for both purposeful errors
and unintentional review mistakes and,
in some cases, can blur the connection
between payment errors found during
the QC review process and the relevant
certification actions, which is where
errors are occurring.
Often it is not possible for SQCRs to
complete cases due to difficulties
associated with obtaining verifications
for past months and securing household
cooperation. For instance, to simplify
administrative procedures, some State
agencies have chosen to implement a
policy that allows them to forego
verification of shelter expenses at
certification if the expenses are not
questionable. In the QC system, there
are no comparable options, and these
expenses must always be verified. While
certification rules allow for a waiver of
the requirement to verify expenses that
are not questionable,13 these rules do
not waive the requirement that correct
expenses be used to determine program
eligibility and allotments. SNAP
households may then be skeptical of the
SQCR’s request for verifications of their
shelter costs since it was not required
for the certification worker to determine
an allotment amount, increasing the
odds that the household will not
comply with the QC review.
Additionally, the household may not be
able to supply verification because they
do not have a copy of the required
record or did not retain it, not having
needed it previously. In this
circumstance, the SQCR would
determine the case incomplete since the
required verifications were unavailable.
The conclusion that the complexity of
SNAP eligibility policy and the QC
system’s complexity played a major role
in many of the integrity issues led FNS
to explore ways to simplify and improve
the QC review process. On June 1, 2018,
the Department published a Request for
Information (RFI) in the Federal
Register (83 FR 25425 14) to solicit input
on how best to simplify and improve the
QC system. FNS received 26 unique
comments in response to the
publication. This preamble references
substantive comments from the 2018
RFI in the relevant sections that follow.
13 As determined by guidelines promulgated
pursuant to 7 CFR 273.2(f)(2).
14 https://www.federalregister.gov/documents/
2018/06/01/2018-11849/request-for-informationsupplemental-nutrition-assistance-program-snapquality-control-integrity-and.
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FNS also conducted focus groups
with stakeholders who work in State
SNAP QC and certification policy,
social science research partners with
government programs, and hunger
advocates on conceptual ideas for the
proposed provisions in this rule. These
focus groups assisted FNS in identifying
areas of concern, particularly with
changing the review focus to a narrower
eligibility scope.
Additionally, during national and
regional conferences, State and Federal
staff verbally expressed to FNS an
interest in narrowing the QC review to
focus solely on the eligibility action to
simplify the QC review and increase
compliance with QC review
requirements while still maintaining a
focus on measuring the validity of
critical State agency decisions. This
narrowed focus is consistent with how
other social safety net programs (e.g.,
Medicaid, earned income tax credit)
measure improper payments. These
other programs do not measure ongoing
administration of benefits, as is done in
SNAP’s current QC review process.
Creating such an alignment would allow
Congress and others to compare
improper payments more effectively
across social safety net programs.
SNAP QC—Current Processes
To assist the reader in understanding
the review process changes being
proposed, this section discusses how
the QC review process is currently
structured. The SNAP QC system15
consists of two tiers, a State tier and a
Federal tier. At the State agency level,
a statistician develops a sampling plan
consistent with Federal regulations at 7
CFR 275.11 that the State agency then
submits to FNS for approval. Each
month, according to that sampling plan,
State agencies select a sample of active
cases (7 CFR 275.12) and negative cases
(7 CFR 275.13) from the universe of
their SNAP caseload and conduct
reviews of the cases to determine the
accuracy of the determination and
allotment amount. Active cases are
comprised of those households who are
participating in SNAP and negative
cases are comprised of cases in which
the State agency acted to deny,
terminate, or suspend a household or
applicant (7 CFR 275.10(a)).
SQCRs must schedule and conduct
face-to-face interviews with households
selected for review in the active sample
frame (7 CFR 275.12(c)(1)).16 There are
15 Discussed
throughout 7 CFR 275.
temporarily provided State agencies the
flexibility to conduct QC interviews by telephone
to assist State agencies in case completion during
the COVID–19 public health emergency. The
16 FNS
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few exceptions to a face-to-face
interview for QC. For instance, State
agencies may conduct telephonic
interviews for hard-to-reach Alaskan
households (7 CFR 275.12(c)) or in
situations of a declared disaster using
the SNAP waiver process (7 CFR
272.3(c)). SQCRs use the information
gathered during interviews along with
information in the case files, various
databases, and documentation from
collateral contacts, such as neighbors,
banks, and employers, during the
review (7 CFR 275.12(c)(2)).
The review itself consists of an
examination of a random month during
a case’s certification period, called the
sample month (7 CFR 275.12(a). SQCRs
verify all factors of eligibility and
allotment issuance for that sample
month and calculate an allotment
amount based off that information,
which is referred to as the household
budget calculation (7 CFR 275.12(e)).
They then compare that calculated
amount to the amount that was issued
to the household for that month This is
called Comparison I. If Comparison I
results in the household budget
calculation producing an allotment
amount for the sample month that is
either over or under the household’s
authorized issuance amount for that
month, in an amount that exceeds the
current fiscal year’s threshold for
excluding small errors,17 the SQCR will
conduct a second comparison, called
Comparison II. With Comparison II, the
SQCR would then examine the month in
which the most recent certification
action occurred. The SQCR would
correct any mistakes made at the time of
this certification action, compute
another budget, calculate an allotment
amount based on those findings, and
compare the SQCR budget for the
certification action to the amount that
was authorized at the certification
action. If there is also a difference in the
SQCR’s budget and the authorized
budget for Comparison II, the SQCR
uses the lesser of the two determined
error amounts as the case’s payment
error.18 After States transmit cases to
FNS, any QC finding of an overissuance
must be reported to the State office
responsible for claims, and
underissuance cases must be reported to
the State offices responsible for
flexibilities have been extended through September
2024.
17 Under Section 16(c)(1)(A)(ii) of the FNA, the
tolerance level for excluding small errors is $37 for
fiscal year 2014, adjusted by the percentage
adjustment of thrifty food plan for each subsequent
fiscal year. The most recently announced threshold,
for FY 2023, is $54.
18 As previously noted, the OIG’s 2015 report
recommended that this two-comparison allotment
test be eliminated.
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supplements, to evaluate and address
whether an action must be taken on the
reviewed cases (7 CFR 275.12(f)). This
requirement is not impacted by this
rule.
For all active frame cases,19 SQCRs
enter their data into either a paper or
automated version of the form FNS–380,
Worksheet for QC Reviews (OMB
Control Number: 0584–0074; Expiration
Date: 07/31/2025), to document the
information needed to make a
determination about the accuracy of the
case (7 CFR 275.21(b)). State agencies
also code the results of the reviews for
all active cases onto the FNS–380–1, the
QC Review Schedule (OMB Control
Number: 0584–0299; Expiration Date:
07/31/2023; currently under review
with OMB) (7 CFR 275.21(b)). State
agencies then submit the completed
forms through SNAP’s Federally funded
automated computer system, SNAP
Quality Control System (SNAP–QCS),
for transmission to FNS (7 CFR
275.21(b)(1)). For negative frame cases,
State agencies complete form FNS–245,
Negative Case Review Schedule (OMB
Control Number: 0584–0034; Expiration
Date: 1212/31/2024) (7 CFR 275.21(b)).
and submit completed forms through
SNAP–QCS (7 CFR 275.21(b)(1)).
FNS then works to validate the State
agency findings. FQCRs, who are in FNS
regional offices, review a subsample of
the active cases reviewed by State
agencies (7 CFR 275.3(d)(1)(i)). The
subsample is comprised not only of
cases State agencies complete, but also
of all active cases the State agencies
selected but were unable to complete,
and all cases that were determined by
the State agency to be ‘‘not subject to
review.’’ 20 After FQCRs identify the
cases for the subsample, they then
request the relevant QC case file
documents from the State agencies and
conduct a comprehensive, independent
review of each case (7 CFR
275.3(d)(1)(ii)).21 After case reviews are
complete and final determinations
19 QC cases in the active frame are comprised of
households certified prior to or during the sample
month and issued a SNAP allotment for the sample
month. QC review years follow the Federal fiscal
year from October through September the following
year.
20 ‘‘Not Subject to Review’’ is a term that refers
to cases that are not subject to quality control
review. This means they do not meet the
requirements to be reviewed by a QC reviewer.
Examples include cases under active investigation
by the State’s fraud unit and cases where the
household did not receive an allotment for the
sample month under review.
21 The FQCR review may result in agreement or
disagreement with the State’s findings. When there
is a disagreement, the State can dispute the Federal
finding. If the State office and RO cannot agree on
the outcome of a case, the State may appeal to the
national arbitrator, a neutral third party whose
decisions are final.
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made, FNS calculates two error rates: (1)
the payment error rate (PER) for the
active sampling frame (7 CFR
275.3(d)(1)); and (2) the case and
procedural error rate (CAPER) for the
negative sampling frame (7 CFR
275.3(d)(3)). FNS also calculates an
annual application timeliness rate for
State agencies with data from the active
sampling frame.
The PER is based on the difference
between the amount of allotments
issued to households and the amount
those households should have received
had their cases been processed correctly
(7 CFR 275.23(b)). The overall PER is
the sum of two breakdowns:
underpayment and overpayment error
rates. For CAPER, the review of negative
actions considers procedural aspects of
case processing in addition to whether
the action to deny, suspend, or
terminate a household was accurate.
Procedural components of this review
include timeliness of the action and
accuracy of the household notification,
among other things. The negative review
results in a determination of whether
the negative actions were valid or
invalid (7 CFR 275.13(c)(1)). The CAPER
is based on what percentage of the
negative actions reviewed were invalid
compared to the total number of
negative actions processed by the State
agency.
New Proposed QC Approach
The rest of this preamble will share
the Department’s proposals for this
rulemaking. The Department proposes
to improve the SNAP QC active review
process using lessons learned from the
QCIRs, the OIG audit, the completion
rate study on QC, the 2018 RFI 22 on QC,
and other activities, such as technical
assistance, that FNS has completed
since FY 2015. As such, the Department
is proposing a different active case
review that: (1) would be less
complicated, thus making it easier for
State agencies and households to
comply with, FNS to oversee, and less
susceptible to bias; and (2) would still
be capable of collecting detailed
program information regarding State
agency administration and the over and
under issuance of SNAP allotments. In
addition, the proposed active review
would resolve an ongoing concern from
OIG about how SNAP QC’s use of
Comparison I and Comparison II
resulted in a measurement from two
different points in time.
SNAP regulations require all SNAP
State agencies to operate a QC system (7
CFR 275.10(a)). Although the 2018 IFR
22 https://www.govinfo.gov/content/pkg/FR-201806-01/pdf/2018-11849.pdf.
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increased various reporting and
recordkeeping requirements for State
agencies to comply with the 2018 Farm
Bill, the active review process for the
SNAP QC system has remained
relatively unchanged since February
1984 (49 FR 6292) 23 and can be
improved upon. Since SNAP’s QC
system existed at least 25 years prior to
the first Federal improper payment
laws, such as the Improper Payments
Information Act of 2002 (IPIA). SNAP’s
active QC review methodology and
processes require adjustment to come
into alignment with other Federal
programs where the improper payment
determination procedures were created
after the first Federal improper payment
laws and associated regulations and
guidance came into existence.
The proposed process would change
the active case review to focus on
eligibility actions instead of a random,
point-in-time review for each case. This
proposed change would eliminate the
two-comparison allotment tests
(Comparison I and Comparison II) from
the QC review and instead focus on
eligibility determinations, consider
cases that a State agency cannot validate
as total dollar errors, and alter the
sampling and sampling plan
requirements to correspond to the
changed review focus.
To help the reader understand the
flow of the proposed provisions that
follow, the provisions are organized in
the same order as existing regulations
found in the Code of Federal
Regulations at 7 CFR part 275. It is
important to note, this is a proposed
rule that requires public comment
before a final rule may implement any
changes to SNAP’s QC system. The
Department proposes the following
provisions for comment.
General
Prior to discussing the provisions, the
Department would like to convey that
this rule is very technical in nature. The
provisions discussed include specific
detail about QC review processes and
detailed statistical formulas necessary to
carry out the QC process. The
Department will continue to explain
technical information throughout this
proposed rule when able; however, in
areas where precision and specific
vocabulary are necessary to accurately
convey the proposal, such as with
statistical formulae, an explanation in
more colloquial terms could result in an
inaccurate portrayal of the proposed
concepts. Thus, the technical language
will remain.
23 https://archives.federalregister.gov/issue_slice/
1984/2/17/6278-6313.pdf#page=33.
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Terminology Updates
In 7 CFR parts 271 and 275, the
Department proposes to update or
remove outdated and duplicative
terminology and update currently
applicable terminology to reflect the
proposed review process. The following
terms are no longer current: ‘‘negative
case error rate’’ (or ‘‘negative error rate’’)
and ‘‘Immigration and Naturalization
Services (INS).’’ Therefore, the
Department proposes to change these to
‘‘case and procedural error rate
(CAPER)’’ 24 and ‘‘United States
Citizenship and Immigration Services
(USCIS),’’ respectively. The Department
proposes to update the definition of
‘‘overissuance’’ to remove reference to
paper food stamp coupons. The
Department proposes to revise the
definitions for ‘‘active case,’’ ‘‘error,’’
‘‘review date,’’ and ‘‘sample month’’ in
7 CFR 271.2 to reflect changes made by
this proposed rule. Additionally, the
term ‘‘active case error rate’’ is currently
used interchangeably with the term
‘‘payment error rate’’ throughout 7 CFR
275. To avoid confusion, the
Department proposes to use ‘‘payment
error rate’’ consistently throughout 7
CFR 275.
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Subpart A—Administration
7 CFR 275.2(b)—Staffing Standards
The Department proposes to add a
provision in the Staffing Standards
section under 7 CFR 275.2(b) to specify
the expectation that State agencies
ensure the independence and objectivity
of the merit staff performing QC case
reviews. The QC integrity reviews found
instances where State agency managers
were putting undue influence on SQCRs
to find that the eligibility worker’s
initial determination was correct, as
opposed to independently focusing on
the accuracy of the case, which is the
purpose of the QC review. A separate
audit completed by USDA OIG further
supported these findings, as well as
action by DOJ to settle allegations of
violations of Federal law with eight
State agencies. These findings provide
substantial evidence that SQCRs
reporting in the organizational structure
to the same individuals responsible for
overseeing eligibility determinations has
an adverse effect on their ability to
objectively review cases and determine
errors. To address these issues and
ensure the accuracy of the PER and
24 In fiscal year 2012, the procedures for
reviewing cases in the negative frame, changed to
include the State’s procedural processes in
determining a negative case’s validity. FNS has
referred to the negative error rate since then as the
case and procedural error rate, or CAPER, to reflect
this change.
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CAPER estimates, the Department
proposes to require a new provision in
7 CFR 275.2(b) that State agencies take
proactive measures to ensure SQCRs
work independently and are free from
undue influence by ensuring the staff
used to conduct QC reviews operate
independently from those responsible
for overseeing the eligibility
determination process to ensure
objective and accurate assessments of
the Performance Reporting System. For
example, QC staff would not have the
same immediate supervisor or director
as the eligibility staff.
In addition, the Department proposes
to clarify the components that constitute
prior knowledge for purposes of staff
disqualification under 7 CFR 275.2(b).
The focus on integrity and bias in
SNAP’s QC system generated concerns
in State agencies about SQCRs
unintentionally biasing the QC process.
FNS has heard from State agencies,
anecdotally, that QC workers were
concerned that a staff person might
know information about a household
one of their colleagues was reviewing
but felt that disclosing that information
would be considered a prohibited
practice. The Department proposes to
address this issue by removing the
current language at 7 CFR 275.2(b) and
adding a modified provision to QC’s
Staffing Standards at 7 CFR 275.2(b)(2)
clarifying that even though State agency
staff must disqualify themselves from
directly working on a QC review if they
have prior knowledge of a household,
they are allowed to participate in a QC
review as a collateral contact 25 of the
household. In such situations, the staff
must follow the governing rules
regarding collateral contacts at 7 CFR
273.2(f)(4)(ii).
7 CFR 275.2(d)—FNS Access to State
Systems
Section 4013(e)(2) of the 2018 Farm
Bill—which amends Section 16(g)(1)(A)
of the Food and Nutrition Act of 2008
(codified as 7 U.S.C. 2025(g)(1)(A))—
specifies that cost sharing for
computerization for systems is an
allowable SNAP administrative expense
only when, among other criteria, the
Secretary determines the systems to be
accessible to the Department for review
and audit purposes. Therefore, to
implement this statutory provision, in
the paragraph at 7 CFR 275.2(d), the
Department is requiring cost sharing for
State agency system costs to be
conditioned on, in part, FNS having
25 For a definition of collateral contact, see 7 CFR
273.2(f)(4)(ii)—https://www.ecfr.gov/current/title-7/
subtitle-B/chapter-II/subchapter-C/part-273#p273.2(f)(4)(ii).
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64761
access to all State agency records and
systems in which those records are
contained.26 The Department believes
this will incentivize State agencies to
make the necessary changes to come
into compliance with the requirement of
allowing remote access to State agency
computer systems so that Federal QC
staff have access to the full case record
for all QC sampled cases to ensure the
accuracy of the collected data. FNS will
continue to work with State agencies
collaboratively to establish data sharing
and system integrity agreements to
facilitate the required systems access.
This new sentence in 7 CFR 275.2(d)
will reference existing regulations and
procedures for the suspension or
disallowance of administrative funds
found at 7 CFR 277.16 if State agencies
do not comply with the requirement.
7 CFR 275.3(d)—Sampling—Federal
Sub Sample
To be consistent with the changes
proposed for State agency sampling in 7
CFR 275.11, discussed later in this rule,
the Department proposes at 7 CFR
275.3(d)(1)(i)(A) to only have one
minimum Federal subsampling
calculation table to determine the
Federal subsampling pull for the rereview of active cases. In addition to the
change in Federal subsample size, the
Department also proposes the Federal
subsample be allocated across five strata
in order to capture cases from each of
the points in time where the State
agency makes a determination to
authorize or re-authorize benefits and to
be consistent with the weighting that is
proposed to determine the State
agency’s sampling frame. The five strata
reflect all the possible action types and
reporting periods. Since the reporting
system and certification period length
assigned at certification impact the
number of reports that will end up in
the sampling universe under the
proposed sampling procedures, the five
strata as well as weighting are used to
ensure that all types of households are
included in the sampling universe and
to even out selection probabilities so
that all cases have a chance to be
selected for sampling in determining the
SNAP PER. The five strata are based on
the combination of action types (i.e.,
certification, recertification, and when a
required monthly, quarterly, or periodic
26 State systems contain information on
participants in a multitude of different programs,
each of which can have (as some currently do)
statutory and regulatory language prohibiting the
disclosure of such information outside of said
program. As such, the State systems must be able
to limit user access to SNAP information only
before sharing the system with FNS for SNAP QC
purposes to ensure compliance with Federal law.
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report is due and an allotment is issued
in the following month) and reporting
period (i.e., less than six months,
exactly six months, and more than six
months). FNS chose certifications,
Strata
A
B
C
D
E
......
......
.....
.....
......
recertifications, and required reports
with allotments in the following month
because they are points in which the
State agency must make an eligibility
determination or terminate the
household from the Program. FNS based
the proposed strata on an analysis of the
FY 2017 SNAP QC data (see table).
Action type
Reporting period
Frequency
Certification/recertification ..........................................
Redetermination .........................................................
Certification/recertification ..........................................
Redetermination .........................................................
Any * ...........................................................................
Less than 6 months ...................................................
Less than 6 months ...................................................
Exactly 6 months .......................................................
Exactly 6 months .......................................................
More than 6 months ..................................................
Percentage
365
94
3,873
1,628
1,457
4.9
1.3
52.2
21.9
19.6
* Includes the three actions: certification, recertification, and redetermination.
PERs based on the new proposed
methodology. Under the proposed
changes, the Federal subsample size
Average monthly reviewable caseload
(N)
Federal subsample target
(n’)
60,000 and over .......................................................................................
10,001 to 59,999 ......................................................................................
10,000 and under .....................................................................................
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would be determined using the
following table:
n′ = 400.
n′ = .005 N + 100.
n′ = 150.
Once the Federal subsample size n’ is
determined using Table 1 above, the
Federal subsample must be allocated
across the five strata proportionally to
the State final weights to ensure the
Federal subsample is self-weighting and
there is no loss of precision due to
differential sampling probabilities. The
Federal subsample size for each stratum
shall be determined as follows:
In the table formulas above: N is the
sampling universe/monthly caseload; F
is the sampling frame; n is the state
sampling size; n’ is the Federal
subsample size; W is the state sampling
weights; and W’ is the Federal sampling
weights. For stratum i, the Federal
subsample size n’i shall be proportional
to the sum of the final state weights for
that stratum, ni×Wi = Ni, in other words
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The proposed changes to determine
the Federal subsample would be
necessary to determine State agency
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This means that the final weight for the
cases selected for the Federal subsample
from stratum i, W’i, is given by:
27 https://www.federalregister.gov/documents/
1997/06/02/97-13946/food-stamp-program-qualitycontrol-provisions-of-the-mickey-leland-childhoodhunger-relief-act.
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Subpart C—Quality Control (QC)
Reviews
7 CFR 275.11—Sampling—General
Currently, the universe (all cases with
the possibility of being selected for the
QC sample) for SNAP’s active frame
includes all households receiving SNAP
allotments in any given sample month.
Under this proposed rule, the active
frame sample universe would no longer
include all households receiving SNAP
allotments in any given sample month.
Instead, only those households that
experienced an eligibility action—i.e.,
certification for SNAP, recertification
for SNAP, or requirement to submit a
required monthly, quarterly, or periodic
report in the sample month and an
allotment is issued in the following
month—would constitute the universe
for the active frame. The following
paragraphs in this preamble explain the
proposed new sampling plan in 7 CFR
275.11, which would then be reviewed
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according to the proposed sampling
review procedures in 7 CFR 275.12.
7 CFR 275.11(a)(1)–(2)—Sampling
Plan—Content and Criteria
Currently, at 7 CFR 275.11(a), State
agencies have two options for designing
their minimum QC sampling size: a
standard or a reduced sample size. The
Department proposes to remove the
language about alternative sampling
designs at 7 CFR 275.11(a)(2) since,
unlike the current methodology, the
proposed methodology would not be
conducive to State agencies utilizing a
reduced sample size due to issues with
reliability of the estimates that would
result from the sample size reduction.
This would include the removal of
alternative sampling related rules in
subsections 7 CFR 275.11(a)(2)(iii) and 7
CFR 275.11(a)(2)(iv). In addition, the
Department proposes to add language in
section 7 CFR 275.11(a)(2)(ii) about the
sample size selection to help State
agencies ensure they follow the
procedures set forth in subsections (b),
(c), (d), (e), and (f).
7 CFR 275.11(a)(3)—Sampling Plan—
Design
Computer programs and systems that
assist in selecting probability samples
have progressed considerably since the
publication of the current QC
regulations in 1977. Now, systematic
sampling is but one of the many
possible ways to select a probability or
random sample, and there are new
statistical software tools available that
can easily draw a random sample
without using systematic sampling. The
Department proposes to amend the
recommendation at 7 CFR 275.11(a)(3)
that State agencies should primarily
utilize systematic sampling to also
recommend that State agencies be open
to considering other sampling software
tools.
In addition, the Department proposes
to revise the language at 7 CFR
275.11(a)(3), describing the proposed
active sampling design. This revised
language provides specific details about
how State agencies would need to
design their new sampling procedures
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7 CFR 275.3(d)(4)(i)(A)—Federal
Monitoring—Arbitration
Currently, when there is a dispute
between a State agency and FNS
regarding a finding (whether a case was
correct, overissued, underissued, or was
ineligible as of the review date) or
disposition (whether a case was
complete, not subject to review,
incomplete, or the case was deselected)
of a QC case, the State agency may
request arbitration from the FNS
Arbitrator. FNS’s Arbitrator is the SNAP
Administrative and Judicial Review
Branch. This Branch includes
administrative review officers who serve
as a neutral third party, as they do not
directly work with SNAP certification
policy or quality control. The disputes
subject to arbitration are limited to
disagreements over finding or
disposition only and the arbitrator’s
decision on a case is considered final
and not subject to subsequent appeal.
Any other disagreements should be
handled through an informal resolution
process, which is separate from the
arbitration process.
FNS issued a policy memorandum
dated November 7, 2003, that provided
procedures for arbitrating application
processing timeliness (APT)
disagreements when the APT measure
was first introduced. FNS intended the
memorandum to be temporary, covering
FY 2003 only, but did not identify an
expiration date. The preamble in the
final rule, Quality Control Provisions of
the Mickey Leland Childhood Hunger
Relief Act (62 FR 29652 27), published
June 2, 1997, detailed the reasoning for
why arbitrations were only to be used
for finding and disposition
disagreements. The Department noted
that arbitrating ‘‘agree cases,’’ which
encompasses disagreements solely on
APT, would adversely impact the
accuracy and timeliness of the
arbitration process. FNS discovered in
2017 that some FNS regional offices
were still allowing their State agencies
to arbitrate APT-only disagreements.
The FNS national office provided
clarification through policy guidance,
but to clarify the Department’s original
intent in the 1997 Rule, the Department
proposes to update language in 7 CFR
275.3(d)(4)(i)(A) to clarify that, other
than those circumstances specified in
regulations, other disagreements would
not be provided arbitration rights.
In addition, current regulations
instruct State agencies to send
arbitration requests to their FNS
regional office, addressed to the
attention of the FNS Arbitrator. Over
time, FNS found that by providing the
Arbitrator’s contact information for
State agencies to make direct arbitration
requests, FNS was not only able to
provide better customer service, but also
have a more efficient request process.
Therefore, the Department proposes to
update its regulations at 7 CFR
275.3(d)(4)(iv) to require that a State
agency send its request for arbitration
directly to the FNS Arbitrator and copy
the appropriate FNS regional office.
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for every i, which is a constant across
the strata.
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to align with the new review process,
including how to construct the new
sampling frame and which variables to
use to create the proposed strata
(discussed further below). The revision
would also clarify that each month,
State agencies must select a sample size
equal to one twelfth of the annual
sample size specified in 7 CFR 275.11(b)
(rounded to the next whole number) to
ensure the sample accurately reflects the
entire year of SNAP cases.
7 CFR 275.11(b)(1)–(2)—Sample Size—
Active Cases and Negative Cases
The Department proposes to simplify
and standardize the active case review
process by (1) eliminating the current
allowance for choosing between two
different possible sample sizes and (2)
increasing the current sample size for
active cases specified in 7 CFR
275.11(b)(1)(iii) by 30 percent.
Increasing the overall sample size
ensures that the new sampling design
would deliver the same level of
precision as the current sampling design
by providing for sufficient sample sizes
within each stratum. Without this
increase in overall sample size and
proper allocation among the strata, the
new design would over-represent cases
with shorter reporting periods and
under-represent those with longer
reporting periods. Having a larger
overall sample size is necessary to
ensure statistical validity of the sample,
which results in a more precise PER
estimate. The Department proposes to
remove the choice of the other sample
size option, currently described at 7
CFR 275.11(b)(1)(ii), because in order
for the new sampling methodology to
provide a basis for calculating a national
PER, all States must follow the same
sampling design; therefore, a second
option is no longer appropriate. Given
the proposed deletion of 7 CFR
275.11(b)(1)(ii), the Department
proposes to re-designate the remaining
paragraphs of 7 CFR 275.11(b)(1) that
follow paragraph 7 CFR 275.11(b)(1)(i).
In the final rule published on June 11,
2010, titled, ‘‘Supplemental Nutrition
Assistance Program: Quality Control
Provisions of Title IV of Public Law
107–171’’ (75 FR 33422)28, the
regulations pertaining to SNAP negative
case reviews (the review of cases that
were denied, terminated, or suspended)
were changed to emphasize customer
service. This rule required State
agencies to determine whether the
action on the negative case under
review was correct and whether the
State agency correctly notified the
28 https://www.govinfo.gov/content/pkg/FR-2010-
06-11/pdf/2010-13446.pdf.
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household or participant 29 in clearly
understandable language of the adverse
action on their case.
The Department implemented this
change in FY 2012, and later began
informally referring to the associated
error rate as the case and procedural
error rate, as opposed to the negative
error rate, to reflect the change in focus.
This practice of referring to the error
rate for negative case reviews as CAPER
continues today and is the
commonplace term State agencies and
FNS use. As such, the Department
proposes to amend 7 CFR 275.11(b)(2)(i)
to include the explanation that negative
case reviews result in determining the
‘‘case and procedural error rate.’’
The Department found State agencies
typically utilize the minimum annual
sampling size for their negative case
samples. Just as with the proposed
removal of the alternative active case
sampling design discussed earlier, the
Department proposes to amend 7 CFR
275.11(b)(2)(i) to remove the alternative
design option for the negative sample
size so that sample sizes are standard,
provide more precision for error rate
estimates, and align with the language
used for the selection of active cases in
7 CFR 275.11(b)(1)(i).
7 CFR 275.11(b)(4)—Sample Size—
Alternative Designs
Consistent with the proposed removal
of alternative design options for both the
active and negative sampling frames, the
Department also proposes to remove the
regulatory provisions at 7 CFR
275.11(b)(4) through 7 CFR
275.11(b)(4)(iii) since those paragraphs
discuss the options for State agencies
concerning alternative QC sampling
sizes.
7 CFR 275.11(c)(2)—Sample Selection—
Corrections
To ensure they select enough cases to
review annually, State agencies often
pull supplemental samples when they
find they do not have enough cases to
meet FNS requirements. FNS refers to
this act of pulling a supplemental
sample in current regulations at 7 CFR
275.11(c)(2) as a ‘correction.’
Corrections can be necessary for many
reasons but most often occur because
some cases in the sample were later
determined to be not subject to QC
review or because an increase in the
average monthly reviewable caseload
necessitated an increase in monthly
sample size. The Department proposes
to amend the provisions regarding
29 Not all adverse actions are against an entire
household. Sometimes an adverse action will occur
against a specific participant in a household.
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corrections at 7 CFR 275.11(c)(2) to
clarify that the new procedures for
sample size, sample selection, sample
frame, and sample allocation in
proposed paragraphs 7 CFR 275.11(b),
(c), (e), and (g) are also applicable to
corrections, or in other words, when
State agencies pull additional cases to
compensate for under sampling.
7 CFR 275.11(e)—Sample Frame
Current regulations at 7 CFR 275.11(e)
allow State agencies a ‘choice’ in what
their sampling frame must include. The
Department proposes to remove
language concerning the ‘choice’ of the
sampling frame since the Department’s
proposed methodology requires State
agencies to use a specific frame for
sampling.
7 CFR 275.11(e)—Sample Frame—
Active Cases
The Department proposes to change
its active case sampling frame
description at 7 CFR 275.11(e)(1) to
include only households that either
experienced an initial certification
action, a recertification action, or were
required to submit a required monthly,
quarterly, or periodic report in the
sampling month and an allotment is
issued in the following month. As noted
earlier, this simplified QC process
would shift the review focus to when an
eligibility action occurred rather than a
review of a random month within a
household’s certification period.
The simplification of only reviewing
the eligibility action would ease
compliance with QC requirements for
both recipients and SQCRs by
eliminating the complex aspects of the
current review process and by making
the SNAP review consistent with other
benefit programs’ improper payment
review procedures. The complexities of
the current process can contribute to
State agencies having low QC case
review completion rates and to, the
integrity issues discussed throughout
this proposed rule.
7 CFR 275.11(f)—Sample Universe—
Active Cases
Regulations at 7 CFR 275.11(f)(1)
inform State agencies which cases they
must exclude from their sampling
frames. Consistent with proposed
changes in this rule to the sampling
frame, the Department is also proposing
corresponding changes for those cases
the State agency must exclude. The
Department proposes to amend one
condition and remove one condition
from the current list of excludable
households for review at 7 CFR
275.11(f)(1).
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The Department proposes to amend
the provision at 7 CFR 275.11(f)(1)(iv)
that addresses the exclusion of a
household appealing an adverse action
when the review date falls within the
time period covered by continuing
participation pending a fair hearing, or
in other words, the time the household
continues to receive benefits while they
await their fair hearing. Instead of the
condition being ‘‘when the review date
falls within the time period covered by
continuing participation pending the
hearing,’’ the Department proposes to
exclude all cases under review where
the household is appealing an adverse
action for any of the sampled actions,
since the benefit determination is
subject to change based on the result of
the appeal.
The Department also proposes to
remove the condition for exclusion at 7
CFR 275.11(f)(1)(v) that indicates a
household can be excluded when the
household is receiving restored benefits
but is not participating based upon an
approved application. This condition no
longer applies to the new proposed
sampling method because only
approved applications will be included
in the sample. As such, only the
instruction that, ‘‘Other households
excluded from the active case universe
during the review process are identified
in 7 CFR 275.12(g)’’ would remain in
this paragraph.
7 CFR 275.11(g)–(h)—Active Sample
Allocation and Weighting
In order for the new sampling method
to be reflective of the SNAP caseload,
the Department proposes to add two
new paragraphs at 7 CFR 275.11(g),
entitled ‘‘Active sample allocation’’ and
7 CFR 275.11(h), entitled ‘‘Weighting,’’
which will describe how State agencies
would allocate the sample across the
strata defined in the new sampling
design and compute the weights needed
to make the sample representative of the
sample universe/target population.
As described earlier, the Department
proposes to add requirements at 7 CFR
275.11(g) for the active sample
allocation so that active cases are
allocated to five pre-defined strata.
These five strata are based on the
combination of action type (i.e.,
certification, recertification, and when a
required monthly, quarterly, or periodic
report is due and an allotment is issued
in the following month) and reporting
period (i.e., less than six months, six
months, and more than six months).
This proposed change would ensure the
resulting allocation will contain
sufficient sample sizes within each
stratum and cases from each stratum are
represented in the sample.
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In addition, the Department proposes
to add a section, 7 CFR 275.11(h)
‘‘Weighting’’ to illustrate how to
compute the weights needed to make
the sample representative of the
universe/target population. The new
sampling design samples cases with
unequal probabilities across the strata
and, therefore, some cases have higher
selection probabilities than others. State
agencies must provide FNS the data
necessary to compute the weights. To
compensate for the unequal
probabilities of selection across the
strata, the Department is proposing the
following formula for the weights Wi:
Wi = (Ni/Fi) × (Fi/ni) = Ni/ni for i =
a,b,c,d,e,
Where:
—Wi is the weight for cases sampled from
stratum i (the new proposed sampling
design has five strata);
—Ni is the size of stratum i in the sampling
universe/target population;
—Fi is the size of stratum i in the sampling
frame;
—ni is the number of cases sampled from
stratum i.
—Fi/ni is in the inverse of the sampling
probability for cases sampled from
stratum i (also called sampling weight),
while Ni/Fi represents the poststratification weights and corrects for the
biases in the sampling frame. This
ensures the sample represents the
sampling universe, i.e., the SNAP
caseload.
State agencies would be responsible
for providing to FNS the counts Ni, Fi,
and ni (for i = a,b,c,d,e).
7 CFR 275.12—Review of Active Cases—
General
By focusing only on eligibility
actions, the Department anticipates the
information obtained through the
modified QC review process will be
more useful for program improvement
purposes, as it will be focused on the
main touchpoints of a SNAP case and
will be collected closer in time to those
touchpoints. Currently, SNAP’s error
rates are a combination of errors
measured at random points of time
within a household’s certification
period and at points of eligibility. By
narrowing the review, FNS would issue
an error rate derived from the time of
most recent eligibility action for all
cases reviewed. This would allow FNS
to more accurately identify where errors
are occurring and allow State agencies
to correct more effectively the causes of
error at certification or the point of most
recent eligibility action. FNS would also
be collecting information at a point in
time that is closer to when many actions
and their corresponding errors are
occurring, making the monitoring of
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State agency performance timelier than
is possible under the current QC system.
Under the new proposed
methodology, the PER would be
representative of points in time when
households have an obligation to report
or confirm their circumstances and
attest the information is accurate. In
addition, at those points in time, the
State agency also has an obligation to
verify those household circumstances
and accurately determine the
household’s eligibility and benefit level.
With this new approach, payment errors
would specifically reflect errors made
directly as a result of the benefit
determination process, a connection
that has proven challenging with the
current review system due to the
distance in time between the selected
review month and the action causing
the errors. By identifying errors in a
timelier manner, FNS could raise
deficiencies in program operations more
quickly and effectively, and State
agencies and FNS would be able to
address the root causes of errors more
quickly than under the current QC
system.
Another significant impact of moving
from a random ‘‘point in time’’ review
of the present QC system to this
modified ‘‘eligibility action-only’’
review is that FNS would no longer
require SQCRs to re-create all of a
household’s sample month
circumstances for a random month
within a certification period. Currently,
to review the sample month (which can
be at any point in time during a
household’s certification period),
SQCRs must collect and validate the
household’s circumstances for that new
month, which most of the time does not
exist in the case record, to determine
whether the allotment they received that
month is accurate for what they should
have received based on those
circumstances. In order to determine
whether the sample month’s allotment
determination by the SQCR is accurate,
the SQCR must often request
information about household
circumstances for the past months in
between the sample month and the most
recent certification month, if they are
not one in the same, making the review
process very complex and prone to
inaccurately applying QC policy since it
relies on the ability to collect
information from SNAP households for,
in some instances, a year or more in the
past. The reason these are so
challenging to obtain is that SNAP
households do not always have stable
incomes, bank accounts, and contracts
with cellular phone carriers or other
utility companies, for example, that
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would make verifications easy to recall
months later.30
In the new approach, SQCRs would
still be required to verify the
household’s circumstances for the
sample month; however, the sample
month would be the month the action
took place, eliminating the need to look
at previous months. As a result, the
process would require fewer months to
review, and much of the information a
SQCR needs to verify the household’s
circumstances and determine the
allotment’s accuracy should already be
available in the case record. In addition,
if verifications do not already exist in
the case record and SQCRs must either
obtain this information from the SNAP
household or collateral contacts, it
would be less challenging for them to
produce verification from the previous
month or two than it would be for them
to produce verification issued at some
point in the previous four to twelve
months, as is necessitated under the
current system. Since this change would
make obtaining verifications less
challenging, compliance from
households and collateral contacts will
likely increase and SQCRs would be
able to complete more of their QC case
reviews, resulting in a more accurate
PER.
Given the proposed change in review
focus, FNS considered whether an ex
parte review, in which the SQCR relies
solely on the case record and does not
contact the household, would be
appropriate. FNS determined that
relying solely on an ex parte review for
QC reviews would not be appropriate
for several reasons. First, the purpose of
the QC review is to determine the
accuracy of the allotment authorized by
the State, and to accomplish that
purpose, SQCRs must verify all
household circumstances in the sample
month. However, using allowable
administrative flexibilities, many States
choose to ease verification requirements
at certification to reduce the
administrative burden on applicants. As
a result, verifications of all household
circumstances may not be included in
the case record and available for QC
reviewers. Generally accepted
government auditing standards
(GAGAS) require reviewers to obtain
sufficient, appropriate evidence to
provide a reasonable basis for
addressing review objectives and
supporting their findings and
conclusions.31 If SQCRs rely solely on
30 Enhancing SNAP Quality Control Completion
Rates Final Report, January 2016, https://fnsprod.azureedge.us/sites/default/files/ops/
SNAPQCCompletion.pdf.
31 See Section 5.08 of the Government Auditing
Standards, GAO 21–368G, April 2021, Government
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the information in the case record, they
may not have sufficient evidence from
which to assess the accuracy of
eligibility and benefit determinations. In
addition, GAGAS require reviewers to
have a certain level of independence
when conducting quality control
evaluations and audits, and to avoid
situations that could lead reasonable
and informed third parties to conclude
they are not independent and thus are
not capable of exercising impartial
judgment.32 If SQCRs were to rely solely
on the information in the case record,
they may not be able to independently
review all elements of eligibility and
benefit determinations.
This proposed review would still
require a complete and independent
review of the household’s circumstances
to assess whether the State agency
accurately determined the household’s
eligibility and SNAP benefit amount. By
focusing on the eligibility action and not
on a random sample month, FNS hopes
to place greater emphasis for corrective
action on making more accurate benefit
determinations through better
documentation, verification, and
accountability.
The change in review procedure
would also eliminate the current SNAP
QC Comparison I and Comparison II
process when determining a QC case’s
reportable error (an error that is above
the current fiscal year threshold for
excluding small errors).33 As described
earlier, SQCRs and FQCRs conduct up
to two assessments, Comparison I and
Comparison II, to determine the final
error amount in a case. In Comparison
I, the reviewer determines the accuracy
of the benefit received by the household
based on the household’s sample month
circumstances. If the reviewer finds an
error above the national error tolerance
threshold (presently $54) in Comparison
I, the reviewer completes Comparison II
by examining the accuracy of the
certification action that authorized the
sample month’s benefits. The final error
amount is the lesser error amount of the
two comparisons. In OIG’s audit report
titled, ‘‘FNS Quality Control Process for
SNAP Error Rate,’’ 34 OIG asserted that
these comparisons measure two
different points in time and suggested
FNS should take action to increase
Auditing Standards: 2018 Revision Technical
Update April 2021 (Supersedes GAO–18–568G) |
U.S. GAO.
32 See Section 3.19 of the Government Auditing
Standards, GAO 21–368G, April 2021, Government
Auditing Standards: 2018 Revision Technical
Update April 2021 (Supersedes GAO–18–568G) |
U.S. GAO.
33 See Section 16(c)(1)(A)(ii) of the FNA or 7 CFR
275.12(f)(2).
34 OIG Audit Report 27601–0002–41.
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consistency in the PER measure. FNS
has determined the improvements to the
quality and consistency of QC data
inherent with the proposed approach
would address OIG’s concerns regarding
the Comparison I and II processes.
Along with these changes, the
Department also proposes to eliminate
the concept of ‘‘as of the review date’’
throughout 7 CFR 275.12, since
eligibility actions would now be the
critical focus of the QC review and this
phrase would no longer be meaningful.
7 CFR 275.12(b)—Review of Active
Cases—Household Case Record Review
The process of reviewing a case in QC
has several distinct components,
including the household case record
review, where the reviewer gathers
information and evidence from the case
record to determine what occurred in
the case and to plan for the next factfinding phase.
The Department proposes to amend
the regulations at 7 CFR 275.12(b) to
update the case record review
provisions to reflect the new proposed
review process. The proposed change
specifies that the case record must
include the initial certification or
recertification application or, the
monthly, quarterly, or periodic report,
and QC worksheets applicable to the
sample month determination.
Documentation contained in the
eligibility case record is allowable as
verification, but only if the evidence
used in the eligibility determination
meets or exceeds QC verification
standards found in the FNS Handbook
310. The Department also proposes to
eliminate the requirement at 275.12(b)
that reviewers examine the household
issuance record for pertinent
information if they cannot find the
household’s case record, as the case
record review would be an essential
component of the active review process.
Under the proposed rule, situations
where the case record could not be
located would result in an incomplete
case and, therefore, the total dollar
amount issued would be reported as an
error. Further discussion on
incompletes becoming total dollar errors
is in this preamble under the heading,
Review of active cases—Disposition of
case reviews.
The purpose of this proposed change
is two-fold. First, including dropped/
incomplete cases in the error amount
would strengthen integrity by acting as
a deterrent against the types of droppedcase manipulation that previously led to
unreliable State PER data reporting,
discussed in the history part of this
preamble. Second, by including
dropped/incomplete cases now
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excluded from the improper payment
rate calculation, the proposed change
would align SNAP with PIIA and other
Federal programs, as noted in an audit
released on July 6, 2016, by the General
Accounting Office.35
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7 CFR 275.12(c)—Review of Active
Cases—Field Investigation
The field investigation is another factfinding phase of the QC review and
includes interviewing the household
and collateral contacts. Collateral
contacts can include, for example,
individuals, organizations,
governmental agencies, and businesses
that hold relevant information on the
household’s circumstances.
While conducting QCIRs, FNS staff
found that State agencies do not widely
use technology to collect documentary
evidence during the field investigation
phase. For example, while some SQCRs
have access to digital scanners or
cellular phone cameras to make
electronic copies of verifications, many
SQCRs have no access to these
technologies during the field
investigation or were not aware the use
of electronic devices was a permissible
way of obtaining documentary evidence
that could not be brought back to the
office.
Additionally, in the 2018 RFI,36 FNS
asked for recommendations to
encourage greater use of technology that
could enhance the accuracy of case
reviews. A prevalent response was that
more funding and grants from the
Federal Government would assist in
State agencies using additional
technology. The Department emphasizes
here that, under current regulations at 7
CFR 277.3, expenditures for technology
to aid in program administration,
including in association with QC
reviews, qualifies for reimbursement up
to 50 percent.
FNS hopes that promoting the use of
technology in regulations to collect
documentary evidence from both
households and collateral contacts
would encourage State agencies to offer
households better customer service by
limiting the need to send in a physical
copy of documentary evidence, a step
that can prove challenging for many.
Therefore, the Department proposes to
amend paragraph 7 CFR 275.12(c) to
provide that the use of technology is not
only permitted, but encouraged, to
obtain verification, including copies of
documentary evidence from households
and collateral contacts, so long as the
35 GAO 16–708–T, https://www.gao.gov/products/
GAO-16-708T.
36 https://www.govinfo.gov/content/pkg/FR-201806-01/pdf/2018-11849.pdf.
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privacy of the household and the
information gathered are protected
pursuant to applicable Federal and State
privacy laws.
7 CFR 275.12(c)(1)—Review of Active
Cases—Personal Interviews
QC regulations currently require
SQCRs to conduct a face-to-face
personal interview for all households.
Under current regulations at 7 CFR
275.12(c)(1), only specific
circumstances allow telephone
interviews to be used in lieu of face-toface interviews for the QC field
investigation. Seventy percent of State
agency responses to the RFI 37 question
about the interview process included
requests that telephone interviews be an
acceptable interview method instead of
face-to-face, citing reports of QC staff
regularly traveling long distances only
to find households failing to meet for
the scheduled interview times, resulting
in lost time and wasted administrative
funds. During FNS’s QCIRs, SQCRs
raised concerns about staff safety while
conducting the required face-to-face
interviews outside of the local office.
Finally, comments on the RFI from nonprofit organizations presented that faceto-face interviews may be more
challenging for SNAP’s working
households to comply with.
In considering the various comments
provided by different stakeholders, the
Department determined that switching
to telephone interviews as the primary
interview method will continue to meet
the needs of the proposed QC review
changes in this rule. As a result, the
Department proposes to revise the QC
personal interview regulation at 7 CFR
275.12(c)(1) to require that telephone
interviews be the default interview
format, and require that State agencies
inform households that a face-to-face
interview is an option available to them
by request. This change will not only
address the concerns brought forth by
commenters but may also have a
positive impact on State agency
completion rates since the increased
flexibility that telephone interviewing
allows will provide more households
the opportunity to comply with the QC
review process. The reason the
Department proposes standardizing the
telephonic interview as the default
interview mode as opposed to making it
another interview option is to ensure
fair treatment for all sampled
households during the QC review
process. In addition, because of this
change, the Department proposes to
eliminate the exception at 7 CFR
37 https://www.govinfo.gov/content/pkg/FR-201806-01/pdf/2018-11849.pdf.
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275.12(c)(1) available to remote, isolated
households in Alaska because this
proposed change will cause the
exception to be unnecessary.
Regulations at 7 CFR 275.12(c)(1)(iii)
require that, during the personal
interview, reviewers must review with
the household all documentary
evidence in the household’s possession
and secure information about collateral
sources of verification. The Department
proposes to amend the provisions at 7
CFR 275.12(c)(1)(iii) to codify that
during the personal interview, reviewers
would also be required to review with
the household all documentary
evidence that is already in the case file
and request new documentary evidence
from the household, as needed. This is
a best practice of State agencies and, by
codifying this requirement, FNS seeks to
ensure greater consistency in the
interview process as well as
accountability for the quality and scope
of interviews, a vital component in the
QC review process.
7 CFR 275.12(c)(1)–(2)—Review of
Active Cases—Collateral Contacts
During, prior to, or after the personal
interview, the SQCR may need to
contact a collateral contact of the
household who can be used as a source
to verify household circumstances.
Because State law might require an
SQCR to obtain consent from the head
of household to contact collateral
contacts FNS codified the provision at
7 CFR 275.12(c)(1)(iv), which currently
reads, ‘‘If required by the State, the
reviewer shall obtain consent from the
head of the household to secure
collateral information.’’ However, FNS
has since discovered the language of 7
CFR 275.12(c)(1)(iv) is being interpreted
differently by States. For example, some
States without such laws are still
mandating consent be obtained, which
has created roadblocks for SQCRs and
resulted in preventing the SQCR from
being able to complete cases. It is
imperative that SQCRs accurately
complete as many QC cases as possible
without any unnecessary burdens.
Therefore, the Department proposes to
amend the language at 7 CFR
275.12(c)(1)(iv) to clarify its intent by
linking obtaining consent to the
presence of a State law.
Currently, regulations at 7 CFR
275.12(c)(2) require SQCRs to obtain
verification from collateral contacts in
all instances when adequate
documentation is not available from the
household. The current regulatory
provision does not address situations
when there is inadequate
documentation in the case file.
Therefore, the Department proposes to
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amend 7 CFR 275.12(c)(2) to require the
reviewer to obtain verification from
collateral contacts in all instances when
adequate documentation is not
available.
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7 CFR 275.12(d)—Review of Active
Cases—Variance Identification
According to Section 2(b) of the
PIIA,38 an improper payment includes
‘‘any payment that should not have been
made or that was made in an incorrect
amount, under a statutory, contractual,
administrative, or other legally
applicable requirement.’’ Per Section
2(c), when an agency cannot discern
whether a payment was proper because
of lacking or insufficient
documentation, the payment shall be
treated as an improper payment. The
Department proposes to amend and
reorganize 7 CFR 275.12(d), as
discussed in the three sections that
follow, to reflect the new review focus
and align it with requirements in PIIA.
In addition, consistent with what was
noted earlier, all references under 7 CFR
275.12(d) regarding the ‘‘sample month’’
would either be changed to ‘‘action
under review’’ or eliminated, where
applicable.
7 CFR 275.12(d)(2)—Review of Active
Cases—Variances Excluded From Error
Analysis
Regulations at 7 CFR 275.12(d) define
a ‘variance’ as a review finding that
policy was applied incorrectly or that
information verified as of the review
date differs from the information used at
the most recent certification action. The
Department is also proposing to allow
fewer opportunities for variance
exclusion from the error analysis. There
are two reasons for this proposal: (1) a
more restrictive review focus in
accordance with PIIA specifications on
which errors are and are not considered
payment errors; and (2) the change in
review focus to reviewing only the
household’s eligibility determination
versus a point in time analysis. As such,
the Department proposes to eliminate
regulations at 7 CFR 275.12(d)(2)(i), (iii),
and (ix). These provisions are related to
variances associated with countable
income unable to be verified at the time
of certification, changes in household
circumstances that were not yet
required to be reported as of the review
date, and changes to child support
orders that occurred after the most
recent certification action, respectively,
and no longer align with the new review
focus. Provisions (ii) and (viii) regarding
variances resulting from postponed
verification for expedited service
38 31
U.S.C. 3351.
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households and from incorrect written
Federal policy, respectively, would be
revised, as further discussed below, and
references to Immigration and
Naturalization Services (INS) would be
updated.
FNS found in its QCIRs that
inadequate documentation in household
eligibility case records presents
challenges for reviewers to complete
cases, particularly in expedited service
cases where verification of certain
elements of eligibility is postponed. In
these cases, the QC reviewer must rely
solely on the eligibility case record to
determine what verification was
postponed and if any variances in
benefits resulting from the postponed
verification qualify to be excluded from
the error rate calculation, called a
variance exclusion. In these cases, a lack
of required documentation should result
in forfeiture of the variance exclusion
since the reviewer cannot validate if
regulatory requirements regarding
verification were followed accurately.
Current regulations are not clear that a
lack of documentation means the
exclusion does not apply, and some
State agencies have used this ambiguity
to apply the variance exclusion
inappropriately. Therefore, the
Department proposes to amend the
language at 7 CFR 275.12(d)(2)(ii) to
clarify that, for this exclusion to apply,
the case record must include clear
documentation indicating which
elements of verification were
postponed. Otherwise, if an eligibility
worker does not sufficiently document
an element to indicate they properly
postponed it, the exclusion would not
apply and any variances arising from
errors related to the element would then
be included in the error determination
process.
The Department proposes to amend
the current regulatory language at 7 CFR
275.12(d)(2)(viii) [re-designated as 7
CFR 275.12(d)(2)(vii)] regarding policy
memoranda for clarity. Instead of
specifying categories of policy
memoranda, as exists now, the
Department proposes to generalize the
concept to be all-inclusive of SNAP
policy memoranda issued.
7 CFR 275.12(d)(3)—Review of Active
Cases—Other Findings
The regulations at 7 CFR 275.12(d)
define a variance as a review finding
that policy was applied incorrectly or
that information verified as of the
review date differs from the information
used at the most recent certification
action while the regulations at 7 CFR
275.12(d)(1) and (2) further describe
which variances are included in and
excluded from the error analysis.
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Regulations at 7 CFR 275.12(d)(3)
describe findings other than variances;
however, there is currently no
requirement to report these findings to
a local office. When a SQCR does report
a finding other than a variance, they do
so through a notification comment that
is sent along with the case’s official QC
results. The lack of a requirement to
report these findings can lead SQCRs to
bypass those issues, thereby reducing
the local eligibility office’s ability to
determine whether a change in the case
record is warranted following the QC
review. This is important to address,
because currently it is possible for a
SQCR to learn information about a
household’s current circumstances that
do not affect the sample month under
review but could affect the household’s
ongoing SNAP allotment after the
sample month. For example, a SQCR
conducts an interview with a household
in May for a case selected for the March
sample month. During the interview, the
SQCR finds that a household member
recently started a new job that increased
the household’s earned income over the
income limit for its household size but
failed to report this information to the
State agency within the required time
frames. The new earnings are
excludable from the review because
they occurred after the sample month,
but the household is required to report
this change and it may impact the
household’s ongoing SNAP allotment in
future months.
As a result, the Department is
proposing to amend 7 CFR 275.12(d)(3)
by adding that the State QC office would
be required to notify the local office of
these other findings in all cases,
regardless of the error impact those
deficiencies may have on the case. The
Department believes this notification is
essential to good management of the
Program, because it provides
information about inaccuracies in the
case file to eligibility staff, enabling
them to correct the issue, prevent future
errors from occurring, and potentially
provide improved customer service to
households. The Department also
proposes to remove the following
examples from the same paragraph since
the household would not have been
eligible for benefits according to SNAP
rules at 7 CFR 273, and therefore, any
benefits issued to such households are
considered improper payments under
PIIA: 39 an overdue subsequent
certification and no current application
on file. Additionally, the Department
proposes to remove the following
examples from the same paragraph since
39 https://www.whitehouse.gov/wp-content/
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the change in review focus would no
longer exclude them from variances
cited in the QC review: insufficient
documentation and incorrect
application of the verification
requirements specified in part 273.
Currently, at 7 CFR 275.12(d)(3), State
agencies have the discretion to act on
findings other than error variances
discovered during the review, which are
pertinent to the SNAP household or the
case record. Such findings may include,
for example, the incorrect age of a
household member that is unrelated to
an element of eligibility and
deficiencies in work registration
procedural requirements, among others.
The Department proposes to maintain
this State agency discretion to act or not
act on additional information
discovered during the QC review.
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7 CFR 275.12(f)—Review of Active
Cases—Reporting of Review Findings
Consistent with the changes made at
7 CFR 275.12(d)(3), where SQCRs would
be required to document all variances
discovered in the review and not just
those causing a reportable error, the
Department proposes to revise
regulations at 7 CFR 275.12(f)(1) and
(f)(2) to require reviewers include all
variances in their individual review
findings reports for both eligibility and
basis of issuance variances, respectively.
Changes in both sections would also
remove the reference to ‘sample month’,
as this would be consistent with the
shift in review focus from a point in
time to the eligibility action under
review.
7 CFR 275.12(g)—Review of Active
Cases—Disposition of Case Reviews
As noted, proposed updates to the
active review would be more reflective
of improper payment requirements for
PIIA, which requires a more thorough
reporting of errors. Currently, FNS
‘‘charges’’ State agencies a penalty for
having a low QC completion rate. This
penalty is part of the calculation that
determines the State agency’s PER. This
method is unique to SNAP. Other
programs that report for PIIA, follow a
different process, whereby any case they
are unable to complete for QC results in
a total dollar error. In SNAP, reviewers
drop cases for which they cannot verify
an element of eligibility or basis for the
benefit amount. For instance, if a case
indicates the household received earned
income, and the household is unable to
provide verification or a collateral
contact that can validate the
information, the reviewer drops the case
as incomplete.
To be consistent with PIIA, the
Department proposes to amend 7 CFR
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275.12(g)(1) so that, as with other
Federal programs, all cases that cannot
be completed, regardless of the reason,
would result in the reporting of an error
for the total allotment issued for the
action under review. The Department
requests public comment for
considerations of circumstances it
should consider in implementing this
policy.
The Department is also seeking
feedback on whether there should be a
threshold applied to completion rates in
the proposed error rate calculation
methodology, similar to the current
percent completion threshold which
requires a penalty be applied to a State
agency’s error rate if it fails to complete
at least 98 percent of its minimum QC
case load.
Current regulations at 7 CFR
275.12(g)(1)(ii) list instances in which
the household’s unwillingness to
cooperate in completing a QC review
has the effect of a refusal to cooperate.
Those instances include when the
household fails to respond to mail sent
Certified Mail-Return Receipt
Requested; when the household fails to
attend an agreed upon interview; and
when the household does not return a
signed release of information after
agreeing to do so or after receiving one
through Certified Mail-Return Receipt
Requested. FNS received input from
State agencies through various meetings
with the American Public Human
Services Association (APHSA) that the
use of certified mail is prohibitively
expensive and that delivery and service
issues with the United States Postal
Service (USPS) have presented
challenges even when using Certified
Mail-Return Receipt Requested.
APHSA members requested reviewers
be provided an opportunity to use a
process similar to the Request for
Contact (RFC) process used for unclear
information, as found in 7 CFR
273.12(c)(3)(i)(A). FNS determined the
use of a modified RFC process; whereby
households that fail to respond to the
request are suspended from SNAP for
one month, with opportunity to verify
their circumstances during that time,
prior to having their SNAP participation
terminated; is appropriate for QC
purposes. This new process would be
referred to as a request for quality
control contact or RFQCC. Allowing a
RFQCC will help State agencies
complete cases and reduce the number
of incomplete cases that, under the new
process, would count as total dollar
errors. The availability of this process
will ensure integrity in the Program by
encouraging households to cooperate
with the QC process. It will also protect
access to the Program for those
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64769
households that do cooperate as
required, as current regulations do not
provide an additional month for the
household to cooperate before the State
must pursue termination of their
participation. In addition, commonly
known issues with mail delivery
necessitate other allowable processes for
States to utilize in gaining household
cooperation. For that reason, the
Department proposes to revise 7 CFR
275.12(g)(1)(ii) by reordering the
examples and adding the previously
mentioned RFQCC process as an
alternative way to respond to
households that either refuse or fail to
ever respond to communication from
State QC to cooperate with the QC
review. Similar to the RFC process
outlined in 7 CFR 273.12(c)(3)(i)(B)(2), if
the household fails to respond to the
RFQCC, the reviewer will inform the
State and the State will send a notice of
adverse action that suspends the
household for one month to allow the
household an opportunity to cooperate
with QC prior to termination. If the
household does not cooperate with QC
by the deadline provided in the notice
of adverse action, the reviewer must
notify the State agency of the
household’s refusal and the State must
follow through with terminating the
household as stated at 7 CFR
275.12(g)(1)(ii).
The proposed review process would
also require an update to regulations at
7 CFR 275.12(g)(2) regarding active
cases that are not subject to review. The
Department proposes to eliminate the
current provisions at 7 CFR
275.12(g)(2)(iv) and 7 CFR
275.12(g)(2)(ix) pertaining to
households receiving restored benefits
and households not receiving benefits in
the sampled month, because the
provisions would no longer be relevant
to the way cases would be sampled. In
addition, 7 CFR 275.12(g)(2)(x) would
be removed because all cases in which
the household is unable to be reached
for the QC review would result in a total
dollar error amount for the eligibility
action under review, as mentioned
above, and, therefore, no longer be
considered a case not subject to review.
As a result of the proposed changes, the
Department would also reorganize the
section to accommodate the removals
and additions.
Subpart E—Corrective Action
7 CFR 275.16(b)(2)—Corrective Action
Planning—Negative Cases
In 2012, the Department changed the
negative case review process in the final
rule titled, Supplemental Nutrition
Assistance Program: Quality Control
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Provisions of Title IV of Public Law 107–
171 (75 FR 33421),40 from a review of
the accuracy of a denial, termination, or
suspension to a process that
incorporated a customer service review
of those actions, including whether the
State agency accurately informed the
household of the reason for the action
and whether the State agency’s
procedures were correct. Since that
change, the requirement at 7 CFR
275.16(b)(2) for State agencies to
implement a corrective action plan
(CAP) whenever its CAPER rose above
one percent has become impractical, as
exceeding the one percent threshold
became routine because of the new
review procedures. State agencies have
informed FNS of their concerns in
various ways, including through
conferences and advisory group
meetings, since the first CAPER release
in calendar year 2013. In the 2018 RFI,41
FNS requested feedback from
commenters regarding the factors FNS
should consider in revising the current
CAP requirement for negative cases.
FNS received ten comments about
changes to CAP requirements and three
suggested a threshold change for CAPs
required on CAPERs. However, those
three commenters overwhelmingly
agreed the threshold should be
increased. FNS based the current
threshold on the previous negative case
review process and now agrees that the
threshold should be adjusted to better
accommodate the process implemented
in FY 2012.
Consequently, the Department is
proposing that a State agency would be
required to implement a CAP when its
CAPER is higher than the national
CAPER for a given fiscal year. To do so,
the Department proposes to amend 7
CFR 275.16(b)(2) by removing the
phrase ‘‘of 1 percent or more in negative
cases’’ and adding in its place the
phrase ‘‘above the national average
CAPER.’’ However, because FNS has
received only limited and mainly
anecdotal feedback from State agencies
since the changes, the Department is
seeking additional comments through
this rulemaking regarding when State
agencies would be required to
implement a CAP to improve their
CAPER.
7 CFR 275.16(b)(4)—Corrective Action
Planning—Incomplete Cases
The CAP requirement at 7 CFR
275.16(b)(4) for incomplete cases is
another area that State agencies have
40 https://www.govinfo.gov/content/pkg/FR-2010-
06-11/pdf/2010-13446.pdf.
41 https://www.govinfo.gov/content/pkg/FR-201806-01/pdf/2018-11849.pdf.
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questioned. A CAP is currently required
whenever a State agency is unable to
complete more than 5 percent of its
annual QC caseload. The Department
received comments to the 2018 RFI 42 on
factors to consider in revising the
current CAP requirement in this area.
Ten commenters provided comments on
factors to consider if revising the current
CAP requirements. The commenters,
which included eight State agencies,
provided the following to consider:
adjust the completion rate because a 95
percent completion rate is unreasonable
and unattainable for many State
agencies; utilize the Federal regression
rate penalty only if State agencies are
not completing cases in accordance with
Federal rules and regulations; adjust
acceptable levels of performance before
corrective action occurs based on trends
and current data; and initiate CAPs only
when FQCRs demonstrates that
incomplete cases were completed by
FQCRs and SQCRs had the ability to
complete the case in the same manner.
The Department considered these
comments but determined that, due to
the proposed new handling of
incomplete cases as complete dollar
amount errors, the most appropriate
revision to this threshold would be to
eliminate the CAP requirement
altogether for active cases.
Since this rule proposes to count the
full allotment for incomplete cases as an
error, the Department has concluded
that the development of a separate CAP
for active cases would be duplicative
and unnecessary. This is due, in part, to
the fact that an excess number of
dropped cases would result in higher
PERs and the Department has
procedures, namely the liability and
sanction process, to respond to high
PERs.
For negative cases, current rules
related to dispositioning a case as
incomplete in the negative sample frame
stipulate that State agencies may list as
incomplete only those cases where the
whole case file cannot be located. This
largely stems from long-standing
requirements that eligibility workers
fully document their case files in
sufficient detail to permit a reviewer to
determine the reasonableness and
accuracy of the determination. As a
practical matter, the incidence of
incomplete negative cases by State
agencies is extremely low. For example,
for FY 2019, there were no dropped
cases in the negative sample frame.
For these reasons, the Department is
proposing to remove the provision at 7
CFR 275.16(b)(4). As a result, current
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regulations at 7 CFR 275.16(b)(5) will be
redesignated as 7 CFR 275.16(b)(4).
Subpart F—Responsibilities for
Reporting on Program Performance
7 CFR 275.21(b)(1)—Quality Control
Review Reports—Mandating the Use of
SNAP QC System
In 2013, FNS successfully
implemented a web-based electronic QC
review system (SNAP–QCS) for State
agencies to input their QC case review
data, including the documentary
evidence to support case reviews.
Therefore, the Department is proposing
to require State agencies to use the
Federally funded SNAP–QCS.
The primary purpose of SNAP–QCS is
to provide a central location to house
QC review cases which can be accessed
at both the State and Federal levels.
SNAP–QCS provides complete audit
and status tracking for each case. All
changes, beyond drafts, are available
(where authorized) for comparison to
prior iterations. SNAP–QCS contains
edit check rules that prevent the
submission by any user of information
that violates business logic or other
policy/regulatory guidance. In all cases,
SNAP–QCS informs users of the nature
of the rule violation in a manner that
allows for correction of any such
violation.
Since its inception, SNAP–QCS has
replaced numerous State agency legacy
systems. The system provides the
following functionality: the creation of
worksheets and review schedules (FNS
380, FNS–245 and FNS–380–1) 43 by the
States, workflow management for State
review worksheets and schedules; the
Federal subsampling of QC review
cases, the creation of review notes and
findings by FQCRs, detailed workflow
management for the Federal review
process; tracking of case-related
information, reporting tools for
workflow and case characteristics, and
analysis tools for advanced QC finding
reports.
FNS requested comments in the 2018
RFI 44 as to whether the Department
should mandate SNAP–QCS for all QC
Worksheets. Ten State agency
respondents commented on such a
mandate. Four State agencies expressed
support for mandated use of SNAP–QCS
because they currently use it and
asserted that it would allow for
improved consistency in the submittal
of required information to FNS across
States. One State agency indicated it
43 FNS 380—OMB Form 0584–0074; FNS 245–
OMB Form 0584–0034; FNS 380–1—OMB Form
0584–0299.
44 https://www.govinfo.gov/content/pkg/FR-201806-01/pdf/2018-11849.pdf.
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had no concerns about the mandate
because State agencies would retain the
option to maintain their own internal
automated QC system and upload the
results into SNAP–QCS. However, four
State agencies objected to the mandated
use of SNAP–QCS. One State agency
noted SNAP–QCS does not account for
special budgeting rules, such as waivers,
and other commenters expressed
concerns related to State system
variability resulting in system
modifications, increased work, and
inefficient use of State agency staff time
(e.g., double data entry).
The Department appreciates all
comments submitted. Most State agency
commenters who opposed the
requirement to use SNAP–QCS did not
have experience using the automated
version of the system. The Department
understands there is a learning curve
when a new reviewer begins using
SNAP–QCS. FNS anticipates that
mandating the use of SNAP–QCS will
improve data integrity and expects that
the edit checks would assist in accurate
data collection. Therefore, the
Department proposes to mandate the
use of SNAP–QCS at 7 CFR 275.21(b)(1).
This includes using the Auto-FNS Form
380, FNS Form 380–1, and FNS Form
245, and upload all documentation
necessary to understand the disposition
and findings for each sampled case.
CFR 275.23(b)(2)(i)(C). In addition, the
Department proposes to remove and
rephrase language about the quantity
‘‘Z’’ to make its definition clearer.
The assignment of error rates by FNS,
whether for active or negative cases, has
occurred only infrequently in the past.
Typically, FNS made assignments
because of extraneous circumstances
beyond a State agency’s control, such as
when a large disaster impedes its ability
to complete cases. However, situations
do arise in which FNS must assign rates
to State agencies due to other reasons.
FNS assigned multiple State agency
error rates in FY 2017 due to data
integrity issues and found that greater
clarity in regulations at 7 CFR
275.23(b)(2)(ii) is necessary. First, the
Department proposes to amend the
regulation to reflect the name change of
the error rates for negative cases and
clarify that assigned rates could be used
in the determination of liability status,
subject to 7 CFR 275.23(d). Second, the
Department proposes to amend the
paragraph by adding a statement at the
end of the section to indicate that under
no circumstance, would an assigned rate
be eligible for appeal unless the rate
resulted in a liability amount, per 7 CFR
275.23(d). While these clarifications are
consistent with current practice and
law, the Department maintains that the
additional language adds emphasis.
Subpart G—Program Performance
7 CFR 275.23(b)(2)(iii)—State Agency
Error Rates—Completion Rate Penalty
The Department proposes to change
the current penalties applied to State
agencies that fail to complete 98 percent
of their active QC caseload as described
in 7 CFR 275.23(b)(2)(iii) by changing
the application of the penalty to apply
to any State agency that fails to sample
the required minimum annual sample
size, while also increasing the impact of
the penalty. Since State agencies would
report all active cases with a disposition
of incomplete as a total dollar error for
the sampled action under review, the
Department believes there is a sufficient
deterrent to past State agency practices
of dispositioning cases as incomplete to
avoid errors. Still, situations exist where
a State agency may not sample the
minimum sample size. For FY 2022, a
total of seven States did not sample
enough cases to meet the minimum
regulatory requirement for active and
negative sample frames. This could
happen in situations beyond the control
of the State agency, such as when a
natural disaster impedes the State
agency’s ability to sample and complete
its required QC reviews. This could also
occur in situations that are within the
State agency’s control to prevent, such
as when a State agency fails to
7 CFR 275.23(b)(2)—Determination of
State Agency Program Performance—
Determination of Payment Error Rates
To accurately apply the new sampling
method to determine State agency
program performance, the Department
proposes to amend the language at 7
CFR 275.23(b)(2)(i)(A) to clarify what
the quantities y1, b1, x1, and X1 in the
PER determination formula are and that
X1 should be weighted (using Wi) to
account for the differential selection
probabilities of the new sampling
design. The Department also proposes to
amend the language at 7 CFR
275.23(b)(2)(i)(B) to clarify what the
quantities y2, b2, x2, and X2 in the
formula are and that X2 should be
weighted (using Wi) to account for the
differential selection probabilities of the
new sampling design. The Department
also proposes to remove language about
stratified sample designs covered by
both provisions because it would no
longer apply when using the proposed
sampling method.
To avoid confusion with the notation
introduced in the new paragraph 7 CFR
275.11(g), Active sample allocation, the
Department proposes to change the
notation of ‘‘u’’ to ‘‘Z’’ in paragraph 7
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sufficiently staff the QC unit and is
subsequently unable to complete the
required minimum sample size.
Specifically, the Department seeks
input on the proposal to apply an
adjustment penalty to a State agency’s
error rate when the State agency fails to
sample enough cases to complete the
minimum sample size in any given
sample month, including the following:
(1) if the changes proposed to the
current penalty formula are sufficient
and (2) whether FNS should distinguish
in how it applies the penalty based on
whether a State agency cannot sample
its minimum sample size due to
situations beyond its control.
7 CFR 275.24—High Performance
Bonuses
Section 4013(d) of the 2018 Farm Bill
removed the requirement for the
Secretary to award performance bonus
payments to State agencies and
prohibited the Secretary from awarding
performance bonuses in calendar year
2019 for FY 2018 performance. The
2018 Farm Bill also required the
Department to establish performance
criteria relating to actions taken to
correct errors, reduce rates of error,
improve eligibility determinations and
any other indicators of effective
administration determined by the
Secretary.
To ensure SNAP performance bonuses
are removed from regulations
throughout 7 CFR 275.24, the
Department proposes to amend current
regulations at 7 CFR 275.24 with this
rulemaking and replace that language
with performance criteria, as directed by
Congress pursuant to Section 4013(d)(3)
of the 2018 Farm Bill. The performance
criteria mirror current language at 7 CFR
275.24 but removes all references to
bonuses and adjusts the language,
grammar, and structure of the provision
accordingly. The Department proposes
these performance criteria because they
mirror prior performance bonus criteria,
which the Department believes, based
on prior experience with performance
bonuses, are informative measures of
performance.
7 CFR 275.24(a)(3)—Performance
Measures—Program Access Index
As one of the technical changes, the
Department proposes to remove the
fourth sentence in subparagraph 7 CFR
275.24(a)(3)(i) as it is no longer
necessary to allow an exception to
calculating the program access index
rate for the State of California as the
State converted its cash out program to
allow households to receive SNAP.
Therefore, the Department can use
actual SNAP participant numbers for
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their calculation and the sentence is
unnecessary.
before a final rule implements any
changes to SNAP’s QC system.
Proposed Timeframe for
Implementation of QC Sampling and
Active Review Changes
Procedural Matters
The Department recognizes the
significant sampling and active review
changes will require lead time and
technical assistance for State agencies to
come into compliance for
implementation. The Department is
considering establishing an
implementation date of two full fiscal
years after publication of the final rule.
For example, if a final rule were
published in March of 2027, the
Department would establish an
implementation date of October of 2029.
The Department seeks input on this
implementation timeline.
To summarize, the simplification of
the QC review is expected to benefit
several stakeholders. Households would
benefit from no longer having to provide
verifications for multiple months in the
certification period if their case is
selected for QC review, SQCRs and
FQCRs would have an equally robust
but less complicated active case review
to conduct, and the Department and
Congress would benefit from both an
improvement in the quality of
information that comes out of the
reviews and by being able to compare
improper payments more effectively
across government social safety net
programs.
In addition, simplifying the QC
review in the proposed manner would
also allow State agencies to implement
more timely corrective actions. Timely
corrective actions should reduce the
compounding impact of improper
payments as State agencies would be
able to correct systemic errors and
implement policies or processes more
immediately, thus improving customer
service to recipients, State agencies, and
the American taxpayer.
The Department acknowledges some
of the most impactful changes for State
agencies administering SNAP and
households sampled for review include
(1) the shift in review of the action that
authorized the allotment; (2) the
handling of cases that cannot be
validated, and (3) the introduction of
the RFQCC process. The Department
asks for and welcomes comment on all
provisions in this proposed rulemaking,
and we also request comments on
potential impacts, direct and indirect, of
these changes on State agencies and
SNAP households. The Department
reiterates this is a proposed rule, and we
will consider all comments provided
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Executive Order 12866, 13563, and
14094
Executive Orders 12866, 13563, and
14094 direct agencies to assess all costs
and benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, distributive impacts, and
equity). Under Executive Order 12866,
as amended, OMB’s Office of
Information and Regulatory Affairs
(OIRA) determines whether a regulatory
action is significant and, therefore,
subject to OMB review. This proposed
rule has been determined to likely be
significant under E.O. 12866, as
amended, and is being reviewed by the
Office of Management and Budget
(OMB) in conformance with Executive
Order 12866.
Executive Order 13563 emphasizes
the importance of quantifying both costs
and benefits, of reducing costs, of
harmonizing rules, and of promoting
flexibility. The analysis below outlines
the impacts that the Department
anticipates may result from this
proposed rule, if finalized, and was
prepared pursuant to the abovementioned executive orders.
Summary of Total Cost Impacts
A regulatory impact analysis (RIA)
must be prepared for rules which are
determined to be significant under
Section 3(f)(1) of E.O. 12866, as
amended ($200 million or more in
economic effects in any one year).
USDA does not anticipate this proposed
rule is likely to have an economic
impact of $200 million or more in any
one year, and therefore, does not meet
the definition of significant under
Section 3(f)(1) of E.O. 12866 as
amended. This proposed rule will not
impact SNAP participants’ benefit
levels. Overall household burden will
increase due to the increase in case
samples required by the new process,
not by adding additional burden to
individual households.
The Department expects several of the
proposed rule provisions to impact State
Administrative Expenses (SAE) or FNS
administrative costs. The rule includes
the following changes expected to have
measurable impacts:
—Section 275.11(b)(1)(iii) modifies the
active case sample size formulas for
State reviewers and Federal rereviewers, increasing the sample size
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by 30 percent, to maintain the current
level of precision.
—Section 275.11(3)(1) changes the
active case sampling frame from all
households to those with an action,
including initial certification,
recertification, and the submission of
monthly, quarterly, or periodic
reports.
—Section 275.12(b) clarifies that
reviewers will only be required to
examine households’ circumstances
for the month that the action took
place, eliminating the need for
comparing households’ circumstances
at the month of action versus the
month of the review. As a result of the
changes to the active case reviews, the
shift to only reviewing eligibility
actions will result in collecting less
information about the household
since only the point of eligibility will
be reviewed, rather than a random
point in time during a household’s
certification, which requires the
collection of a new month’s
circumstances, not one that’s already
in the case record.
—Section 275.11(g) specifies that the
active sample is divided into five
strata, allowing the sample to be
representative of the SNAP caseload.
—Section 275.12(d)(3) requires SQCRs
to notify local offices of all non-error
causing variances found in the
review.
—Section 275.21(b)(1) mandates that
SQCRs use the SNAP–QC system for
QC reporting, rather than using their
State systems.
Below in Table E.1 is a summary of
the combined impacts of these
provisions on both State Agencies and
the Federal Government. The Annual
Baseline column shows the current
annual costs for each row. The columns
with FY headers are the difference
between the annual baseline and new
procedures resulting from this rule
change in that specific fiscal year, with
FY 2024 being the first implementation
year and the first year in which the
discount rate is applied. The Total
column shows the sum of the five FY
columns: the costs over the first five
years of implementation. As noted
previously, there are no anticipated
impacts on SNAP allotments, but there
are some expected costs for SNAP
households as a result of the increased
number of sampled households. Cost
savings are anticipated after the
implementation year, in FY 2026, due to
expected reductions in the time needed
for a caseworker to perform a QC review
in under the new rule from 8.98 to 6.33
hours.
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TABLE E.1—SUMMARY OF TOTAL COST IMPACTS **
Impacts on state administrative expense
(cost in nominal FY 2024 $000s)
Baseline:
FY 2024
FY 2025
Annualized cost differences from pre-rule baseline
FY 2026
FY 2027
FY 2028
FY 2029
Total
New Sampling Procedures ...................................................................................
Training .................................................................................................................
Reporting all variances .........................................................................................
Record keeping .....................................................................................................
Help Desk ** ..........................................................................................................
Require all States use QCS ** ..............................................................................
$11,370.3
0.0
0.0
59.8
70.0
175.0
$3,393.4
974.2
0.0
0.0
0.0
0.0
¥$950.9
0.0
411.5
17.9
210.0
525.0
¥$950.9
0.0
411.5
17.9
210.0
525.0
¥$950.9
0.0
411.5
17.9
210.0
525.0
¥$950.9
0.0
411.5
17.9
210.0
525.0
¥$410.2
974.2
1,646.0
71.6
840.0
22,100.0
Total ...............................................................................................................
11,675.1
4,367.6
213.5
213.5
213.5
213.5
55,221.6
4,081.9
4,240.4
186.5
201.2
174.3
195.4
162.9
189.7
152.2
184.2
4,757.7
5,010.9
Discounted Cost Impact
7 percent ...............................................................................................................
3 percent ...............................................................................................................
11,675.1
11,675.1
Impacts on Household Burden (cost in nominal 000s)
Increase in Household Burden for Newly Sampled Cases ..................................
0.0
49.5
49.5
49.5
49.5
49.5
247.5
46.3
48.1
43.2
46.7
40.4
45.3
37.8
44.0
35.3
42.7
203.0
226.7
Discounted Cost Impact
7 percent ...............................................................................................................
3 percent ...............................................................................................................
0.0
0.0
ddrumheller on DSK120RN23PROD with PROPOSALS3
* Totals may not sum due to rounding.
** These costs are incurred only by the Federal Government.
The net present value of costs to State
and Federal governments over five years
is $4,76 million at a seven percent
discount rate and $5,01 million at a
three percent discount rate. The net
present value of costs to SNAP
participants over five years is $203.0
thousand at a seven percent discount
rate and $226.7 thousand at a three
percent discount rate. Annualized in
perpetuity, the government costs are
$333.04 ($150.33) thousand per year at
a seven (three) percent discount rate,
and participant costs are $14.21 ($6.80)
thousand per year at a seven (three)
percent discount rate.
This rule change will result in
substantive benefits for QC reviewers.
By changing the active case review to
focus on eligibility determinations
(certifications, recertifications, and
submission of required reports), the rule
will result in the SNAP QC process
being better aligned with how other
Federal programs measure payment
accuracy and with PIIA. The proposed
changes are also expected to simplify
QC reviews, which in turn will improve
the quality of the reviews and of the
information collected. The time spent
by each caseworker in QC review is
anticipated to drop from 8.98 to 6.33
hours per case, which will result in
¥$950.9 thousands in savings per year,
even accounting for the expected
increase in 13,649 QC reviews per year
(see Table E.3). Simplifying the process
and focusing on eligibility actions will
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also allow for more timely corrective
actions.
Implementation Costs (State and
Federal Administrative Expense)
Developing New Sampling Plans.
Statisticians from each of the 53 State
Agencies will need to develop new
sampling plans for active cases. It will
take an estimated 40 hours for each
State Agency to develop a plan. Given
an hourly rate of $47.81 (the median
hourly wage for a statistician, according
to the Bureau of Labor Statistics (BLS)),
the total one-time cost is $101,400
(Table E.2). Because these are State
Administrative Expenses for which the
Federal Government reimburses States,
$50,700 will be borne by the Federal
Government and $50,700 will be borne
by State Agencies.
Training SQCRs on new review
procedures. SQCRs will need to be
trained in the changes to the active case
QC review process. There are
approximately 634 SQCRs. Training will
take an estimated 40 hours. At an hourly
rate of $27.83 (the median hourly rate
for a social worker, according to the BLS
at time of analysis), the total cost for
training will be $705,800. Because these
are State Administrative Expenses for
which the Federal Government
reimburses States, $352,900 will be
borne by the Federal Government and
$352,900 will be borne by State
Agencies.
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Training SQCRs on entering data into
the SNAP QC system. All SQCRs will be
required to enter QC review data into
the SNAP QC system. Currently, 263
SQCRs of an estimated 634 SQCRs
nationwide are entering QC data into
the SNAP QC system. Therefore, based
on this estimate, an additional 371
SQCRs will need to be trained on how
to enter data into SNAP–QCS by making
the system mandatory. This training
will take an estimated 26 hours. At an
average social worker rate of $27.83, the
cost for this training will be $268,400.
Because these are State Administrative
Expenses for which the Federal
Government reimburses States,
$134,200 will be borne by the Federal
Government and $134,200 will be borne
by State Agencies.
Longer time initially processing cases.
During the first year, reviewers are
expected to take an estimated 2 hours
longer to review each case as they
become accustomed to the changes in
QC. With an estimated 59,149 cases, at
$27.83 an hour, the one-year cost is
$3,292,100. Because these are State
Administrative Expenses for which the
Federal Government reimburses States,
$1,646,100 will be borne by the Federal
Government and $1,646,100 will be
borne by State Agencies.
These one-time implementation costs
will total an estimated $4,367,700, of
which $2,183,900 will be borne by the
Federal Government and $2,183,900
borne by State Agencies.
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TABLE E.2—IMPLEMENTATION COSTS (STATE AND FEDERAL ADMINISTRATIVE EXPENSE) *
Develop
sampling
plan
Number Impacted ....................................................
Time (hours) .............................................................
Hourly rate ...............................................................
Total Cost ($000) .....................................................
Federal Share ($000) ...............................................
State Share ($000) ..................................................
Train SQCRs on
new review
procedures
53.0
40.0
$47.8
$101.4
$50.7
$50.7
Train QC
revisers to
use QC system
634.0
40.0
$27.8
$705.8
$352.9
$352.9
Additional time
for SQCRs to
process active
cases
371.0
26.0
$27.8
$268.4
$134.2
$134.2
59,146.1
2.0
$27.8
$3,292.1
$1,646.1
$1,646.1
Total
implementation
cost
............................
............................
............................
$4,367.7
$2,183.9
$2,183.9
* Totals may not sum due to rounding.
ddrumheller on DSK120RN23PROD with PROPOSALS3
Annual Operational Costs and Cost
Savings (State Administrative Expense)
Impact of changes in sample size and
review procedures. Currently, SQCRs
review 45,497 active cases per year.45 It
takes an average of 8.908908 hours per
review. The median hourly rate for a
social worker is $27.83. Thus, the cost
of performing QC reviews is currently
an estimated $11,370,300. (Table E.3))
Under the proposal, SQCRs will review
about 59,146 cases per year, an increase
of 30 percent. However, after the first
year, the average time per review is
expected to drop from 8.908908 hours to
6.33 hours. This is because reviewers
will only be required to examine
households’ circumstances for the
month that the action took place,
eliminating the need for comparing
households’ circumstances at the month
of action versus the month of the
review. The cost of performing QC
reviews is estimated to be $10,419,400,
a savings of $950,900. Because these are
State Administrative Expenses the
savings will be equally split between the
Federal Government and State Agencies,
with each saving $475,450.
New requirement to report non-error
causing variances. Currently, States are
not required to report non-error causing
variances back to local SNAP offices.
Section 275.12(d)(3) will require SQCRs
to notify the local office of deficiencies
in all cases, regardless of the error
impact on the case. Little is known
about how many variances of these
kinds are currently reported, how many
non-error causing variances will be
reported under the requirement, or how
long it takes to report such variances.
Some cases will have no non-error
causing variances, whereas others may
have multiples of these variances. FNS
is assuming that the additional time will
average 15 minutes per case. This
average is not meant to assume that all
cases will have variances to report;
rather, it is an average to balance cases
with many variances to report against
cases that have no additional variances
to report. Using the hourly rate of
$27.83 for a social worker times 59,146
cases (this is equal to 30 percent more
than the FY 2017 actives QC case load,
as required by the proposed sampling
methodology) times 15 minutes per case
yields a cost estimate of about $411,500,
of which nearly $205,750 will be borne
by the Federal Government and
$205,750 will be borne by State
Agencies.
Record keeping for more cases. States
are required to keep records of all State
QC reviews. It is estimated that the
record keeping takes about 3 minutes
per case, and that will be unchanged
under the proposed system. However,
because the number of cases is
increasing by 13,649, using the average
hourly rate of $27.83 for a social worker,
the cost will increase by an estimated
$17,900. This cost will be split between
the Federal Government ($8,950) and
State Agencies ($8,950).
New requirement to attest the validity
of the sampling plan. State Agencies
will now be required to provide an
annual statement attesting to the
validity of the sampling plan. The time
to provide the statement is estimated to
be 12 minutes. Each of the 53 State
Agencies will have a SNAP manager
provide this statement. According to the
Bureau of Labor and Statistics, the
median rate for a general manager is
$55.41 at time of analysis. Thus, the cost
is $600 per year, $300 borne by the
Federal Government and $300 borne by
State Agencies.
Increased QC help desk support. FNS
will be required to provide increased
help desk support. Currently, FNS
contracts for one staff member to
provide this support, at an annual cost
of $70,000. FNS anticipates needing to
contract for three additional people, for
an additional cost of $210,000. This cost
will be entirely borne by the Federal
Government.
Additional QC data storage. FNS
currently stores the SNAP QC data on
six servers, at an annual cost of
$27,333.33 per server, or $164,000 total.
In addition, the storage costs are
currently $11,000 per year. With all
States using the SNAP QC data system
and the increased sample size, FNS
anticipates that these costs will
quadruple, to $656,000 for the servers
and $44,000 for storage, for a total of
$700,000. The additional cost will total
$492,000 for the servers and $33,000 for
storage, for a total of $525,000. This cost
will be entirely borne by the Federal
Government.
The total annual administrative cost
of the changes to the QC review process
is estimated to be $214,100. Because
some costs, such as help desk support
and additional data storage, are not
shared with State Agencies, the
estimated cost to the Federal
Government is $474,600. State Agencies
are expected to save $260,500 annually
due to the reduced case processing time.
Annual Household Administrative
Burden
As discussed previously, the changes
to the case sampling procedures will
result in an overall increase in the
number of cases sampled each year,
from 45,497 annually to 59,146 (an
increase of 13,649 cases). As described
in the Paperwork Reduction Act section
of this proposed rule, the burden to an
individual household selected for
review is not expected to change and
will remain about 30 minutes per
household. However, since the number
of cases selected will increase, overall
household burden will also increase.
The increase is expected to cost
$49,477.6 annually (13,649 cases × .5
hours per case × minimum wage of
$7.25).
Uncertainties
While this proposed rule is expected
to improve SNAP program integrity, it is
45 The changes in sampling procedures only affect
active cases, not negative cases.
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unclear whether the rule provisions will
result in additional sanctions or
liabilities being imposed on State
Agencies as a result of these proposed
changes.
TABLE E.3—ANNUAL OPERATING COSTS AND SAVINGS (CHANGES FROM CURRENT PROCEDURES) *
Annual variable
costs
Processing Active Cases ......
Reporting all
non-error
causing
Variances .......
Record Keeping
Attest Sample
Plan ................
Current
hours
Proposed
hours
Current
hourly
rate
($)
Proposed
hourly
rate
($)
Difference
($)
27.83
27.83
0.00
11,370.30
10,419.40
¥950.90
0.00
0.00
27.83
27.83
27.83
27.83
0.00
0.00
0.00
59.80
411.50
77.70
411.50
17.90
0.20
55.41
55.41
0.00
0.00
0.60
0.60
Difference
($)
Current
units
Proposed
units
Difference
45,497.00
59,146.10
13,649.10
8.98
6.33
¥2.65
0.00
45,497.00
59,146.00
59,146.10
59,146.00
13,649.10
0.25
0.05
0.25
0.05
53.00
53.00
0.00
0.00
0.20
Annual Fixed
Costs
Help Desk Support .................
Servers ..............
Storage ..............
Total Annual
Costs ......
Federal
Share ......
State Share
Current
unit cost
($)
Proposed
unit cost
($)
Current
cost
($000’s)
Proposed
cost
($000’s)
Difference
($000’s)
1.00
6.00
1.00
4.00
24.00
4.00
3.00
18.00
3.00
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
70,000.00
27,333.33
11,000.00
70,000.00
27,333.33
11,000.00
0.00
0.00
0.00
70.00
164.00
11.00
280.00
656.00
44.00
210.00
492.00
33.00
................
................
................
............
............
............
................
................
............
11,675.10
11,889.20
214.10
................
................
................
................
................
................
............
............
............
............
............
............
................
................
................
................
............
............
5,95960.05
5,75715.05
6,434.60
5,454.60
474.55
¥260.45
* Totals may not sum due to rounding.
ddrumheller on DSK120RN23PROD with PROPOSALS3
Regulatory Flexibility Act
The Regulatory Flexibility Act (5
U.S.C. 601–612) requires Agencies to
analyze the impact of rulemaking on
small entities and consider alternatives
that would minimize any significant
impacts on a substantial number of
small entities. The entities impacted by
this rule are State SNAP agencies that
conduct QC reviews, which are not
considered small entities for purposes of
this analysis.
Pursuant to our review, the
Department certifies that this rule will
not have a significant impact on a
substantial number of small entities.
Unfunded Mandates Reform Act
Title II of the Unfunded Mandates
Reform Act of 1995 (UMRA), Public
Law 104–4, establishes requirements for
Federal agencies to assess the effects of
their regulatory actions on State, local
and Tribal governments, and the private
sector. Under section 202 of the UMRA,
the Department generally must prepare
a written statement, including a cost
benefit analysis, for proposed and final
rules with ‘‘Federal mandates’’ that may
result in expenditures by State, local or
Tribal governments, in the aggregate, or
the private sector, of $100 million or
more in any one year. When such a
statement is needed for a rule, Section
205 of the UMRA generally requires the
Department to identify and consider a
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reasonable number of regulatory
alternatives and adopt the most cost
effective or least burdensome alternative
that achieves the objectives of the rule.
This rule does not contain Federal
mandates (under the regulatory
provisions of Title II of the UMRA) for
State, local and Tribal governments, or
the private sector of $100 million or
more in any one year. Thus, the rule is
not subject to the requirements of
sections 202 and 205 of the UMRA.
categories called for under Section
(6)(b)(2)(B) of Executive Order 13121.
The Department has considered the
impact of this proposed rule, with
comment, on State and local
governments and has determined that
this rule does not have federalism
implications. Therefore, under Section
6(b) of the Executive Order, a federalism
summary is not required.
Executive Order 12372
This proposed rule has been reviewed
under Executive Order 12988, Civil
Justice Reform. This rule is intended to
have preemptive effect with respect to
any State or local laws, regulations, or
policies which conflict with its
provisions or which would otherwise
impede its full and timely
implementation. This rule is not
intended to have retroactive effect
unless so specified in the Effective Dates
section of the final rule. Prior to any
judicial challenge to the provisions of
the final rule, all applicable
administrative procedures must be
exhausted.
SNAP is listed in the Catalog of
Federal Domestic Assistance under
Number 10.551. For the reasons set forth
in the Final Rule codified in 7 CFR part
3015, subpart V and the related Notice
(48 FR 29115), this Program is excluded
from the scope of Executive Order
12372, which requires
intergovernmental consultation with
State and local officials.
Federalism Summary Impact Statement
Executive Order 13132 requires
Federal agencies to consider the impact
of their regulatory actions on State and
local governments. Where such actions
have federalism implications, agencies
are directed to provide a statement for
inclusion in the preamble to the
regulations describing the agency’s
considerations in terms of the three
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Executive Order 12988, Civil Justice
Reform
Civil Rights Impact Analysis
FNS has reviewed the proposed rule,
Provisions to Improve the Supplemental
Nutrition Assistance Program’s QC
System, in accordance with the
Department Regulation 4300–004, Civil
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ddrumheller on DSK120RN23PROD with PROPOSALS3
Rights Impact Analysis to identify and
address any major civil rights impacts
the proposed rule may have on
participants on the basis of race, color,
national origin, sex, and disability. A
comprehensive Civil Rights Impact
Analysis (CRIA) was conducted on the
proposed rule, including an analysis of
data and provisions contained in the
proposed rule. The CRIA outlines
outreach and mitigation strategies to
lessen any possible civil rights impacts.
The CRIA concludes the provisions of
the proposed rule will impact the
statistical design and active case review
process, as well as clarify and update
current regulations. The proposed rule
would result in more SNAP households
being selected for QC review in the
active frame. The demographic profile
of SNAP participants includes
minorities, persons with disabilities,
and the elderly; thus, program
participants in these groups may be
selected for QC review in the active
frame. Additionally, the proposed rule
will require State agencies to revise
their review procedures, possibly
resulting in less onerous reviews for a
larger number of cases. The Department
finds that the implementation of
mitigation strategies and monitoring by
the FNS Civil Rights Division and FNS
SNAP may lessen these impacts. If
necessary, the FNS Civil Rights Division
will propose further mitigation and
outreach strategies to alleviate impacts
that may result from the implementation
of the proposed rule.
Executive Order 13175
Executive Order 13175 requires
Federal agencies to consult and
coordinate with Tribes on a
government-to-government basis on
policies that have Tribal implications,
including regulations, legislative
comments or proposed legislation, and
other policy statements or actions that
have substantial direct effects on one or
more Indian Tribes, on the relationship
between the Federal Government and
Indian Tribes, or on the distribution of
power and responsibilities between the
Federal Government and Indian Tribes.
This regulation has possible Tribal
implications, so consultation is
required. FNS attended a Tribal
consultation meeting on May 1, 2019, in
Washington, DC and virtually to a
Nevada meeting on December 6, 2022,
where the changes to this rule were
explained. No questions or concerns
were brought to FNS’s attention about
this rule by any members of either
meeting. If further consultation is
requested, the Office of Tribal Relations
will work with FNS to ensure quality
consultation is provided.
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Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. Chap. 35; see 5 CFR 1320),
requires that the Office of Management
and Budget (OMB) approve all
collections of information by a Federal
agency from the public before they can
be implemented. Respondents are not
required to respond to any collection of
information unless it displays a current,
valid OMB control number. We are
seeking a new OMB Control Number for
these new, existing, and changing
provisions in this rule and, once OMB
approves the information collection
request burden associated with this
rulemaking, we will submit a request to
merge the burden hours into their
respective OMB Control Numbers. Once
the merge is approved the newly
assigned OMB control number can be
discontinued. The current burden
inventories for this collection are found
in OMB–0584–0074, Expiration Date:
07/30/2025; 0584–0299, Expiration
Date: 07/31/2023, and 0584–0303,
Expiration Date: 1/31/2024. These
changes are contingent upon OMB
approval under the Paperwork
Reduction Act of 1995. Additionally,
when the information collection
requirements have been approved, FNS
will publish a separate action in the
Federal Register announcing OMB’s
approval.
Comments on the information
collection in this proposed rule must be
received by November 20, 2023.
Send comments to the Office of
Information and Regulatory Affairs,
OMB, Attention: Desk Officer for FNS,
Washington, DC 20503. Please also send
a copy of your comments to John
McCleskey, Branch Chief, Quality
Control Branch, Program
Administration and Nutrition Division,
1320 Braddock Place, 5th Floor;
Alexandria, Virginia 22314. For further
information, or for copies of the
information collection requirements,
please contact John McCleskey at the
address indicated above. Comments are
invited on: (1) whether the proposed
collection of information is necessary
for the proper performance of the
Agency’s functions, including whether
the information will have practical
utility; (2) the accuracy of the Agency’s
estimate of the proposed information
collection burden, including the validity
of the methodology and assumptions
used; (3) ways to enhance the quality,
utility and clarity of the information to
be collected; and (4) ways to minimize
the burden of the collection of
information on those who are to
respond, including use of appropriate
automated, electronic, mechanical, or
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other technological collection
techniques or other forms of information
technology.
All responses to this request for
comments will be summarized and
included in the request for OMB
approval. All comments will also
become a matter of public record.
Title: Provisions to Improve the
Supplemental Nutrition Assistance
Program’s Quality Control System.
OMB Number: 0584–NEW.
Expiration Date: Not Yet Determined.
Type of Request: New collection.
Abstract: Section 16 of the Act
provides the legislative basis for the
operation of the QC system. Part 275,
Subpart C, of SNAP regulations
implements the legislative mandates
found in section 16. Regulations at 7
CFR 275.1, 275.14(d) and 275.21(a) and
(b)(1) provide the regulatory basis for
the QC reporting requirements. Section
11(a) of the Act provides the legislative
basis for the recordkeeping
requirements. Existing SNAP
regulations at 7 CFR 275.4 specifically
address record retention requirements
for QC including form FNS–380, FNS–
380–1, and the sampling plans found in
7 CFR 275 of the regulations.
Component (1) Form FNS–380 [OMB
Control Number: 0584–0074], is a SNAP
worksheet used to determine eligibility
and benefits for households selected for
review in the QC sample of active SNAP
cases. This form provides a systematic
means of aiding the State’s Quality
Control Reviewer in analyzing the case
record, planning and doing field
investigation and gathering, comparing,
analyzing and evaluating data. FNS
estimates that while this rule will
require thirty percent more cases
(households) be reviewed for QC, the
rule does not change the existing burden
on households, and will effectively
decrease the ongoing burden for 53 State
agencies by 20,151 hours annually. In
addition, in order to implement the
changes of the rule in the first year, the
rule will add 196,915.17 startup burden
hours for State agencies. These startup
hours include 40 hours of training for
263 State QC reviewers on just the new
review procedures for active cases, 64
hours to train 371 reviewers on using
both SNAPQCS’s automated FNS 380
worksheet and the new review
procedures for active cases, and FNS is
including 2.75 hours of additional time
for State agencies to complete the FNS
380 worksheet for each case review to
properly review and document
according to the new procedures for the
active case review. The revised total
ongoing burden associated with this
rule for this component is 385,844.12
reporting and recordkeeping burden
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hours and the first year’s total reporting
and recordkeeping burden due to
rulemaking including the startup hours
is 196,915.17 hours, bringing the total
burden in the first year of
implementation of the rule to
582,759.29 reporting and recordkeeping
hours for this component.
Component (2) FNS 380–1 [OMB
Control Number: 0584–0299], is SNAP’s
QC Review Schedule which collects QC
and household characteristics data. The
information needed to complete this
form is obtained from the SNAP case
record and State quality control
findings. The information is used to
monitor and reduce errors, develop
policy strategies, and analyze household
characteristic data. FNS estimates this
rule will require 53 State agencies a
revised total of 63,853.892 ongoing
reporting and recordkeeping burden
hours annually for this component of
this collection. This is an increase of
14,735.33 burden hours. An estimated
total of 742 additional startup hours are
necessary for the first year’s
implementation of components within
this collection for this rule. This startup
includes 2 hours for 371 State QC
reviewers to be trained on how to use
SNAPQCS’s automated FNS 380–1
worksheet. The revised total reporting
and recordkeeping ongoing burden
hours for the first year 64,595.89 hours.
Component (3) In the 275 regulations
[OMB Control Number: 0584–0303],
each State agency is required to develop
a QC sampling plan that demonstrates
the integrity of its case selection
procedures. The QC system is designed
to measure each State agency’s payment
error rate based on a statistically valid
sample of SNAP cases. A State agency’s
payment error rate represents the
proportion of cases that were reported
through a QC review as being ineligible,
overissued and underissued as well as
the proportion of SNAP allotments that
were either overissued or underissued
to SNAP households. The FNS 311
Handbook is used by State agencies as
a reference tool for creating their
sampling plans. The current ongoing
reporting and recordkeeping burden for
this collection is 2,829 hours. FNS
estimates this rule will require 53 State
agencies a revised total of 2,829 ongoing
reporting and recordkeeping hours and
an additional 2,120 startup reporting
burden hours for this first year of
implementation of components within
this rule. These startup hours include 40
hours for 53 State agency statisticians to
update their State’s sampling
procedures to comply with the new
sampling requirements of this rule. The
first year of implementation for this
component of the rule will require a
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total of 4,949 reporting and
recordkeeping burden hours.
In total, FNS estimates this rule will
decrease the overall ongoing burden
associated with these three collections
by 5,416 reporting burden hours. The
overall total burden for these three
components associated with the rule
will require 53 State agencies, a total of
422,951 ongoing reporting and
recordkeeping burden hours and 59,146
households 29,573 ongoing reporting
burden hours annually. FNS also
estimates this rule will require State
agencies an additional 199,777.17
startup burden hours to implement the
changes in this rule. Therefore, a grand
total of 652,302 reporting and
recordkeeping burden hours are
estimated for this first year of
implementation for this rule. This rule
affects the three components of the QC
process mentioned above, the use of (1)
FNS forms 380, (2) FNS 380–1 and (3)
the creation of the State QC Sampling
plan attestation. The average burden per
response and the annual startup and
ongoing burden hours are explained
below and summarized in the charts
that follow.
Ongoing Reporting and Recordkeeping
Burden
FNS 380: A SNAP worksheet used to
determine eligibility and allotment
amounts for households selected for
review in the QC sample of active SNAP
cases.
Reporting Respondents for this
Proposed Rule: 59,199 (59,146
Individuals/Households and 53 State,
Local and Tribal Government).
Estimated reporting responses for this
Rule: 473,172 responses (59,146 for
Individuals/Households and 473,172 for
State, Local and Tribal Government).
Estimated hours per reporting
response: 6.58 hours (0.5 hours for
Individuals/Households and 6.08 hours
for State, Local and Tribal Government).
Estimated Responses per Respondent
to report for this Rule: 7812.81 (7,811.81
responses per State agency and 1
response per Household).
Estimated Reporting hours for this
Rule: 384,449 hours (354,876 hours for
State agencies and 29,573 burden hours
for Households).
Estimated Records to keep per
respondent for this Rule: 59,146 records
for State agencies and there is no
recordkeeping burden imposed on
Individuals/Households.
Estimated hours per recordkeeping
response: 0.0236 hour.
Estimated Total Recordkeeping hours
for this Rule: 1,396 hours.
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Estimated Total Ongoing Annual
Reporting and Recordkeeping Burden
for this rule: 385,845 hours.
Rule impacting ongoing reporting and
recordkeeping burden: ¥20,151 hours.
FNS 380–1: SNAP’s QC Review
Schedule which collects QC and
household characteristics data.
Respondents for this Proposed Rule:
53 State, Local, and Tribal Government.
Estimated Responses for this
Proposed Rule: 59,146 responses.
Estimated Responses per Respondent
to report for this Proposed Rule:
1,115.96 responses.
Estimated hours to report each
response: 1.056 hours.
Estimated Total Reporting burden for
this Rule: 62,458 hours.
Estimated Records to keep for this
Proposed Rule: 59,146 responses.
Estimated Number of Records to keep
per respondent for this Rule: 1,115.96
records per respondent to keep.
Estimated hours per recordkeeping
response: 0.0236 hour.
Estimated Total Recordkeeping
burden for this Rule: 1,395.84 hours.
Estimated Annual reporting and
recordkeeping Burden on Respondents
for this Proposed Rule: 63,853.89 hours.
Rule impacting ongoing reporting and
recordkeeping burden: +14,735.33
hours.
FNS 275 Rules: Sampling Plan, 3rd
Party Contractors, Arbitration, Good
Cause, New Investment
Estimated Respondents for this
Proposed Rule: 53 State, Local, and
Tribal Government.
Estimated Number of Responses per
Respondent to report for this Proposed
Rule: 129 responses.
Estimated hours to report for each
response: 21.91 hours.
Estimated Total Reporting Burden for
this rule: 2826 hours.
Estimated Records to keep for this
Rule: 246 records.
Estimated Records to keep per
respondent for this Rule: 4.64 records
per respondent.
Estimated hours to keep records for
each response: 0.118 hours.
Estimated Total Recordkeeping
burden for this Rule: 2.7612 hours.
Estimated annual reporting and
recordkeeping Burden on Respondents
for this Proposed Rule: 545 hours.
Rule impacting ongoing reporting and
recordkeeping burden: 0 hours.
Estimated Grand Total Reporting and
Recordkeeping Ongoing burden for this
rule: 2,828.75 hours.
Estimated Total Rule impacting
ongoing reporting and recordkeeping
burden: 0 hours.
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Startup Reporting and Recordkeeping
Burden
FNS 380:
Reporting Respondents for this
Proposed Rule: 687 State, Local and
Tribal Government (53 State agencies
and 634 State QC reviewers).
Estimated Number of startup
reporting responses for this Rule:
237,218 responses.
Estimated hours per reporting
response: .83 hours.
Estimated Number of annual
Reporting hours for this Rule: 196,915
hours.
Estimated Total Recordkeeping
startup hours for this Rule: 0 hours.
Estimated Total startup year Burden
for this Rule: 196,915 hours.
FNS 380–1:
Reporting Respondents for this
Proposed Rule: 371 State QC Reviewers.
Estimated Number of startup
reporting responses per respondent for
this Rule: 1 response.
Estimated hours per reporting
response: 2 hours.
Estimated Number of annual
Reporting hours for this Rule: 742 hours
for State reviewers.
Estimated Total startup year
Reporting and Recordkeeping Burden
for this Rule: 742 hours.
FNS 275:
Reporting Respondents for this
Proposed Rule: 53 State, Local and
Tribal Government.
Estimated Number of startup
reporting responses for this Rule: 53
responses.
Estimated hours per reporting
response: 40 hours.
Estimated Number of Responses per
Respondent to report for this Rule: 1
response.
Estimated Number of annual
Reporting hours for this Rule: 2,120
hours.
Estimated Total Recordkeeping
startup hours for this Rule: 0 hours.
Estimated Total startup Burden for
this component of this Rule: 2,120
hours.
Estimated Grand Total Reporting and
Recordkeeping Startup burden for this
rule: 452,524.40 hours.
Estimated Grand Total Reporting and
Recordkeeping burden for first year for
this rule: 652,302 hours.
TABLE A.1—REVISED I/H REPORTING BURDEN
Reporting burden for individuals/households FNS 380, OMB 0584–0074
Reg. section
Description of activity
275.12 (c)(1) ..
Personal Interviews—Individuals or Households.
Estimated
responses
per
respondent
Estimated
number of
respondents
Individuals & Households Grand Total Reporting Burden Hours.
Revised
number of
burden
hours per
response
Revised
total annual
responses
Revised
estimated
total burden
hours
Previous
submission
total hours
Difference
due to
program
changes
Difference
due to
adjustments
59,146.00
1
59,146.00
0.5
29,573
22,748
....................
+6,825
59,146.00
....................
59,146.00
....................
29,573
....................
....................
+6,825
TABLE A.2—REVISED STATE AGENCY (SA) REPORTING AND RECORDKEEPING BURDEN 0584–0074
Reg. section
Est
number of
respondents
Description of activity
Estimated
responses
per
respondent
Revised
number
of burden
hours per
response
Revised
total annual
responses
Revised
estimated
total burden
hours
Previous
submission
total hours
Difference
due to
program
changes
Difference
due to
adjustments
Reporting Burden for State Agencies FNS 380, OMB 0584–0074
Household Case Record Review.
Field investigation ....................
Personal interviews ..................
Variance identification ..............
Error analysis ...........................
Reporting of review findings ....
Reporting all variances to
Local offices.
53
1,115.96
59,146
2
118,292
136,490.37
¥18,199
....................
53
53
53
53
53
53
1,115.96
1,115.96
1,115.96
1,115.96
1,115.96
1,115.96
59,146
59,146
59,146
59,146
59,146
59,146
2
0.5
0.5
0.5
0.25
0.25
118,292
29,573
29,573
29,573
14,786
14,786
159,238.77
22,748.40
40,947.11
22,748.40
n/a
n/a
¥40,947
6,825
¥11,374
6,825
14,786
14,786
....................
....................
....................
....................
....................
....................
Sub Total Reporting Burden ..........................
53
7,811.72
414,021
6.08
354,875
382,173
¥27,298
0
275.12 (b) .......
275.12
275.12
275.12
275.12
275.12
275.12
(c) ........
(c)(1) ...
(d)(1) ...
(e) .......
(f) ........
(d)(3) ...
Recordkeeping Burden for State Agencies FNS 380, OMB 0584–0074
FNS 380
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275.4 ...............
Recordkeeping
Record Retention .....................
53
1,115.96
59,146
0.0236
1,396
1,073.73
322.113568
....................
Grand Total Reporting & Recordkeeping
Burden.
53
....................
473,167
0.75295
356,271
383,247
¥26,976
0
TABLE A.3—STATE AGENCY (SA) REPORTING STARTUP BURDEN 0584–0074
Estimated
number of
respondents
Description of
activity
Reg. section
Estimated
responses
per
respondent
Startup
annual
responses
Startup
number of
burden
hours
per
response
Startup
estimated
total
burden
hours
Reporting Burden Hours for State Agencies FNS 380, OMB 0584–0074 STARTUP Hours First Year Only
275.12 (d)(1) ..................................................
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53
1,115.96
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59,146
0.75
44,359.41
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TABLE A.3—STATE AGENCY (SA) REPORTING STARTUP BURDEN 0584–0074—Continued
Reg. section
275.12
275.12
275.12
275.12
Estimated
number of
respondents
Description of
activity
(e) ......................................................
(f) .......................................................
(d)(3) ..................................................
............................................................
275.12 and 275.21 (b)(1) ...............................
Error analysis ................................................
Reporting of review findings .........................
Reporting findings to Local offices ...............
Training State Agency QC reviewers on
New Actives Process only.
Train reviewers on New Actives Process
AND train new SNAPQCS users (reviewers) how to use SNAPQCS for 380.
Grand Total STARTUP Hours Reporting Burden Only .....................................................
Estimated
responses
per
respondent
Startup
annual
responses
Startup
number of
burden
hours
per
response
Startup
estimated
total
burden
hours
53
53
53
263
1,115.96
1,115.96
1,115.96
1
59,146
59,146
59,146
263
0.75
0.5
0.75
40
44,359.41
29,572.94
44,359.41
10,520.00
371
1
371
64
23,744.00
687
345.294789
237,218
106.75
196,915.17
TABLE A.4—STATE AGENCY (SA) REPORTING REVISED BURDEN 0584–0299
Reg. section
Estimated
responses
per
respondent
Estimated
number of
respondents
Description of
activity
Revised
number of
burden
hours per
response
Revised
total
annual
responses
Revised
estimated
total annual
burden hours
Previous
submission
total hours
Difference
due to
program
changes
Difference
due to
adjustments
FNS 380–1 Reporting for State Agencies OMB Control Number 0584–0299
275.12(f) ................
Reporting of Review Findings.
Grand Total Reporting Burden Hours
Only.
53
1,115.96
59,146
1.056
62,458.049
48,044.83
14,413.22
....................
53
1,115.96
59146
1.056
62,458.049
........................
14,413.22
....................
Differences
due to
program
changes
Differences
due to
adjustments
Reg. section
Description of
activity
Estimated
number of
respondents
Estimated
responses
per
respondent
Annual
responses
Ongoing
number of
burden
hours per
response
Number of
annual burden
hours per
response
Previously
submission
total burden
275.4 .....................
Record Retention ..
53
1,115.96
59,146
0.0236
1395.842768
1,073.7292
322.1136
....................
Grand Total Affected Public ...............
53
2,231.92
118,292
1.08
63,853.892
49,118.56
14,735.33
....................
FNS 380–1 Recordkeeping Ongoing
TABLE A.5—STATE AGENCY (SA) STARTUP BURDEN 0584–0299
Estimated
number of
respondents
Description
of activity
Reg. section
Estimated
responses
per
respondent
Startup
annual
responses
Startup
number
of
burden
hours per
response
Startup
number
of
annual
burden
hours per
response
FNS 380–1 Reporting for State Agencies OMB Control Number 0584–0299 STARTUP First Year Only
275.21 (b)(1) ......................................................
Train new State agency reviewers how to use
SNAPQCS for 380–1.
371
1
371
2
742
Grand Total STARTUP Hours Reporting Burden Only .............................................................
371
1
371
2
742
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TABLE A.6—STATE AGENCY (SA) REVISED BURDEN 0584–0303
Reg. section
Description of
activity
275.11(a)(1)–(a)(2) ..
275.2(c)(1)(i) ............
Sampling Plan .........
Use of 3rd Party
Contractors—Notification of intent to
hire.
Use of 3rd Party
Contractors—Submission of signed
contract and tasks.
Estimated
number of
respondents
Estimated
responses
per
respondent
Revised
total
annual
responses
Revised
number of
burden
hours per
response
Revised
estimated
total
burden
hours
Previous
submission
total hours
Difference
due to
program
changes
Difference
due to
adjustments
275 Regs Reporting OMB 0584–0303
275.2(c)(1)(ii) ...........
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53
3
1
1
53
3
20
0.25
1,060
0.75
1,060
0.75
0
0
0
0
3
1
3
0.5
1.5
1.5
0
0
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TABLE A.6—STATE AGENCY (SA) REVISED BURDEN 0584–0303—Continued
Estimated
number of
respondents
Reg. section
Description of
activity
275.2(c)(1)(iii) ..........
Use of 3rd Party
Contractors—Submission of completed deliverables.
Use of 3rd Party
Contractors—Notification of training
sessions.
Arbitration Process ..
Good Cause Process.
New Investment
Plan Template
Form FNS 74 A.
New Investment
Progress Report
Template Form
FNS 74 B.
Sub-Total Reporting Burden ..................
275.2(c)(1)(iv) ..........
275.2(c)(4) ...............
273.23(f) ..................
275.23(h) .................
275.23(h)(4) .............
275.4 ........................
275.4 ........................
275.4 ........................
275.4 ........................
275.4 ........................
Sampling Plan
Record Retention.
Arbitration Process
Record Retention.
Good Cause Process Record Retention.
New Investment
Plan Template
Form FNS 74 A
Record Retention.
New Investment
Progress Report
Template Form
FNS 74 B Record
Retention.
Recordkeeping Total ..............................
Estimated
responses
per
respondent
Revised
number of
burden
hours per
response
Revised
total
annual
responses
Revised
estimated
total
burden
hours
Previous
submission
total hours
Difference
due to
program
changes
Difference
due to
adjustments
3
1
3
0.5
1.5
1.5
0
0
3
1
3
0.08
0.24
0.24
0
0
12
1
3
1
36
1
34
160
1,224
160
1,224
160
0
0
0
0
9
1
9
32
288
288
0
0
9
2
18
5
90
90
0
0
53
2.433962264
129
21.90689922
2,825.99
2,825.99
0
0
53
1
53
0.0236
1.2508
1.2508
0
12
3
36
0.0236
0.8496
0.8496
0
1
1
1
0.0236
0.0236
0.0236
0
9
1
9
0.0236
0.2124
0.2124
0
9
2
18
0.0236
0.4248
0.4248
0
53
2.20754717
117
0.0236
2.7612
2.7612
0
TABLE A.7—STATE AGENCY (SA) STARTUP BURDEN 0584–0303
Reg. section
Estimated
number of
respondents
Description of activity
Estimated
responses
per
respondent
Revised
total
annual
responses
Revised
number
of burden
hours per
response
Revised
estimated
total
burden
hours
275 Regs Reporting STARTUP OMB Control Number 0584–0303
275.11 ...........................................
Implement new sampling plan ......
53
1
53
40
2,120
Grand Total Reporting Burden .........................................................
53
....................
53
....................
2,120
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TABLE A.8—SUMMARY OF GRAND TOTAL ANNUAL REPORTING & RECORDKEEPING BURDEN ESTIMATES
Estimated
number of
respondents
Estimated
total burden
hours
Description of activity
(ongoing or start up)
380 SA ....................................................
380 I/H ....................................................
380–1 ......................................................
275 ..........................................................
380 SA ....................................................
380 SA Staff train on Review process ...
380 SA Staff train on Review process
and SNAPQCS.
380–1 SA Staff for SNAPQCS ...............
275 Regulations .....................................
Ongoing ......................................
Ongoing ......................................
Ongoing ......................................
Ongoing ......................................
Startup ........................................
Startup ........................................
Startup ........................................
53
59,146
53
53
53
263
371
473,172
59,146
118,292
246
236,584
263
371
0.75295
0.5
1.0796
20
2.75
40
64
353,272.00
29,573.00
63,854.00
2,828
162,651
10,520.00
23,744.00
Startup ........................................
Startup ........................................
371
53
371
53
2
40
742
2,120
Grand Total Reporting and Recordkeeping Burden for Rule ...................
59,886
888,498
98
649,304.00
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Annual
responses
Number of
burden hours
per response
Form or citation
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64781
TABLE A.8—SUMMARY OF CURRENT AND RULE ASSOCIATED BURDEN
OMB control number 0074
Estimated Total No. Respondents .............................................................................
Estimated Average No. Responses per Respondent ...............................................
Estimated Total Annual Responses ..........................................................................
Estimated Average Hours per Response ..................................................................
Estimated Total Annual Burden Hours Requested ...................................................
Current OMB Inventory ..............................................................................................
Difference Due to Rulemaking ..................................................................................
45,550
6.991833
318,478.00
0.00
582,759
405,997
176,762
OMB control number 0299
Estimated Total No. Respondents .............................................................................
Estimated Average No. Responses per Respondent ...............................................
Estimated Total Annual Responses ..........................................................................
Estimated Average Hours per Response ..................................................................
Estimated Total Annual Burden Hours Requested ...................................................
Current OMB Inventory ..............................................................................................
Difference Due to Rulemaking ..................................................................................
53.00
2,238.925
118,663.000
0.54654
64,854.000
49,119
15,477
OMB control number 0303
List of Subjects
7 CFR Part 271
Grant programs—social programs,
Reporting and recordkeeping
requirements.
7 CFR Part 275
ddrumheller on DSK120RN23PROD with PROPOSALS3
Grant programs—social programs,
Reporting and recordkeeping
requirements.
Accordingly, 7 CFR parts 271 and 275
are proposed to be amended as follows:
PART 271—GENERAL INFORMATION
AND DEFINITIONS
1. The authority citation for part 271
continues to read as follows:
■
Authority: 7 U.S.C. 2011–2036.
2. In § 271.2:
a. Revise the definition of ‘‘active
case’’;
■
■
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b. Remove the definition ‘‘active case
error rate’’;
■ c. Add in alphabetical order a
definition for ‘‘Case and Procedural
Error Rate (CAPER)’’;
■ d. Revise the definitions of ‘‘error’’
and ‘‘negative case’’;
■ e. Remove the definition of ‘‘negative
case error rate’’;
■ f. Revise the last sentence in the
definition of ‘‘payment error rate’’;
■ g. Revise the definitions ‘‘review
date’’ and ‘‘sample month’’;
■ h. Remove ‘‘INS’’ and add in its place
‘‘USCIS’’ in the definition of
‘‘Systematic Alien Verification for
Entitlements (SAVE)’’; and
■ i. Remove the definition
‘‘Underissuance error rate. (See
Underpayment error rate.)’’,
The revisions and additions read as
follows:
§ 271.2
Definitions.
*
*
*
*
*
Active case means a case where
households experienced an eligibility
action during the sample month which
resulted in an issuance of benefits. For
purposes of this definition, an eligibility
action refers to initial certification,
recertification, or submission of a
required monthly, quarterly, or periodic
report in the sample month and a
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13,649
0.97
154,689.00
..............................
385,844
405,997
(¥20,152)
687
345.294
237,218
0.83
196,915.17
..............................
196,915.17
Rule related
revised ongoing
Rule related
new startup
53
2,231.920
118,291.760
0.54607
64595.89205
49,119
14,735
53.00
4.6420
246
11.4989
4,949
2,829
0
■
The Department is committed to
complying with the E-Government Act,
2002 to promote the use of the internet
and other information technologies to
provide increased opportunities for
citizen access to Government
information and services, and for other
purposes.
Rule related
new startup
Rule related
revised ongoing
Estimated Total No. Respondents .............................................................................
Estimated Average No. Responses per Respondent ...............................................
Estimated Total Annual Responses ..........................................................................
Estimated Average Hours per Response ..................................................................
Estimated Total Annual Burden Hours Requested ...................................................
Current OMB Inventory ..............................................................................................
Difference Due to Rulemaking ..................................................................................
E-Government Act Compliance
Rule related
revised ongoing
Sfmt 4702
53
4.642
426
11.4989
4,949
2,825
10
371
1
371
2
742
..............................
742
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new startup
53
1
1
40
2,120
0
2120
benefit allotment is issued in the
following month.
*
*
*
*
*
Case and Procedural Error Rate
(CAPER) means an estimate of the
proportion of denied, suspended, or
terminated cases where the household
was incorrectly denied, suspended, or
terminated or where procedural
deficiencies exist. This estimate will be
expressed as a percentage of completed
negative quality control reviews.
*
*
*
*
*
Error for active cases results when a
determination is made by a quality
control reviewer that a household that
experienced an eligibility action—as
described in the definition of ‘‘active
case’’ in this section—was ineligible,
received an incorrect allotment, or was
determined ‘‘incomplete’’ by the QC
reviewer. Thus, errors in active cases
involve dollar loss to either the
participant (underissuance) or the
government (overissuance). For negative
cases, an ‘‘error’’ means that the
reviewer determines that the decision or
process to deny, suspend, or terminate
a household was incorrect.
*
*
*
*
*
Negative case means a case where
there was an action to deny, suspend, or
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terminate a household during the
sample month.
*
*
*
*
*
Payment error rate * * * Each
component error rate is the value of
benefits either overissued or
underissued expressed as a percentage
of all allotments issued to completed
active sample cases.
*
*
*
*
*
Review date for quality control active
cases means the date an eligibility
action was taken to authorize the
allotment. The ‘‘review date’’ for quality
control negative cases, depending on the
characteristics of individual State
systems, could be the date on which the
eligibility worker makes the decision to
suspend, deny, or terminate the case,
the date on which the decision is
entered into the eligibility system, or the
date of the notice to the client. For no
case is the ‘‘review date’’ the day the
quality control review is conducted.
State agencies must consistently apply
the same definition for review date to all
sampled cases of the same classification.
*
*
*
*
*
Sample month means the month of
the sample frame from which a case is
selected (e.g., the January sample
month, for active cases, shall be
comprised of a selection of cases where
the household was certified in January,
recertified in January, or required to
have submitted a monthly, quarterly, or
periodic report in January resulting in
an issuance of benefits in February. The
January sample month for negative cases
would be comprised of all cases that
were denied, terminated, or suspended
in January).
*
*
*
*
*
PART 275—PERFORMANCE
REPORTING SYSTEM
3. The authority citation for part 275
continues to read as follows:
■
Authority: 7 U.S.C. 2011–2036.
4. In § 275.2, revise paragraph (b) and
add a sentence to the end of paragraph
(d) to read as follows:
■
§ 275.2
State agency responsibilities.
*
*
*
*
*
(b) Staffing standards. The State
agency shall employ sufficient staff to
perform all aspects of the Performance
Reporting System as required in this
part.
(1) The State agency shall ensure that
the staff used to conduct QC reviews
operate independently from those
responsible for overseeing the eligibility
determination process to ensure
objective and accurate assessments of
the Performance Reporting System.
(2) The staff used to conduct QC
reviews shall not have prior knowledge
of either the household or the decision
under review. Where there is prior
knowledge, the reviewer must
disqualify themselves. To ensure no
prior knowledge on the part of QC or
ME reviewers, local project area staff
shall not be used to conduct QC or ME
reviews; exceptions to this requirement
concerning local level staff may be
granted with prior approval from FNS.
However, local personnel shall not,
under any circumstances, participate in
ME reviews of their own project areas.
Prior knowledge is defined as having:
(i) Taken any part in the eligibility
determination that has been made in the
case;
(ii) Discussed the case with staff who
participated in the decision; or
(iii) Personal knowledge of or
acquaintance with persons in the case
itself.
(3) Nothing in this part shall preclude
a State-level staff person to be used as
a collateral contact for purposes of the
QC review. Such contact must, however,
be limited to those same rules governing
all other collateral contacts, including
privacy-related rules, found in 7 CFR
273.2(f)(4)(ii).
*
*
*
*
*
(d) * * * Non-compliance with this
requirement, as determined by the
Secretary, may result in the suspension
or disallowance of Federal
reimbursements for costs of the
administration of SNAP for the
system(s) found to be out of compliance,
pursuant to 7 CFR 277.16.
■ 5. In § 275.3:
■ a. Revise paragraph (d)(1)(i);
■ b. Revise the paragraph (d)(3) heading’
■ c. Remove ‘‘negative case error rate’’
and add in its place ‘‘case and
procedural error rate’’ in paragraph
(d)(3) introductory text;
■ d. Add a sentence at the end of
paragraph (d)(4)(i)(A);
■ e. Remove the phrase ‘‘appropriate
FNS regional office addressed to the
attention of the FNS Arbitrator’’ and add
in its place the phrase ‘‘FNS Arbitrator
and copy the appropriate FNS regional
office’’ in paragraph (d)(4)(iv)
introductory text; and
■ f. Remove the word ‘‘may’’ and add in
its place the word ‘‘must’’ in the second
sentence of paragraph (d)(4)(iv)
introductory text.
The revision and addition read as
follows:
§ 275.3
Federal monitoring.
*
*
*
*
*
(d) * * *
(1) * * *
(i) FNS will select a subsample of a
State agency’s active cases, as follows:
(A) The Federal review sample for
active cases is determined as follows:
TABLE 1 TO PARAGRAPH (d)(1)(i)(A)
Average monthly reviewable caseload
(N)
Federal subsample target
(n′)
ddrumheller on DSK120RN23PROD with PROPOSALS3
60,000 and over .......................................................................................
10,001 to 59,999 ......................................................................................
10,000 and under .....................................................................................
(B) In the above formula, n’ is the
minimum number of Federal review
sample cases which must be selected
when conducting a validation review,
except that FNS may select a lower
number of sample cases if:
(1) The State agency does not report
a change in sampling procedures
associated with a revision in its required
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n′ = 400.
n′ = .005 N + 100.
n′ = 150.
sample size within 10 days of effecting
the change; or
(2) The State agency does not
complete the number of case reviews
specified in its approved sampling plan.
(C) The reduction in the number of
Federal cases selected will be equal to
the number of cases that would have
been selected had the Federal sampling
interval been applied to the State
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agency’s shortfall in its required sample
size. This number may not be exact due
to random starts and rounding.
(D) In the above formula, N is the
State agency’s minimum active case
sample size as determined in
accordance with § 275.11(b)(1).
(E) Once the minimum Federal
subsample size n′ is determined, the
Federal subsample must be
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proportionally allocated across the five
strata, defined in § 275.11(g), to the
State final weights to ensure there is no
loss of precision due to differential
sampling probabilities. The Federal
subsample size for each stratum shall be
determined as follows:
(1) In the formulas in the table above,
N is the sampling universe/monthly
caseload; F is the sampling frame; n is
the State sampling size; n’ is the Federal
subsample size; W is the State sampling
weights; and W’ is the Federal sampling
weights.
(2) For stratum i, the Federal
subsample size n’i shall be proportional
to the final State weight for that stratum,
Wi, in other words
This means that the sampling
probability for cases in stratum i is Wi/
W and the final weight for the cases
selected for the Federal subsample from
stratum i, W′i, is given by:
for every i, which is a constant across
the strata. This makes the Federal
subsample self-weighting.
*
*
*
*
*
(3) Case and procedural error rate.
* * *
*
*
*
*
*
(4) * * *
(i) * * *
(A) * * * No other types of
disagreement are eligible for arbitration.
*
*
*
*
*
■
■
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Sampling.
(a) Sampling plan. Each State agency
shall develop a quality control sampling
plan that is compliant with this section
and demonstrates the integrity of its
sampling procedures.
(1) Content. The sampling plan shall
include a complete description of the
frame, the method of sample selection,
and methods for estimating
characteristics of the population and
their sampling errors that the State
E:\FR\FM\19SEP3.SGM
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EP19SE23.102
§ 275.11
EP19SE23.101
6. In § 275.11:
a. Revise paragraphs (a) introductory
text, (a)(1) through (3), and (b)(1) and
(2);
■ b. Remove paragraph (b)(4);
■ c. Revise paragraphs (c)(1) and (2), (e)
introductory text, (e)(1), and (f)(1);
■ d. Redesignate paragraph (g) as
paragraph (i); and
■ e. Add new paragraph (g) and
paragraph (h).
The revisions and additions read as
follows
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agency will apply when conducting its
quality control procedures. The
description of the sample frames shall
include: source, availability, accuracy,
completeness, components, location,
form, frequency of updates, deletion of
cases not subject to review, and
structure. The description of the
methods of sample selection shall
include procedures for: estimating
caseload size, addressing corrections,
computation of sampling intervals and
random starts (if any), stratification,
identifying sample cases, correcting
over-or under sampling, and monitoring
sample selection and assignment. The
State agency shall provide FNS with a
schedule for completion of each step in
the sampling procedures contained in
this section.
(2) Criteria. All sampling plans shall:
(i) Conform to principles of
probability sampling; and (ii) Select an
overall quality control sample size in
accordance with paragraphs (b) through
(f) of this section.
(3) Design. Each State agency shall,
over the course of the annual review
period, implement a sample design each
month for both active and negative case
samples. For the active case sample
selection, the State agency shall define
the sampling frame as the monthly list
of active cases as defined in 7 CFR
271.2. This list reflects a subset of all
the active SNAP cases in a given month.
This list will then be stratified for
sample selection based on action type
and the length of the certification or
reporting period. Within each of these
strata, each month, the State agency may
select a systematic sample or use
another method of random selection
(e.g., sorting the cases in a random order
and selecting the first ‘m’ number of
cases required to meet the monthly
sample target) of cases to equal the
overall sample size required for the
year, divided evenly by twelve.
*
*
*
*
*
(b) * * *
(1) Active cases. (i) All active cases
shall be selected in accordance with
procedures specified in this section, and
the review findings shall be included in
the calculation of the State agency’s
payment error rate. A State agency shall
select a sample that is divided equally
across 12 months. Sample size is
specified as follows:
TABLE 1 TO PARAGRAPH (b)(1)(i)
Average monthly reviewable caseload
(N)
Minimum annual sample size
(n)
60,000 and over .......................................................................................
12,942 to 59,999 ......................................................................................
Under 12,942 ............................................................................................
(ii) In the formulas in paragraph
(b)(1)(i) of this section, n is the required
active case sample size. This is the
minimum number of active cases
subject to review which must be
selected during the annual review
period. One-twelfth of this value shall
be selected each month, rounded to the
next whole number (e.g., if the yearly
n = 1,326.
n = 390 + [0.0199(N¥12,941)].
n = 390.
sample size is 1,326 then 111 would be
sampled monthly). In the same
formulas, N is the average monthly
participating caseload subject to quality
control review (i.e., cases which are
included in the active universe defined
in paragraph (e)(1) of this section)
during the annual review period.
(2) Negative cases. (i) All negative
cases shall be selected in accordance
with procedures specified in this
section, and the review findings shall be
included in the calculation of the State
agency’s case and procedural error rate.
(ii) The minimum number of negative
cases to be selected and reviewed by a
State agency during each annual review
period shall be determined as follows:
TABLE 2 TO PARAGRAPH (B)(2)(II)
Average monthly reviewable negative caseload (N)
Minimum annual sample size (n)
ddrumheller on DSK120RN23PROD with PROPOSALS3
5,000 and over .........................................................................................
684 to 4,999 .............................................................................................
Under 684 .................................................................................................
(iii) In the formulas in paragraph
(b)(2)(ii) of this section, n is the required
negative sample size. This is the
minimum number of negative cases
subject to review which must be
selected each review period.
(iv) In the formulas in paragraph
(b)(2)(ii) of this section, N is the average
monthly number of negative cases
which are subject to quality control
review (i.e., cases which are part of the
negative universe defined in paragraph
(e)(2) of this section) during the annual
review period.
*
*
*
*
*
(c) * * *
(1) Substitutions. Once a case has
been identified for inclusion in the
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n = 680
n = 150 + [ 0.1224(N¥683)]
n = 150
sample by a predesigned sampling
procedure, substitutions are not
acceptable. An active case must be
reviewed each time it is selected for the
sample. If a case is selected more than
once for the negative sample as the
result of separate and distinct instances
of denial, suspension, or termination, it
must be reviewed each time.
(2) Corrections. Under sampling must
be corrected during the annual review
period. Oversampling may be corrected
at the State agency’s option. Cases
which are dropped to compensate for
oversampling shall be reported as not
subject to review. Because corrections
must not bias the sample results, cases
which are dropped to compensate for
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oversampling must comprise a random
subsample of all cases selected
(including those completed, not
completed, and not subject to review).
Cases which are added to the sample to
compensate for under sampling must be
randomly selected from the entire frame
in accordance with the sample size,
sample selection, sampling frame, and
sample allocation procedures specified
in paragraphs (b), (c) (e), and (g) of this
section. All sample adjustments must be
fully documented and available for
review by FNS.
*
*
*
*
*
(e) Sample frame. The State agency
shall select cases for quality control
review from a sample frame. Complete
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64785
coverage of the sample universes, as
defined in paragraph (f) of this section,
must be assured so that every case
subject to quality control review has an
equal or known chance of being selected
in the sample. Since the SNAP quality
control review process requires an
active and negative sample, two
corresponding sample frames are also
required.
(1) Active cases. The sample frame
shall consist of all active cases as
defined in 7 CFR 271.2. Cases which did
not experience any of these eligibility
actions in the sample month shall be
removed prior to sampling. State
agencies must use a list of certified and
recertified cases as well as the
household’s report due date for the
following reporting systems: monthly,
quarterly, and simplified.
*
*
*
*
*
(f) * * *
(1) Active cases. The universe for
active cases shall include all households
in which any of the following eligibility
actions occurred in the sample month:
initial certification, recertification, or a
required monthly, quarterly, or periodic
report was due during the sample
month and a benefit allotment is issued
in the following month. The following
shall be excluded from the sampling
frame:
(i) A household receiving DisasterSNAP benefits under the authority of
the Food and Nutrition Act of 2008, as
amended, and the Robert T. Stafford
Disaster Relief and Emergency
Assistance Act;
(ii) A household which is under
investigation for an intentional Program
violation, including a household with a
pending administrative disqualification
hearing;
(iii) A household appealing an
adverse action which was the result of
an eligibility action taken during the
sample month; or
(iv) Other households excluded from
the active case universe during the
review process are identified in 7 CFR
275.12(g).
*
*
*
*
*
(g) Active sample allocation. States
shall stratify both the sample universe
and the sampling frame specified in
paragraphs (e)(1) and (f)(1) of this
section according to the five strata
described in paragraphs (g)(1)(i) through
(v) of this section. If not all 5 strata exist,
the State shall allocate the full sample
across the existing strata according to
the following guidelines:
(1) In table 3 to paragraph (g)
introductory text, strata a through e
have the following action types and
reporting periods:
(i) Stratum a—Action type: initial
certification or re-certification;
Reporting period: less than 6 months;
(ii) Stratum b—Action type:
redetermination based on a monthly,
quarterly or periodic report; Reporting
period: less than 6 months;
(iii) Stratum c—Action type: initial
certification or recertification; Reporting
period: 6 months;
(iv) Stratum d—Action type:
redetermination based on a monthly,
quarterly or periodic report; Reporting
period: 6 months;
(v) Stratum e—Action type: all;
Reporting period: more than 6 months.
(2) State agencies shall allocate 10
percent of the sample to stratum a and
10 percent of the sample to stratum b.
The remaining 80 percent of the sample
should be allocated in a manner
proportionate to the size of the strata in
the sample universe as described in
table 3 to paragraph (g) introductory
text.
(3) If a State agency does not have
stratum a or b or both, it shall allocate
the full sample size proportionately to
the size of the existing strata in the
sample universe.
(4) In the formulas in table 3 to
paragraph (g) introductory text, N
represents the sample universe (i.e., the
total number of eligible SNAP cases)
and Na (for example) represents the
number of SNAP cases in the universe
that belong to stratum a; F represents
the total number of eligible SNAP cases
in the sampling frame (i.e., the list of
eligible SNAP cases having one of the
three actions in the month of selection)
and Fa (for example) represents the
number of SNAP cases in the frame that
belong to stratum a; n represents the
total sample size and na (for example)
represents the number of SNAP cases
selected from stratum a meeting the
stratum requirements.
(5) Within each stratum the State
agency shall select the designated
number of cases at random or using a
systematic method upon a random sort
of the cases. If in any strata the number
of cases to be sampled exceeds the
actual number in the frame, the State
shall select all of the cases in that
stratum. For example, if the proposed
sample size for stratum a is greater than
Fa then the State agency shall take all Na
SNAP cases for stratum a, hence na = Fa,
and allocate (n-na-nb) to the last three
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strata proportionately to the size of
these strata in the sample universe (N).
(h) Weighting. Given that the active
stratified sampling design oversamples
some strata and under-samples others,
weighting is necessary. The weights for
the active cases sample are defined as
follows:
Wi = (Ni/Fi) × (Fi/ni) = Ni/ni for
i=a,b,c,d,e
State agencies are responsible for
providing to FNS the counts Ni, Fi, and
ni (for i=a,b,c,d,e) as part of the
sampling plan described at 7 CFR
275.11(a)(4).
*
*
*
*
*
■ 7. In § 275.12:
■ a. Revise paragraphs (a) and (b);
■ b. Add a sentence at the end of
paragraph (c) introductory text;
■ c. Revise paragraphs (c)(1)
introductory text and (c)(1)(iii) ;
■ d. Remove the phrase ‘‘the State’’ and
add in its place the phrase ‘‘State law’’
in the third sentence of paragraph
(c)(1)(iv);
■ e. Add the phrase ‘‘or in the case file’’
at the end of the first sentence of
paragraph (c)(2);
■ f. Remove the phrase ‘‘as of the review
date’’ and add in its place the phrase
‘‘by the reviewer’’ and remove the
phrase ‘‘at the most recent certification
action)’’ and add in its place the phrase
‘‘in the eligibility action under review)’’
in paragraph (d) introductory text;
■ g. Remove the phrase ‘‘for the sample
month’’ in paragraph (d)(2) introductory
text;
■ h. Add a sentence after the second
sentence and remove the last sentence
of paragraph (d)(2)(ii);
■ i. Remove paragraphs (d)(2)(iii) and
(ix);
■ j. Redesignate paragraphs (d)(2)(iv)
through (viii) as paragraphs (d)(2)(iii)
through (d)(2)(vii);
■ k. Remove the phrase ‘‘Immigration
and Naturalization Service’s (INS)’’ and
add in its place the phrase ‘‘United
States Citizenship and Immigration
Services (USCIS)’’ in newly
redesignated paragraph (d)(2)(v)
introductory text;
■ l. Remove ‘‘INS’’ and add in its place
‘‘USCIS’’ in newly redesignated
paragraphs (d)(2)(v)(A) introductory
text, (d)(2)(v)(A)(3) (two occurrences),
(d)(2)(v)(B) introductory text, and
(d)(2)(v)(B)(2);
■ m. Remove the phrase ‘‘category three
and four Policy Memoranda under the
Policy Interpretation Response System’’
and add in its place the phrase, ‘‘FNS
policy memoranda’’ in newly
redesignated paragraph (d)(2)(vii);
■ n. Revise paragraph (d)(3);
■ o. Remove the phrase ‘‘in the sample
month’’ and add in its place ‘‘as an
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20:32 Sep 18, 2023
Jkt 259001
error’’ in the first sentence of paragraph
(f)(1) and revise the last sentence of
paragraph (f)(1);
■ p. Remove the phrase ‘‘in the sample
month’’ in the first sentence of
paragraph (f)(2) and revise the last
sentence of paragraph (f)(2);
■ q. Add a sentence to the end of
paragraph (g)(1) introductory text;
■ r. Revise paragraphs (g)(1)(ii) and
(g)(2)(i) and (ii);
■ s. Remove paragraphs (g)(2)(iv), (ix),
and (x);
■ t. Redesignate paragraphs(g)(2)(v)
through (viii) as paragraphs (g)(2)(iv)
through (vii); and
■ u. Revise newly redesignated
paragraphs (g)(2)(vi) and (vii).
The revisions and additions read as
follows:
§ 275.12
Review of active cases.
(a) General. A sample of households
that experienced an eligibility action—
i.e., certified for SNAP, recertified for
SNAP, or required to have submitted a
monthly, quarterly, or periodic report in
the sample month which resulted in an
issuance of benefits in the following
month, shall be selected for active case
review. These active cases shall be
reviewed to determine if the household
was eligible and, if eligible, whether the
household received the correct
allotment. The determination of a
household’s eligibility shall be based on
an examination and verification of all
elements of eligibility (i.e., nonfinancial eligibility requirements,
resources, income, and deductions). The
verified circumstances and the resulting
benefit level determined by the quality
control review shall be compared to the
benefits authorized by the State agency.
The review of active cases shall include:
a household case record review; a field
investigation; the identification of any
variances; an error analysis; and the
reporting of review findings.
(b) Household case record review. The
reviewer shall examine the household
case record to identify the facts relating
to the household’s eligibility and basis
of issuance. The case record review
shall include all information applicable
to the eligibility action under review,
including the application and, as
applicable, the monthly, quarterly, or
periodic report and worksheet in effect
as of the review date. Documentation
contained in the case record should be
used as verification if it was verified
using documentary evidence at the time
of the certification action. If during the
case record review the reviewer can
determine and verify the household’s
ineligibility, the review can be
terminated at that point, provided that,
if the determination is based on
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information not obtained from the
household, the correctness of that
information is confirmed as specified in
paragraph (c)(2) of this section. The
reviewer shall utilize information
obtained through the case record review
to complete column (2) of the Form
FNS–380, and to tentatively plan the
content of the field investigation.
(c) * * * In obtaining documentary
evidence and collateral contact
verification, the State agency is
encouraged to utilize technology to
assist in the gathering of documentary
evidence, however the State agency
shall ensure it preserves the privacy and
confidentiality of the household
regardless of what technology it uses.
(1) Personal interviews. State agencies
shall conduct interviews in a manner
that respects the rights, privacy, and
dignity of the participants. The personal
interview shall be a telephone interview
unless the household requests a face-toface interview or indicates they lack
access to a telephone. Prior to
conducting the personal interview, the
reviewer must notify the household that
it has been selected, as part of an
ongoing review process, for review by
quality control, that a personal
interview will be conducted in the
future, and that the household may
request a face-to-face interview in lieu
of a telephone interview. For face-toface interviews, the interview may take
place at the participant’s home, at an
appropriate State agency certification
office, by secure video call, or at a
mutually agreed upon alternative
location. Should a face-to-face interview
be warranted, the State agency shall
determine the best location for the faceto-face interview, taking into account
input from the household, including
any hardship conditions or disability
needs of the household. If the
household meets any of the hardship
conditions at 7 CFR 273.2(e)(2), the
quality control reviewer shall either
conduct the personal interview with the
participant’s authorized representative,
if one has been appointed by the
household, or at a place of the
participant’s choosing. During the
personal interview with the participant,
the reviewer shall:
*
*
*
*
*
(iii) Request and review with the
household documentary evidence in the
case file, as well as documentary
evidence that may be in the household’s
possession, and secure information
about collateral sources of verification;
and
*
*
*
*
*
(d) * * *
(2) * * *
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(ii) * * * For this exclusion to apply,
the case record must include
documentation specifying the elements
of eligibility for which verification was
postponed.
(3) Other findings. All QC review
findings must be reported to the local
office by the State agency. However,
State agencies may determine if and
how to act upon findings made during
the review that are pertinent to the case
record but do not result in a variance.
For example, the State may establish its
own procedures for cases when a
household member’s age is shown
incorrectly in the case record, if their
age is unrelated to an element of
eligibility.
*
*
*
*
*
(f) * * *
(1) * * * In addition, the reviewer
shall code and report any other
variances related to eligibility which
were discovered and verified during the
course of the review and the State
agency shall notify the local office of all
variances in elements of eligibility.
(2) * * * The reviewer shall code and
report any other variances in the basis
of issuance which were discovered and
verified during the course of the review
and the State agency shall notify local
offices of all variances in elements of
the basis of issuance.
(g) * * *
(1) * * * The total allotment issued,
shall be coded and reported as an error
when the case is reported as not
complete.
*
*
*
*
*
(ii) If a household refuses to cooperate
with the quality control reviewer and
the State agency has taken other
administrative steps to obtain that
cooperation without obtaining it, the
household shall be notified of the
penalties for refusing to cooperate with
respect to termination and reapplication
and of the possibility that its case will
be referred for investigation for willful
misrepresentation. If a household
refuses to cooperate after such notice,
the reviewer must attempt to complete
the case and shall report the
household’s refusal to the State agency
for termination of its participation
without regard for the outcome of that
attempt. For a determination of refusal
to be made, the household must be able
to cooperate but clearly demonstrate
that it will not take actions that it can
take and that are required to complete
the quality control review process. In
certain circumstances, the household
may demonstrate that it is unwilling to
cooperate by not taking actions after
having been given every reasonable
opportunity to do so, even though the
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household or its members do not state
that the household refuses to cooperate.
Examples of when a household appears
to be unwilling to cooperate with a QC
review that have the effect of a refusal
to cooperate shall include:
(A) The household does not attend an
agreed upon interview with the
reviewer and then does not contact the
reviewer within 10 calendar days of the
date of the scheduled interview to
reschedule the interview.
(B) The household does not return a
signed release of information statement
to the reviewer within 10 calendar days
of either agreeing to do so or receiving
a request from the reviewer sent
Certified Mail-Return Receipt
Requested.
(C) The household does not respond
to any communication sent from the
reviewer, and either:
(1) The household has not responded
to a letter sent to the household’s
current known address via Certified
Mail-Return Receipt requesting a
response within 30 calendar days of the
date of receipt, or
(2) The household has not responded
to a written request for quality control
contact (RFQCC). The RFQCC, sent by
the State agency at the reviewer’s
request, must have advised the
household of the following: that quality
control is trying to contact them for a
review; the requirement of the
household to cooperate with the quality
control review; the penalties for not
responding to the RFQCC and not
cooperating with the quality control
review; and the contact information the
household must use to get in touch with
the quality control reviewer or office.
The RFQCC must have afforded the
household at least 10, but no more than
15 calendar days to respond from the
date on the letter. RFQCC requests from
the reviewer must be fulfilled by the
State agency.
(i) If the household does not respond
to the RFQCC by the deadline provided
in the request, the reviewer must report
the household’s failure to respond to the
State agency and request the State
agency issue a notice of adverse action
to suspend the household for one month
before a termination becomes effective.
The notice of adverse action must
include the reason the household’s
benefits were suspended, an
explanation that the consequence for
failing to respond to quality control
during the suspension period is for their
benefits to be terminated for refusal to
cooperate with quality control, and the
quality control reviewer’s or office’s
contact information.
(ii) If the household does not respond
to the RFQCC, but does respond during
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64787
the period of suspension and cooperates
with quality control, the reviewer must
notify the State agency to reinstate the
household without requiring a new
application and issue the allotment for
the month of suspension.
(D) In these and other situations, if
there is any question as to whether the
household has merely failed to
cooperate, as opposed to refused to
cooperate, the household shall not be
reported to the State agency for
termination.
*
*
*
*
*
(2) * * *
(i) Death of all members of a
household if they died after the
eligibility action but before the review
could be undertaken or completed;
(ii) The household moved out of State
after the eligibility action but before the
review could be undertaken or
completed;
*
*
*
*
*
(vi) A case incorrectly listed in the
active frame; or
(vii) A household appealing the
eligibility action under review.
§ 275.13
[Amended]
8. In § 275.13:
a. Amend paragraph (c)(2)
introductory text by removing the words
‘‘Immigration and Nationalization
Services (INS)’’ and adding in their
place ‘‘USCIS’’ and removing the words
‘‘Systematic Alien Verification for
Entitlements (SAVE)’’ and adding in
their place ‘‘SAVE’’; and
■ b. Amend paragraph (c)(2)(iii) by
removing ‘‘INS’’ and adding in its place
‘‘USCIS’’ in both occurrences.
■
■
§ 275.16
[Amended]
9. In § 275.16:
a. Remove the phrase ‘‘of 1 percent or
more in negative cases’’ and add in its
place the phrase ‘‘above the national
average CAPER’’ in paragraph (b)(2);
■ b. Remove paragraph (b)(4); and
■ c. Redesignate paragraph (b)(5) as
paragraph (b)(4).
■ 10. In § 275.21, revise paragraph (b)(1)
to read as follows:
■
■
§ 275.21
Quality control review reports.
*
*
*
*
*
(b) * * *
(1) The State agency shall use SNAP–
QCS, FNS’s automated, web-based QC
System for State agency users, to input,
edit, and upload supporting evidence
and information necessary to
understand the disposition and findings
for all active and negative sampled
cases.
*
*
*
*
*
■ 11. In § 275.23:
■ a. Remove the words ‘‘active case,
payment, and negative case error rate’’
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and add in its place the words
‘‘payment and case and procedural error
rates’’ in paragraph (b) introductory text;
■ b. Remove the words ‘‘active case
error rate, payment error rate, and
negative case error rate’’ and add in its
place the words ‘‘payment and case and
procedural error rates’’ in paragraph
(b)(1);
■ c. Revise paragraphs (b)(2)(i)(A) and
(B) and (b)(2)(ii) and (iii);
■ d. Revise the second and third
sentences in paragraph (c); and
■ e. Revise the second sentence in
paragraph (d)(1).
The revisions read as follows:
§ 275.23 Determination of State agency
program performance.
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*
*
*
*
*
(b) * * *
(2) * * *
(i) * * *
(A) Y1′ = y1 + b1 (X1¥x1), where Y1′
is the estimated average value of
allotments overissued to eligible and
ineligible households in the full Quality
Control (QC) sample; y1 is the average
value of allotments overissued to
eligible and ineligible households in the
re-review sample according to the
Federal finding; b1 is the estimated
regression coefficient through a
regression of the Federal findings of
allotments overissued to eligible and
ineligible households on the
corresponding State agency findings; x1
is the re-review average value of
allotments overissued to eligible and
ineligible households according to State
agency findings; and X1 is the weighted
average value of allotments overissued
to eligible and ineligible households in
the full QC sample according to State
agency’s findings. Based on the sample
design, only X1 is weighted to account
for the probability of selection in the
full QC sample.
(B) Y2′ = y2 + b2(X2¥x2), where Y2′ is
the estimated average value of
allotments underissued to households
included in the active error rate; y2 is
the average value of allotments
underissued to participating households
in the re-review sample according to the
Federal finding; b2 is the estimated
regression coefficient obtained through
a regression of the Federal findings of
allotments underissued to participating
households on the corresponding State
agency findings; x2 is the re-review
average value of allotments underissued
to participating households according to
State agency findings; and X2 is the
weighted average value of allotments
underissued to participating households
in the full QC sample according to the
State agency’s findings. Based on the
sample design, only X2 is weighted to
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account for the probability of selection
in the full QC sample.
*
*
*
*
*
(b) * * *
(2) * * *
(ii) If FNS determines that a State
agency has sampled incorrectly,
estimated improperly, or has
deficiencies in its QC data management
system, FNS will correct the State
agency’s payment error rate and case
and procedural error rate based upon a
correction to that aspect of the State
agency’s QC system which is deficient.
If FNS cannot accurately correct the
State agency’s deficiency, FNS will
assign the State agency a payment error
rate or case and procedural error rate
based upon the best information
available. After consultation with the
State agency, the assigned payment
error rate can then be used in a liability
determination, if applicable per the
rules governing liabilities at 7 CFR
275.23(d). State agencies shall have the
right to appeal the assignment of an
error rate in this situation in accordance
with the procedures of part 283 of this
chapter. State agencies assigned error
rates that do not result in the
determination of a liability amount, as
discussed in 7 CFR 275.23(d), are not
eligible for appeal.
(iii) Should a State agency fail to
sample and disposition its required
minimum annual sample size for the
fiscal year, FNS shall adjust the State
agency’s regressed error rate using the
following equations:
(A) r1″ = r1′ + 5(1¥C)S1, where r1″ is
the adjusted regressed overpayment
error rate, r1′ is the regressed
overpayment error rate computed from
the formula in paragraph (b)(2)(i)(C) of
this section, C is the State agency’s rate
of completion of its required sample
size expressed as a decimal value, and
S1 is the standard error of the State
agency sample overpayment error rate.
If a State agency completes all of its
required sample size, then r1″ = r1′.
(B) r2″ = r2′ + 5(1¥C)S2, where r2″ is
the adjusted regressed underpayment
error rate, r2′ is the regressed
underpayment error rate computed from
the formula in paragraph (b)(2)(i)(C) of
this section, C is the State agency’s rate
of completion of its required sample
size expressed as a decimal value, and
S2 is the standard error of the State
agency sample underpayment error rate.
If a State agency completes all of its
required sample size, then r2″ = r2′.
*
*
*
*
*
(c) * * * FNS shall determine and
announce the national average payment
error rate for the fiscal year by June 30
following the end of the fiscal year and
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shall determine and announce the
national average case and procedural
error rate for the fiscal year by
September 30 following the end of the
fiscal year. At those times, FNS shall
notify all State agencies of their
individual payment and case and
procedural error rates, respectively, and
payment error rate liabilities, if any.
*
*
*
*
*
(d) * * *
(1) * * * The national performance
measure is the sum of the products of
each State agency’s payment error rate
multiplied by that State agency’s
proportion of the total value of
allotments issued for the fiscal year
using the most recent issuance data
available at the time the State agency is
notified of its payment error rate. * * *
■ 12. Revise § 275.24 to read as follows:
§ 275.24
Performance measures.
(a) Performance measures. FNS will
measure performance for the following
categories of performance measures:
(1) Payment accuracy. FNS will assess
State agencies annually for individual
and overall payment accuracy,
including measurements for
overpayments and underpayments of
SNAP benefits issued based on the
results of cases reviewed in the actives
sampling frame.
(i) Improvements in payment
accuracy. FNS will assess the
percentage point decrease in a State
agency’s combined payment error rates
based on the comparison of the State
agency’s validated payment error rates
for the performance measurement year
to those of the previous fiscal year.
(ii) [Reserved]
(2) Case and procedural errors. FNS
will assess State agencies annually to
produce case and procedural error rates
based on the results of cases reviewed
in the negative sampling frame.
(i) Most improved case and
procedural error rate. FNS will assess
the percentage point decrease in a State
agency’s case and procedural error rates,
based on the comparison of the State
agency’s performance measurement
year’s validated quality control case and
procedural error rates for the
performance measurement year with to
those of the previous fiscal year.
(ii) [Reserved]
(3) Program access index (PAI). FNS
will annually assess the degree to which
each State agency provides low-income
people access to SNAP benefits. The
PAI is the ratio of participants to
persons with incomes below 125
percent of poverty, as calculated in
accordance with paragraph (a)(3)(i) of
this section.
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(i) Data. For the number of
participants (numerator), FNS will use
the administrative annual counts of
participants minus the average amount
of new participants certified under
special disaster program rules by the
State agency averaged over the calendar
year. For the number of people below
125 percent of poverty (denominator),
FNS will use the Census Bureau’s
American Community Survey (ACS)
count of people below 125 percent of
poverty for the same calendar year. FNS
will reduce the count in each State
where a Food Distribution Program on
Indian Reservations (FDPIR) program is
operated by the administrative counts of
the number of individuals who
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participate in this program averaged
over the calendar year.
(ii) [Reserved]
(4) Application processing timeliness.
FNS will annually assess the timeliness
of processed applications for each State
agency.
(i) Data. FNS will use quality control
data to determine each State agency’s
rate of application processing
timeliness.
(ii) Timely processed applications. A
timely processed application is one that
provides an eligible applicant the
‘‘opportunity to participate’’ as defined
in 7 CFR 274.2, within thirty days for
normal processing or 7 days for
expedited processing. New applications
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64789
that are processed outside of this
standard are untimely for this measure,
except for applications that are properly
pended in accordance with 7 CFR
273.2(h)(2) because verification is
incomplete and the State agency has
taken all the actions described in 7 CFR
273.2(h)(1)(i)(C). Such applications will
not be included in this measure.
Applications that are denied will not be
included in this measure.
(b) [Reserved]
Cynthia Long,
Administrator, Food and Nutrition Service.
[FR Doc. 2023–20023 Filed 9–18–23; 8:45 am]
BILLING CODE 3410–30–P
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Agencies
[Federal Register Volume 88, Number 180 (Tuesday, September 19, 2023)]
[Proposed Rules]
[Pages 64756-64789]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-20023]
[[Page 64755]]
Vol. 88
Tuesday,
No. 180
September 19, 2023
Part IV
Department of Agriculture
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Food and Nutrition Service
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7 CFR Parts 271 and 275
Provisions To Improve the Supplemental Nutrition Assistance Program's
Quality Control System; Proposed Rule
Federal Register / Vol. 88, No. 180 / Tuesday, September 19, 2023 /
Proposed Rules
[[Page 64756]]
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DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Parts 271 and 275
[FNS-2020-0016]
RIN 0584-AE79
Provisions To Improve the Supplemental Nutrition Assistance
Program's Quality Control System
AGENCY: Food and Nutrition Service (FNS), USDA.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: The U.S. Department of Agriculture (the Department) is issuing
this notice of proposed rulemaking to improve the Food and Nutrition
Service's (FNS) Supplemental Nutrition Assistance Program (SNAP)
quality control (QC) system as required in the Agriculture Improvement
Act of 2018 (2018 Farm Bill). The proposed changes are intended to
strengthen and improve the integrity and accuracy of the SNAP QC system
and to better align SNAP with requirements in the Payment Integrity
Information Act of 2019 (PIIA). These changes include a significant
adjustment to the SNAP QC system that involves changes to Federal and
State agency sampling processes, as well as changes to the active case
review process. Quality Control case sampling and review processes are
key aspects of the system used to annually assess SNAP payment error
rates. The Department requests comment on this rule's proposed
provisions.
DATES: Written comments must be received on or before November 20,
2023 to ensure their consideration.
ADDRESSES: The Food and Nutrition Service, USDA, invites interested
persons to submit written comments on this proposed rule. Comments may
be submitted in writing by one of the following methods:
--Federal eRulemaking Portal: Go to https://www.regulations.gov. Follow
the online instructions for submitting comments.
--Mail: Send comments to John M., Branch Chief, Quality Control Branch,
Program Accountability and Administration Division; Food and Nutrition
Service; 1320 Braddock Place, 5th Floor; Alexandria, Virginia 22314.
--Email: Send comments to [email protected]. Include Docket ID
Number FNS-2020-0016, ``Provisions to Improve the SNAP QC System'' in
the subject line of the message.
--All written comments submitted in response to this proposed rule will
be included in the record and will be made available to the public.
Please be advised that the substance of the comments and the identity
of the individuals or entities submitting the comments will be subject
to public disclosure. FNS will make the written comments publicly
available on the internet via https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: John M., 703-457-7747, Food and
Nutrition Service, 1320 Braddock Place, 5th Floor, Alexandria, Virginia
22314, [email protected].
SUPPLEMENTARY INFORMATION:
I. Table of Contents
a. Acronyms or Abbreviations
b. Severability Clause
II. Background/History
a. SNAP QC--In General
b. Farm Bill Provisions
c. Improper Payment Determinations
d. Historical Information Supporting Congress' Request for
Improvement and QC Reform
i. State QC Integrity Reviews (QCIRs)
ii. FNS Response
e. SNAP QC--Current Processes
f. New Proposed QC Approach
III. General (This section begins discussion of the proposed
provisions)
a. Terminology Clean Up
b. Subpart A--Administration
i. Staffing Standards
ii. FNS Access to State Systems
iii. Federal Monitoring--Federal Subsampling
iv. Sampling--Federal Sub Sample
v. Federal Monitoring--Arbitration
c. Subpart C--Quality Control (QC) Reviews
i. Sampling--General
ii. Sampling Plan--Content
iii. Sampling Plan--Design
iv. Sample Size--Active and Negative Cases
v. Sample Size--Alternative Designs
vi. Sample Selection--Corrections
vii. Sample Frame--Active Cases
viii. Sample Universe--Active Cases
ix. Active Sample Allocation and Weighting
x. Review of Active Cases--General
xi. Review of Active Cases--Household Case Record Review
xii. Review of Active Cases--Field Investigation
xiii. Review of Active Cases--Personal Interviews
xiv. Review of Active Cases--Collateral Contacts
xv. Review of Active Cases--Variance Identification
xvi. Review of Active Cases--Variances Excluded From the Error
Analysis
xvii. Review of Active Cases--Other Findings
xviii. Review of Active Cases--Reporting of Review Findings
xix. Review of Active Cases--Disposition of Case Reviews
d. Subpart E--Corrective Action
i. Corrective Action Planning--Negative Cases
ii. Corrective Action Planning--Incomplete Cases
e. Subpart F--Responsibilities for Reporting on Program
Performance
i. Quality Control Review Reports--Mandating the Use of SNAP QC
System
f. Subpart G--Program Performance
i. Determination of State Agency Program Performance--
Determination of Payment Error Rates
ii. State Agency Error Rates--Completion Rate Penalty
iii. High Performance Bonuses
iv. Performance Measures--Program Access Index
g. Proposed Timeframe for Implementation of QC Sampling and
Active Review Changes
IV. Procedural Matters
V. Amendatory Text
Acronyms or Abbreviations
Agriculture Improvement Act of 2018 (Pub. L. 115-334), the 2018 Farm
Bill
Case and Procedural Error Rate, CAPER
Code of Federal Regulations, CFR
Corrective Action Plan, CAP
Department of Justice, DOJ
Federal Quality Control Reviewer, FQCR
Food and Nutrition Act of 2008, FNA
Food and Nutrition Service, FNS
Office of Management and Budget, OMB
Payment Error Rate, PER
Quality Control, QC
Quality Control Reviewer, QCR
Regional Office, RO
Request for Information, RFI
Supplemental Nutrition Assistance Program, SNAP
Supplemental Nutrition Assistance Program's Automated Quality
Control System, SNAP-QCS
State Quality Control Reviewer, SQCR
U.S. Department of Agriculture, the Department or USDA
U.S. Department of Agriculture Office of Inspector General, USDA OIG
Severability: The Department proposes that certain individual
components of this proposed rule are severable and seeks comment on
that proposal. Specifically, the Department considers changes proposed
in the following sections to be severable: Staffing Standards; FNS
Access to State Systems; Federal Monitoring--Arbitration; Review of
Active Cases--Other Findings; Review of Active Cases--Disposition of
Case Reviews (with the exception of changes proposed to 7 CFR
275.12(g)(2)); Corrective Action Planning--Negative Cases; Corrective
Action Planning--Incomplete Cases; State Agency Error Rates--Completion
Rate Penalty; and Performance Measures. If a court were to find
unlawful any or some combination of this rule as finalized, the
Department still would intend any individual or combination of the
above sections of
[[Page 64757]]
this proposed rule to stand. The Department seeks comment regarding
considerations about whether stakeholders consider those and any other
provisions in this proposed rule severable or not.
Background
SNAP QC--In General
The Supplemental Nutrition Assistance Program (SNAP) is the
nation's largest domestic food assistance program for Americans,
reaching about 40 million people (approximately 12 percent of the
nation's population) per month during fiscal year 2020.\1\
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\1\ https://www.ers.usda.gov/topics/food-nutrition-assistance/food-assistance-data-collaborative-research-programs/snap-and-wic-administrative-data/.
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Although the Federal government funds SNAP benefits, under 7 U.S.C.
2020(a)(1), State agencies are responsible for general program
administration of SNAP within their States, including determining the
eligibility of individuals and households to receive SNAP benefits and
issuing monthly allotments of benefits.
However, given the large volume of SNAP cases, complexities of
eligibility policies, and availability of State options, State agencies
may issue overpayments or underpayments of SNAP allotments to
participant households.
Pursuant to Section 16 of the Food and Nutrition Act of 2008, as
amended (FNA), each State agency is responsible for monitoring and
improving its administration of SNAP. A Quality Control (QC) system is
necessary to help ensure State agencies measure improper payments and
improve their administration of SNAP. SNAP QC reviews have four goals,
identified at 7 CFR 275.10(b), which are to provide: (1) a systematic
method of measuring the validity of the SNAP eligibility caseload; (2)
a basis for determining all SNAP error rates; (3) a timely, continuous
flow of information on which to base corrective action at all levels of
administration; and (4) a basis for establishing State agency liability
for payment errors that exceed the National performance measure
pursuant to Section 16(c)(1)(C) of the FNA.
To comply with Section 16 of the FNA, State agencies conduct
monthly reviews of a statistically representative sample of both
participating SNAP households (active cases) and households for whom
participation was denied, terminated, or suspended (negative cases).
These reviews measure the accuracy of SNAP eligibility and ongoing
allotment determinations and ultimately serve as the basis for the SNAP
payment error rate (PER) and case and procedural error rate (CAPER).\2\
The results of these reviews provide feedback on State-by-State and
national administration of the Program, including how State agencies'
chosen policy options, waivers, and business processes affect the
accuracy of their eligibility determinations. In short, the QC system
allows FNS and the States to assess the integrity of SNAP by
determining the extent to which the program is operating as required by
statute and regulations. The system directly measures the accuracy of
State actions to certify households as eligible for SNAP allotments and
to determine the amount of those allotments, which are the actions that
States should prioritize to ensure effective stewardship of taxpayer
dollars and effective service to households in need.
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\2\ In fiscal year 2012, the procedures for reviewing cases in
the negative frame changed to include the State's procedural
processes in determining a negative case's validity. FNS has
referred to the negative error rate since then as the case and
procedural error rate, or CAPER, to reflect this change.
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Farm Bill Provisions
On December 20, 2018, the President signed Public Law 115-334, the
Agriculture Improvement Act of 2018 (2018 Farm Bill). Section 4013(b)
of the 2018 Farm Bill required the Department to issue an interim final
rule to: (1) ensure the SNAP QC system produces valid statistical
results; (2) provide for the oversight of contracts entered into by a
State agency to improve payment accuracy; (3) ensure the accuracy of
data collected in the QC system; and (4) provide for the evaluation of
the integrity of the QC system for a minimum of two State agencies per
fiscal year. Section 4013(e) of the 2018 Farm Bill also required that
cost sharing for State computerization costs be, in part, contingent on
State agencies granting FNS access to all State computer systems
containing documentation and evidence related to SNAP eligibility. The
Department determined that the most effective way to meet the statutory
requirements was to issue two rules: (1) an IFR for the non-
discretionary provisions, which FNS believed were necessary to comply
with the 2018 Farm Bill and would be effective immediately, and (2) a
proposed rule for the additional, discretionary provisions to improve
the integrity and data quality of SNAP QC. By doing so, the Department
ensures that major discretionary changes to SNAP QC go through the full
notice and comment process, which allows stakeholders an opportunity to
be part of the rulemaking process.
The Department codified all the non-discretionary requirements in
Section 4013(b) in SNAP regulations by publishing the interim final
rule (IFR) titled, ``Supplemental Nutrition Assistance Program: Non-
Discretionary Quality Control Provisions of the Agricultural
Improvement Act of 2018'' on August 13, 2021 (86 FR 44575.\3\) A
correction to that interim final rule was published on September 2,
2021 (86 FR 49229 \4\) and the final rule was published on April 18,
2023 (88 FR 23559 \5\).
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\3\ https://www.govinfo.gov/content/pkg/FR-2023-04-18/pdf/2023-08122.pdf.
\4\ https://www.govinfo.gov/content/pkg/FR-2021-09-02/pdf/2021-18743.pdf.
\5\ https://www.govinfo.gov/content/pkg/FR-2023-04-18/pdf/2023-08005.pdf.
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Improper Payment Determinations
The SNAP QC review process precedes Federal improper payment laws,
including the Payment Integrity Information Act of 2019 (PIIA) (Pub. L.
116-117.\6\) These PIIA requirements include: identifying any case that
a reviewer is unable to determine the accuracy of (known as an
incomplete case) as an improper payment (31 U.S.C. 3352(c)(2)); and
measuring technically improper payments, or payments in which a
recipient was entitled to a payment but the payment failed to follow
statutory or regulatory requirements (31 U.S.C. 3351(4)). With
Congress' requirement to improve the SNAP QC system, the Department is
including proposed changes in this rule that will better align SNAP
with requirements in PIIA. In addition, the proposed shift in review
focus for active cases (discussed later) will align the SNAP QC review
process for determining SNAP payment errors more closely with the
processes used to determine improper payments in other Federal programs
that provide benefits to similar populations (e.g., Medicaid and the
Earned Income Tax Credit).
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\6\ S.375--116th Congress (2019-2020): Payment Integrity
Information Act of 2019 [bond] Congress.gov [bond]Library of
Congress: https://www.congress.gov/bill/116th-congress/senate-bill/375.
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Historical Information Supporting Congress' Request for Improvement and
QC Reform
The section that follow discusses challenges FNS faced and overcame
that impacted the integrity of the QC system in the recent past;
specifically, the challenges that occurred when State agencies
introduced bias into the QC system's data. While FNS addressed the
[[Page 64758]]
issues and has since regained confidence in the integrity of the data
collected by State agencies, additional improvements and changes to the
QC system will help ensure SNAP's QC system will be less susceptible to
bias. The historical information below offers context and support for
Congress' request for improvement and the reform proposals in this
rule.
In 2015, an audit of SNAP QC's error rate determination process by
the Department's Office of Inspector General (OIG)),\7\ and FNS's study
on Enhancing Completion Rates for SNAP QC Reviews,\8\ both identified
issues with the reliability of State-reported QC data. The OIG
recommendations included that FNS amend and enforce its policies to
ensure payment error rates are accurate and in compliance with
regulations, and that FNS eliminate the two-comparison allotment test
process, which is used to determine payment errors. FNS's Completion
Rate study identified QC system issues including: the performance bonus
system's creation of financial incentives for State agencies to
underreport payment errors (which was subsequently eliminated by the
2018 Farm Bill), and State agencies' improper coding of QC cases as
incomplete in order to reduce their payment errors.
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\7\ https://www.usda.gov/oig/webdocs/27601-0002-41.pdf.
\8\ https://www.fns.usda.gov/snap/enhancing-completion-rates-supplemental-nutrition-assistance-program-snap-quality-control-reviews.
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State QC Integrity Reviews (QCIRs)
To identify the full extent of the QC data reliability issues, FNS
began QCIRs in April 2015 and completed reviews of all 53 State
agencies by September 2016. The purpose of the QCIRs was to validate
that State agency QC systems did not include bias, as bias impacts the
integrity of the data. During these reviews, FNS was able to validate
only 11 State agencies' QC systems for FY 2015 and found data integrity
issues in the remaining 42 States. As a result, FNS was unable to use
the States' QC data to establish State or national SNAP payment error
rates for FY 2015 and FY 2016.
The findings from the reviews fell into four categories related to
integrity in the QC system and aligned with ways to mitigate errors.
The first category centered on inadequate documentation. FNS found more
than half of the State agencies were not properly documenting
information in the QC case file, as required in the SNAP QC Review
Handbook (the FNS-310).\9\ Inadequate documentation prevents FNS from
having the information needed to do a thorough and independent
validation of the cases completed by State agencies.
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\9\ https://fns-prod.azureedge.net/sites/default/files/snap/FNS_310_Handbook.pdf.
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The second category concerned improper use of error review
committees. State agencies may use error review committees after State
quality control reviewers (SQCRs) transmit completed QC cases to FNS,
to identify corrective actions that may be needed to improve the
accuracy of eligibility and allotment determinations. However, State
agencies are strictly prohibited from using error review committees
prior to the SQCR transmission of completed QC cases to FNS. On August
1, 2005, after identifying concerns regarding the improper use of error
review committees, FNS issued a policy memorandum \10\ on the proper
use of an error review committee to develop corrective action to
prevent future errors. The memo reiterated that FNS prohibited the use
of such committees to mitigate errors in cases actively under review.
Despite this longstanding guidance, in the FY 2015 QCIRs, FNS
discovered more than half of the State agencies continued to use error
review committees inappropriately to discuss and mitigate the errors
found in cases actively under review before submitting review results
to FNS.
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\10\ https://fns-prod.azureedge.net/sites/default/files/snap/QCPolicyMemo05-01.pdf.
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The third category of findings from the QCIRs related to the
failure of more than half the State agencies to disclose complete case
information to FNS, as required by 7 CFR 275.23(b). This finding
included some State agencies refusing to give FNS access to their
systems for auditing purposes, as required by Section 16(c)(4) of the
FNA. Section 4013(a)(2) of the 2018 Farm Bill addressed this and
required State agencies to give FNS access to their State systems for
QC and oversight purposes. Section 4013(e)(2) of the 2018 Farm Bill
required cost-sharing for computerization to be conditioned on State
agencies being able to provide FNS access to their systems for audit
and inspection purposes. The 2018 IFR codified the requirement to give
FNS access, and this proposed rule includes the cost-sharing condition
from Section 4013(e)(2) of the 2018 Farm Bill for State agencies to
give FNS access.
The fourth category of findings from the QCIRs found that more than
half of the State agencies were incorrectly interpreting and applying
certification policy, sometimes intentionally, to mitigate QC errors.
For example, during QC reviews, some State agencies were using an
inappropriate number of weeks or months to determine a household's
earned income. This approach led to the QC reviewer artificially
increasing or decreasing the earned income amount of the household,
with the goal of obtaining a result that more closely matched the
amount used at the eligibility and allotment determination, thus
mitigating the likelihood and potential impact of a payment error.
As a result of FNS's initial integrity findings in 2015, the
Department of Justice (DOJ) began investigating State agencies for
violations of Federal law in connection with the underreporting of SNAP
QC payment errors. Between 2017 and 2021, DOJ settled with eight States
for False Claims Act allegations of introducing bias into their QC
processes. In addition, DOJ settled with a contracting company that
provided QC support to all eight State agencies.
FNS Response
In January 2016, in response to early findings from the QCIRs, FNS
issued a policy memorandum \11\ to address concerns with the integrity
of State agency QC systems. The memorandum reiterated and clarified FNS
policies that are necessary to prevent bias from entering the QC
system.
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\11\ https://www.fns.usda.gov/snap/integrity-snap-quality-control-system.
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In September 2016, after completing all QCIRs, FNS issued revisions
to its primary QC case review policy manual, the FNS Handbook 310,\12\
to help address FNS' and OIG's concerns regarding the integrity of the
QC system. These revisions reinforced the January 2016 policy
memorandum and addressed other issues affecting QC system integrity,
including documentation and verification in QC reviews. By November
2016, FNS had trained all Federal quality control reviewers (FQCR) and
SQCRs on the new manual and integrity-related provisions.
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\12\ https://www.fns.usda.gov/snap/fns-handbook-310 https://www.fns.usda.gov/snap/fns-handbook-310.
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During the QCIRs, and while working with State agencies to address
findings and resolve corrective action plans, FNS found the complex
structure of QC reviews contributed to not only unintentional mistakes,
but also to an environment that allowed for both the manipulation and
mitigation of SNAP QC payment error findings. For instance, the QC
review begins with an examination of the sample month circumstances for
a household, which could be any month of the household's certification
period. However, because of the complexity of Federal SNAP
[[Page 64759]]
certification policy, as well as State SNAP policy options and waivers,
reviews regularly involve a reviewer assessing household circumstances
across multiple months. FNS determined this complexity creates an
opportunity for both purposeful errors and unintentional review
mistakes and, in some cases, can blur the connection between payment
errors found during the QC review process and the relevant
certification actions, which is where errors are occurring.
Often it is not possible for SQCRs to complete cases due to
difficulties associated with obtaining verifications for past months
and securing household cooperation. For instance, to simplify
administrative procedures, some State agencies have chosen to implement
a policy that allows them to forego verification of shelter expenses at
certification if the expenses are not questionable. In the QC system,
there are no comparable options, and these expenses must always be
verified. While certification rules allow for a waiver of the
requirement to verify expenses that are not questionable,\13\ these
rules do not waive the requirement that correct expenses be used to
determine program eligibility and allotments. SNAP households may then
be skeptical of the SQCR's request for verifications of their shelter
costs since it was not required for the certification worker to
determine an allotment amount, increasing the odds that the household
will not comply with the QC review. Additionally, the household may not
be able to supply verification because they do not have a copy of the
required record or did not retain it, not having needed it previously.
In this circumstance, the SQCR would determine the case incomplete
since the required verifications were unavailable.
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\13\ As determined by guidelines promulgated pursuant to 7 CFR
273.2(f)(2).
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The conclusion that the complexity of SNAP eligibility policy and
the QC system's complexity played a major role in many of the integrity
issues led FNS to explore ways to simplify and improve the QC review
process. On June 1, 2018, the Department published a Request for
Information (RFI) in the Federal Register (83 FR 25425 \14\) to solicit
input on how best to simplify and improve the QC system. FNS received
26 unique comments in response to the publication. This preamble
references substantive comments from the 2018 RFI in the relevant
sections that follow.
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\14\ https://www.federalregister.gov/documents/2018/06/01/2018-11849/request-for-information-supplemental-nutrition-assistance-program-snap-quality-control-integrity-and.
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FNS also conducted focus groups with stakeholders who work in State
SNAP QC and certification policy, social science research partners with
government programs, and hunger advocates on conceptual ideas for the
proposed provisions in this rule. These focus groups assisted FNS in
identifying areas of concern, particularly with changing the review
focus to a narrower eligibility scope.
Additionally, during national and regional conferences, State and
Federal staff verbally expressed to FNS an interest in narrowing the QC
review to focus solely on the eligibility action to simplify the QC
review and increase compliance with QC review requirements while still
maintaining a focus on measuring the validity of critical State agency
decisions. This narrowed focus is consistent with how other social
safety net programs (e.g., Medicaid, earned income tax credit) measure
improper payments. These other programs do not measure ongoing
administration of benefits, as is done in SNAP's current QC review
process. Creating such an alignment would allow Congress and others to
compare improper payments more effectively across social safety net
programs.
SNAP QC--Current Processes
To assist the reader in understanding the review process changes
being proposed, this section discusses how the QC review process is
currently structured. The SNAP QC system \15\ consists of two tiers, a
State tier and a Federal tier. At the State agency level, a
statistician develops a sampling plan consistent with Federal
regulations at 7 CFR 275.11 that the State agency then submits to FNS
for approval. Each month, according to that sampling plan, State
agencies select a sample of active cases (7 CFR 275.12) and negative
cases (7 CFR 275.13) from the universe of their SNAP caseload and
conduct reviews of the cases to determine the accuracy of the
determination and allotment amount. Active cases are comprised of those
households who are participating in SNAP and negative cases are
comprised of cases in which the State agency acted to deny, terminate,
or suspend a household or applicant (7 CFR 275.10(a)).
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\15\ Discussed throughout 7 CFR 275.
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SQCRs must schedule and conduct face-to-face interviews with
households selected for review in the active sample frame (7 CFR
275.12(c)(1)).\16\ There are few exceptions to a face-to-face interview
for QC. For instance, State agencies may conduct telephonic interviews
for hard-to-reach Alaskan households (7 CFR 275.12(c)) or in situations
of a declared disaster using the SNAP waiver process (7 CFR 272.3(c)).
SQCRs use the information gathered during interviews along with
information in the case files, various databases, and documentation
from collateral contacts, such as neighbors, banks, and employers,
during the review (7 CFR 275.12(c)(2)).
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\16\ FNS temporarily provided State agencies the flexibility to
conduct QC interviews by telephone to assist State agencies in case
completion during the COVID-19 public health emergency. The
flexibilities have been extended through September 2024.
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The review itself consists of an examination of a random month
during a case's certification period, called the sample month (7 CFR
275.12(a). SQCRs verify all factors of eligibility and allotment
issuance for that sample month and calculate an allotment amount based
off that information, which is referred to as the household budget
calculation (7 CFR 275.12(e)). They then compare that calculated amount
to the amount that was issued to the household for that month This is
called Comparison I. If Comparison I results in the household budget
calculation producing an allotment amount for the sample month that is
either over or under the household's authorized issuance amount for
that month, in an amount that exceeds the current fiscal year's
threshold for excluding small errors,\17\ the SQCR will conduct a
second comparison, called Comparison II. With Comparison II, the SQCR
would then examine the month in which the most recent certification
action occurred. The SQCR would correct any mistakes made at the time
of this certification action, compute another budget, calculate an
allotment amount based on those findings, and compare the SQCR budget
for the certification action to the amount that was authorized at the
certification action. If there is also a difference in the SQCR's
budget and the authorized budget for Comparison II, the SQCR uses the
lesser of the two determined error amounts as the case's payment
error.\18\ After States transmit cases to FNS, any QC finding of an
overissuance must be reported to the State office responsible for
claims, and underissuance cases must be reported to the State offices
responsible for
[[Page 64760]]
supplements, to evaluate and address whether an action must be taken on
the reviewed cases (7 CFR 275.12(f)). This requirement is not impacted
by this rule.
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\17\ Under Section 16(c)(1)(A)(ii) of the FNA, the tolerance
level for excluding small errors is $37 for fiscal year 2014,
adjusted by the percentage adjustment of thrifty food plan for each
subsequent fiscal year. The most recently announced threshold, for
FY 2023, is $54.
\18\ As previously noted, the OIG's 2015 report recommended that
this two-comparison allotment test be eliminated.
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For all active frame cases,\19\ SQCRs enter their data into either
a paper or automated version of the form FNS-380, Worksheet for QC
Reviews (OMB Control Number: 0584-0074; Expiration Date: 07/31/2025),
to document the information needed to make a determination about the
accuracy of the case (7 CFR 275.21(b)). State agencies also code the
results of the reviews for all active cases onto the FNS-380-1, the QC
Review Schedule (OMB Control Number: 0584-0299; Expiration Date: 07/31/
2023; currently under review with OMB) (7 CFR 275.21(b)). State
agencies then submit the completed forms through SNAP's Federally
funded automated computer system, SNAP Quality Control System (SNAP-
QCS), for transmission to FNS (7 CFR 275.21(b)(1)). For negative frame
cases, State agencies complete form FNS-245, Negative Case Review
Schedule (OMB Control Number: 0584-0034; Expiration Date: 1212/31/2024)
(7 CFR 275.21(b)). and submit completed forms through SNAP-QCS (7 CFR
275.21(b)(1)).
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\19\ QC cases in the active frame are comprised of households
certified prior to or during the sample month and issued a SNAP
allotment for the sample month. QC review years follow the Federal
fiscal year from October through September the following year.
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FNS then works to validate the State agency findings. FQCRs, who
are in FNS regional offices, review a subsample of the active cases
reviewed by State agencies (7 CFR 275.3(d)(1)(i)). The subsample is
comprised not only of cases State agencies complete, but also of all
active cases the State agencies selected but were unable to complete,
and all cases that were determined by the State agency to be ``not
subject to review.'' \20\ After FQCRs identify the cases for the
subsample, they then request the relevant QC case file documents from
the State agencies and conduct a comprehensive, independent review of
each case (7 CFR 275.3(d)(1)(ii)).\21\ After case reviews are complete
and final determinations made, FNS calculates two error rates: (1) the
payment error rate (PER) for the active sampling frame (7 CFR
275.3(d)(1)); and (2) the case and procedural error rate (CAPER) for
the negative sampling frame (7 CFR 275.3(d)(3)). FNS also calculates an
annual application timeliness rate for State agencies with data from
the active sampling frame.
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\20\ ``Not Subject to Review'' is a term that refers to cases
that are not subject to quality control review. This means they do
not meet the requirements to be reviewed by a QC reviewer. Examples
include cases under active investigation by the State's fraud unit
and cases where the household did not receive an allotment for the
sample month under review.
\21\ The FQCR review may result in agreement or disagreement
with the State's findings. When there is a disagreement, the State
can dispute the Federal finding. If the State office and RO cannot
agree on the outcome of a case, the State may appeal to the national
arbitrator, a neutral third party whose decisions are final.
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The PER is based on the difference between the amount of allotments
issued to households and the amount those households should have
received had their cases been processed correctly (7 CFR 275.23(b)).
The overall PER is the sum of two breakdowns: underpayment and
overpayment error rates. For CAPER, the review of negative actions
considers procedural aspects of case processing in addition to whether
the action to deny, suspend, or terminate a household was accurate.
Procedural components of this review include timeliness of the action
and accuracy of the household notification, among other things. The
negative review results in a determination of whether the negative
actions were valid or invalid (7 CFR 275.13(c)(1)). The CAPER is based
on what percentage of the negative actions reviewed were invalid
compared to the total number of negative actions processed by the State
agency.
New Proposed QC Approach
The rest of this preamble will share the Department's proposals for
this rulemaking. The Department proposes to improve the SNAP QC active
review process using lessons learned from the QCIRs, the OIG audit, the
completion rate study on QC, the 2018 RFI \22\ on QC, and other
activities, such as technical assistance, that FNS has completed since
FY 2015. As such, the Department is proposing a different active case
review that: (1) would be less complicated, thus making it easier for
State agencies and households to comply with, FNS to oversee, and less
susceptible to bias; and (2) would still be capable of collecting
detailed program information regarding State agency administration and
the over and under issuance of SNAP allotments. In addition, the
proposed active review would resolve an ongoing concern from OIG about
how SNAP QC's use of Comparison I and Comparison II resulted in a
measurement from two different points in time.
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\22\ https://www.govinfo.gov/content/pkg/FR-2018-06-01/pdf/2018-11849.pdf.
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SNAP regulations require all SNAP State agencies to operate a QC
system (7 CFR 275.10(a)). Although the 2018 IFR increased various
reporting and recordkeeping requirements for State agencies to comply
with the 2018 Farm Bill, the active review process for the SNAP QC
system has remained relatively unchanged since February 1984 (49 FR
6292) \23\ and can be improved upon. Since SNAP's QC system existed at
least 25 years prior to the first Federal improper payment laws, such
as the Improper Payments Information Act of 2002 (IPIA). SNAP's active
QC review methodology and processes require adjustment to come into
alignment with other Federal programs where the improper payment
determination procedures were created after the first Federal improper
payment laws and associated regulations and guidance came into
existence.
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\23\ https://archives.federalregister.gov/issue_slice/1984/2/17/6278-6313.pdf#page=33.
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The proposed process would change the active case review to focus
on eligibility actions instead of a random, point-in-time review for
each case. This proposed change would eliminate the two-comparison
allotment tests (Comparison I and Comparison II) from the QC review and
instead focus on eligibility determinations, consider cases that a
State agency cannot validate as total dollar errors, and alter the
sampling and sampling plan requirements to correspond to the changed
review focus.
To help the reader understand the flow of the proposed provisions
that follow, the provisions are organized in the same order as existing
regulations found in the Code of Federal Regulations at 7 CFR part 275.
It is important to note, this is a proposed rule that requires public
comment before a final rule may implement any changes to SNAP's QC
system. The Department proposes the following provisions for comment.
General
Prior to discussing the provisions, the Department would like to
convey that this rule is very technical in nature. The provisions
discussed include specific detail about QC review processes and
detailed statistical formulas necessary to carry out the QC process.
The Department will continue to explain technical information
throughout this proposed rule when able; however, in areas where
precision and specific vocabulary are necessary to accurately convey
the proposal, such as with statistical formulae, an explanation in more
colloquial terms could result in an inaccurate portrayal of the
proposed concepts. Thus, the technical language will remain.
[[Page 64761]]
Terminology Updates
In 7 CFR parts 271 and 275, the Department proposes to update or
remove outdated and duplicative terminology and update currently
applicable terminology to reflect the proposed review process. The
following terms are no longer current: ``negative case error rate'' (or
``negative error rate'') and ``Immigration and Naturalization Services
(INS).'' Therefore, the Department proposes to change these to ``case
and procedural error rate (CAPER)'' \24\ and ``United States
Citizenship and Immigration Services (USCIS),'' respectively. The
Department proposes to update the definition of ``overissuance'' to
remove reference to paper food stamp coupons. The Department proposes
to revise the definitions for ``active case,'' ``error,'' ``review
date,'' and ``sample month'' in 7 CFR 271.2 to reflect changes made by
this proposed rule. Additionally, the term ``active case error rate''
is currently used interchangeably with the term ``payment error rate''
throughout 7 CFR 275. To avoid confusion, the Department proposes to
use ``payment error rate'' consistently throughout 7 CFR 275.
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\24\ In fiscal year 2012, the procedures for reviewing cases in
the negative frame, changed to include the State's procedural
processes in determining a negative case's validity. FNS has
referred to the negative error rate since then as the case and
procedural error rate, or CAPER, to reflect this change.
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Subpart A--Administration
7 CFR 275.2(b)--Staffing Standards
The Department proposes to add a provision in the Staffing
Standards section under 7 CFR 275.2(b) to specify the expectation that
State agencies ensure the independence and objectivity of the merit
staff performing QC case reviews. The QC integrity reviews found
instances where State agency managers were putting undue influence on
SQCRs to find that the eligibility worker's initial determination was
correct, as opposed to independently focusing on the accuracy of the
case, which is the purpose of the QC review. A separate audit completed
by USDA OIG further supported these findings, as well as action by DOJ
to settle allegations of violations of Federal law with eight State
agencies. These findings provide substantial evidence that SQCRs
reporting in the organizational structure to the same individuals
responsible for overseeing eligibility determinations has an adverse
effect on their ability to objectively review cases and determine
errors. To address these issues and ensure the accuracy of the PER and
CAPER estimates, the Department proposes to require a new provision in
7 CFR 275.2(b) that State agencies take proactive measures to ensure
SQCRs work independently and are free from undue influence by ensuring
the staff used to conduct QC reviews operate independently from those
responsible for overseeing the eligibility determination process to
ensure objective and accurate assessments of the Performance Reporting
System. For example, QC staff would not have the same immediate
supervisor or director as the eligibility staff.
In addition, the Department proposes to clarify the components that
constitute prior knowledge for purposes of staff disqualification under
7 CFR 275.2(b). The focus on integrity and bias in SNAP's QC system
generated concerns in State agencies about SQCRs unintentionally
biasing the QC process. FNS has heard from State agencies, anecdotally,
that QC workers were concerned that a staff person might know
information about a household one of their colleagues was reviewing but
felt that disclosing that information would be considered a prohibited
practice. The Department proposes to address this issue by removing the
current language at 7 CFR 275.2(b) and adding a modified provision to
QC's Staffing Standards at 7 CFR 275.2(b)(2) clarifying that even
though State agency staff must disqualify themselves from directly
working on a QC review if they have prior knowledge of a household,
they are allowed to participate in a QC review as a collateral contact
\25\ of the household. In such situations, the staff must follow the
governing rules regarding collateral contacts at 7 CFR 273.2(f)(4)(ii).
---------------------------------------------------------------------------
\25\ For a definition of collateral contact, see 7 CFR
273.2(f)(4)(ii)--https://www.ecfr.gov/current/title-7/subtitle-B/chapter-II/subchapter-C/part-273#p-273.2(f)(4)(ii).
---------------------------------------------------------------------------
7 CFR 275.2(d)--FNS Access to State Systems
Section 4013(e)(2) of the 2018 Farm Bill--which amends Section
16(g)(1)(A) of the Food and Nutrition Act of 2008 (codified as 7 U.S.C.
2025(g)(1)(A))--specifies that cost sharing for computerization for
systems is an allowable SNAP administrative expense only when, among
other criteria, the Secretary determines the systems to be accessible
to the Department for review and audit purposes. Therefore, to
implement this statutory provision, in the paragraph at 7 CFR 275.2(d),
the Department is requiring cost sharing for State agency system costs
to be conditioned on, in part, FNS having access to all State agency
records and systems in which those records are contained.\26\ The
Department believes this will incentivize State agencies to make the
necessary changes to come into compliance with the requirement of
allowing remote access to State agency computer systems so that Federal
QC staff have access to the full case record for all QC sampled cases
to ensure the accuracy of the collected data. FNS will continue to work
with State agencies collaboratively to establish data sharing and
system integrity agreements to facilitate the required systems access.
This new sentence in 7 CFR 275.2(d) will reference existing regulations
and procedures for the suspension or disallowance of administrative
funds found at 7 CFR 277.16 if State agencies do not comply with the
requirement.
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\26\ State systems contain information on participants in a
multitude of different programs, each of which can have (as some
currently do) statutory and regulatory language prohibiting the
disclosure of such information outside of said program. As such, the
State systems must be able to limit user access to SNAP information
only before sharing the system with FNS for SNAP QC purposes to
ensure compliance with Federal law.
---------------------------------------------------------------------------
7 CFR 275.3(d)--Sampling--Federal Sub Sample
To be consistent with the changes proposed for State agency
sampling in 7 CFR 275.11, discussed later in this rule, the Department
proposes at 7 CFR 275.3(d)(1)(i)(A) to only have one minimum Federal
subsampling calculation table to determine the Federal subsampling pull
for the re-review of active cases. In addition to the change in Federal
subsample size, the Department also proposes the Federal subsample be
allocated across five strata in order to capture cases from each of the
points in time where the State agency makes a determination to
authorize or re-authorize benefits and to be consistent with the
weighting that is proposed to determine the State agency's sampling
frame. The five strata reflect all the possible action types and
reporting periods. Since the reporting system and certification period
length assigned at certification impact the number of reports that will
end up in the sampling universe under the proposed sampling procedures,
the five strata as well as weighting are used to ensure that all types
of households are included in the sampling universe and to even out
selection probabilities so that all cases have a chance to be selected
for sampling in determining the SNAP PER. The five strata are based on
the combination of action types (i.e., certification, recertification,
and when a required monthly, quarterly, or periodic
[[Page 64762]]
report is due and an allotment is issued in the following month) and
reporting period (i.e., less than six months, exactly six months, and
more than six months). FNS chose certifications, recertifications, and
required reports with allotments in the following month because they
are points in which the State agency must make an eligibility
determination or terminate the household from the Program. FNS based
the proposed strata on an analysis of the FY 2017 SNAP QC data (see
table).
------------------------------------------------------------------------
Strata Action type Reporting period Frequency Percentage
------------------------------------------------------------------------
A....... Certification/ Less than 6 365 4.9
recertification. months.
B....... Redetermination.. Less than 6 94 1.3
months.
C....... Certification/ Exactly 6 months. 3,873 52.2
recertification.
D....... Redetermination.. Exactly 6 months. 1,628 21.9
E....... Any *............ More than 6 1,457 19.6
months.
------------------------------------------------------------------------
* Includes the three actions: certification, recertification, and
redetermination.
The proposed changes to determine the Federal subsample would be
necessary to determine State agency PERs based on the new proposed
methodology. Under the proposed changes, the Federal subsample size
would be determined using the following table:
------------------------------------------------------------------------
Average monthly reviewable caseload (N) Federal subsample target (n')
------------------------------------------------------------------------
60,000 and over........................ n' = 400.
10,001 to 59,999....................... n' = .005 N + 100.
10,000 and under....................... n' = 150.
------------------------------------------------------------------------
Once the Federal subsample size n' is determined using Table 1
above, the Federal subsample must be allocated across the five strata
proportionally to the State final weights to ensure the Federal
subsample is self-weighting and there is no loss of precision due to
differential sampling probabilities. The Federal subsample size for
each stratum shall be determined as follows:
[GRAPHIC] [TIFF OMITTED] TP19SE23.097
In the table formulas above: N is the sampling universe/monthly
caseload; F is the sampling frame; n is the state sampling size; n' is
the Federal subsample size; W is the state sampling weights; and W' is
the Federal sampling weights. For stratum i, the Federal subsample size
n'i shall be proportional to the sum of the final state
weights for that stratum, nixWi = Ni, in other words
[[Page 64763]]
[GRAPHIC] [TIFF OMITTED] TP19SE23.098
This means that the final weight for the cases selected for the Federal
subsample from stratum i, W'i, is given by:
[GRAPHIC] [TIFF OMITTED] TP19SE23.099
for every i, which is a constant across the strata.
7 CFR 275.3(d)(4)(i)(A)--Federal Monitoring--Arbitration
Currently, when there is a dispute between a State agency and FNS
regarding a finding (whether a case was correct, overissued,
underissued, or was ineligible as of the review date) or disposition
(whether a case was complete, not subject to review, incomplete, or the
case was deselected) of a QC case, the State agency may request
arbitration from the FNS Arbitrator. FNS's Arbitrator is the SNAP
Administrative and Judicial Review Branch. This Branch includes
administrative review officers who serve as a neutral third party, as
they do not directly work with SNAP certification policy or quality
control. The disputes subject to arbitration are limited to
disagreements over finding or disposition only and the arbitrator's
decision on a case is considered final and not subject to subsequent
appeal. Any other disagreements should be handled through an informal
resolution process, which is separate from the arbitration process.
FNS issued a policy memorandum dated November 7, 2003, that
provided procedures for arbitrating application processing timeliness
(APT) disagreements when the APT measure was first introduced. FNS
intended the memorandum to be temporary, covering FY 2003 only, but did
not identify an expiration date. The preamble in the final rule,
Quality Control Provisions of the Mickey Leland Childhood Hunger Relief
Act (62 FR 29652 \27\), published June 2, 1997, detailed the reasoning
for why arbitrations were only to be used for finding and disposition
disagreements. The Department noted that arbitrating ``agree cases,''
which encompasses disagreements solely on APT, would adversely impact
the accuracy and timeliness of the arbitration process. FNS discovered
in 2017 that some FNS regional offices were still allowing their State
agencies to arbitrate APT-only disagreements. The FNS national office
provided clarification through policy guidance, but to clarify the
Department's original intent in the 1997 Rule, the Department proposes
to update language in 7 CFR 275.3(d)(4)(i)(A) to clarify that, other
than those circumstances specified in regulations, other disagreements
would not be provided arbitration rights.
---------------------------------------------------------------------------
\27\ https://www.federalregister.gov/documents/1997/06/02/97-13946/food-stamp-program-quality-control-provisions-of-the-mickey-leland-childhood-hunger-relief-act.
---------------------------------------------------------------------------
In addition, current regulations instruct State agencies to send
arbitration requests to their FNS regional office, addressed to the
attention of the FNS Arbitrator. Over time, FNS found that by providing
the Arbitrator's contact information for State agencies to make direct
arbitration requests, FNS was not only able to provide better customer
service, but also have a more efficient request process. Therefore, the
Department proposes to update its regulations at 7 CFR 275.3(d)(4)(iv)
to require that a State agency send its request for arbitration
directly to the FNS Arbitrator and copy the appropriate FNS regional
office.
Subpart C--Quality Control (QC) Reviews
7 CFR 275.11--Sampling--General
Currently, the universe (all cases with the possibility of being
selected for the QC sample) for SNAP's active frame includes all
households receiving SNAP allotments in any given sample month. Under
this proposed rule, the active frame sample universe would no longer
include all households receiving SNAP allotments in any given sample
month. Instead, only those households that experienced an eligibility
action--i.e., certification for SNAP, recertification for SNAP, or
requirement to submit a required monthly, quarterly, or periodic report
in the sample month and an allotment is issued in the following month--
would constitute the universe for the active frame. The following
paragraphs in this preamble explain the proposed new sampling plan in 7
CFR 275.11, which would then be reviewed according to the proposed
sampling review procedures in 7 CFR 275.12.
7 CFR 275.11(a)(1)-(2)--Sampling Plan--Content and Criteria
Currently, at 7 CFR 275.11(a), State agencies have two options for
designing their minimum QC sampling size: a standard or a reduced
sample size. The Department proposes to remove the language about
alternative sampling designs at 7 CFR 275.11(a)(2) since, unlike the
current methodology, the proposed methodology would not be conducive to
State agencies utilizing a reduced sample size due to issues with
reliability of the estimates that would result from the sample size
reduction. This would include the removal of alternative sampling
related rules in subsections 7 CFR 275.11(a)(2)(iii) and 7 CFR
275.11(a)(2)(iv). In addition, the Department proposes to add language
in section 7 CFR 275.11(a)(2)(ii) about the sample size selection to
help State agencies ensure they follow the procedures set forth in
subsections (b), (c), (d), (e), and (f).
7 CFR 275.11(a)(3)--Sampling Plan--Design
Computer programs and systems that assist in selecting probability
samples have progressed considerably since the publication of the
current QC regulations in 1977. Now, systematic sampling is but one of
the many possible ways to select a probability or random sample, and
there are new statistical software tools available that can easily draw
a random sample without using systematic sampling. The Department
proposes to amend the recommendation at 7 CFR 275.11(a)(3) that State
agencies should primarily utilize systematic sampling to also recommend
that State agencies be open to considering other sampling software
tools.
In addition, the Department proposes to revise the language at 7
CFR 275.11(a)(3), describing the proposed active sampling design. This
revised language provides specific details about how State agencies
would need to design their new sampling procedures
[[Page 64764]]
to align with the new review process, including how to construct the
new sampling frame and which variables to use to create the proposed
strata (discussed further below). The revision would also clarify that
each month, State agencies must select a sample size equal to one
twelfth of the annual sample size specified in 7 CFR 275.11(b) (rounded
to the next whole number) to ensure the sample accurately reflects the
entire year of SNAP cases.
7 CFR 275.11(b)(1)-(2)--Sample Size--Active Cases and Negative Cases
The Department proposes to simplify and standardize the active case
review process by (1) eliminating the current allowance for choosing
between two different possible sample sizes and (2) increasing the
current sample size for active cases specified in 7 CFR
275.11(b)(1)(iii) by 30 percent. Increasing the overall sample size
ensures that the new sampling design would deliver the same level of
precision as the current sampling design by providing for sufficient
sample sizes within each stratum. Without this increase in overall
sample size and proper allocation among the strata, the new design
would over-represent cases with shorter reporting periods and under-
represent those with longer reporting periods. Having a larger overall
sample size is necessary to ensure statistical validity of the sample,
which results in a more precise PER estimate. The Department proposes
to remove the choice of the other sample size option, currently
described at 7 CFR 275.11(b)(1)(ii), because in order for the new
sampling methodology to provide a basis for calculating a national PER,
all States must follow the same sampling design; therefore, a second
option is no longer appropriate. Given the proposed deletion of 7 CFR
275.11(b)(1)(ii), the Department proposes to re-designate the remaining
paragraphs of 7 CFR 275.11(b)(1) that follow paragraph 7 CFR
275.11(b)(1)(i).
In the final rule published on June 11, 2010, titled,
``Supplemental Nutrition Assistance Program: Quality Control Provisions
of Title IV of Public Law 107-171'' (75 FR 33422),\28\ the regulations
pertaining to SNAP negative case reviews (the review of cases that were
denied, terminated, or suspended) were changed to emphasize customer
service. This rule required State agencies to determine whether the
action on the negative case under review was correct and whether the
State agency correctly notified the household or participant \29\ in
clearly understandable language of the adverse action on their case.
---------------------------------------------------------------------------
\28\ https://www.govinfo.gov/content/pkg/FR-2010-06-11/pdf/2010-13446.pdf.
\29\ Not all adverse actions are against an entire household.
Sometimes an adverse action will occur against a specific
participant in a household.
---------------------------------------------------------------------------
The Department implemented this change in FY 2012, and later began
informally referring to the associated error rate as the case and
procedural error rate, as opposed to the negative error rate, to
reflect the change in focus. This practice of referring to the error
rate for negative case reviews as CAPER continues today and is the
commonplace term State agencies and FNS use. As such, the Department
proposes to amend 7 CFR 275.11(b)(2)(i) to include the explanation that
negative case reviews result in determining the ``case and procedural
error rate.''
The Department found State agencies typically utilize the minimum
annual sampling size for their negative case samples. Just as with the
proposed removal of the alternative active case sampling design
discussed earlier, the Department proposes to amend 7 CFR
275.11(b)(2)(i) to remove the alternative design option for the
negative sample size so that sample sizes are standard, provide more
precision for error rate estimates, and align with the language used
for the selection of active cases in 7 CFR 275.11(b)(1)(i).
7 CFR 275.11(b)(4)--Sample Size--Alternative Designs
Consistent with the proposed removal of alternative design options
for both the active and negative sampling frames, the Department also
proposes to remove the regulatory provisions at 7 CFR 275.11(b)(4)
through 7 CFR 275.11(b)(4)(iii) since those paragraphs discuss the
options for State agencies concerning alternative QC sampling sizes.
7 CFR 275.11(c)(2)--Sample Selection--Corrections
To ensure they select enough cases to review annually, State
agencies often pull supplemental samples when they find they do not
have enough cases to meet FNS requirements. FNS refers to this act of
pulling a supplemental sample in current regulations at 7 CFR
275.11(c)(2) as a `correction.' Corrections can be necessary for many
reasons but most often occur because some cases in the sample were
later determined to be not subject to QC review or because an increase
in the average monthly reviewable caseload necessitated an increase in
monthly sample size. The Department proposes to amend the provisions
regarding corrections at 7 CFR 275.11(c)(2) to clarify that the new
procedures for sample size, sample selection, sample frame, and sample
allocation in proposed paragraphs 7 CFR 275.11(b), (c), (e), and (g)
are also applicable to corrections, or in other words, when State
agencies pull additional cases to compensate for under sampling.
7 CFR 275.11(e)--Sample Frame
Current regulations at 7 CFR 275.11(e) allow State agencies a
`choice' in what their sampling frame must include. The Department
proposes to remove language concerning the `choice' of the sampling
frame since the Department's proposed methodology requires State
agencies to use a specific frame for sampling.
7 CFR 275.11(e)--Sample Frame--Active Cases
The Department proposes to change its active case sampling frame
description at 7 CFR 275.11(e)(1) to include only households that
either experienced an initial certification action, a recertification
action, or were required to submit a required monthly, quarterly, or
periodic report in the sampling month and an allotment is issued in the
following month. As noted earlier, this simplified QC process would
shift the review focus to when an eligibility action occurred rather
than a review of a random month within a household's certification
period.
The simplification of only reviewing the eligibility action would
ease compliance with QC requirements for both recipients and SQCRs by
eliminating the complex aspects of the current review process and by
making the SNAP review consistent with other benefit programs' improper
payment review procedures. The complexities of the current process can
contribute to State agencies having low QC case review completion rates
and to, the integrity issues discussed throughout this proposed rule.
7 CFR 275.11(f)--Sample Universe--Active Cases
Regulations at 7 CFR 275.11(f)(1) inform State agencies which cases
they must exclude from their sampling frames. Consistent with proposed
changes in this rule to the sampling frame, the Department is also
proposing corresponding changes for those cases the State agency must
exclude. The Department proposes to amend one condition and remove one
condition from the current list of excludable households for review at
7 CFR 275.11(f)(1).
[[Page 64765]]
The Department proposes to amend the provision at 7 CFR
275.11(f)(1)(iv) that addresses the exclusion of a household appealing
an adverse action when the review date falls within the time period
covered by continuing participation pending a fair hearing, or in other
words, the time the household continues to receive benefits while they
await their fair hearing. Instead of the condition being ``when the
review date falls within the time period covered by continuing
participation pending the hearing,'' the Department proposes to exclude
all cases under review where the household is appealing an adverse
action for any of the sampled actions, since the benefit determination
is subject to change based on the result of the appeal.
The Department also proposes to remove the condition for exclusion
at 7 CFR 275.11(f)(1)(v) that indicates a household can be excluded
when the household is receiving restored benefits but is not
participating based upon an approved application. This condition no
longer applies to the new proposed sampling method because only
approved applications will be included in the sample. As such, only the
instruction that, ``Other households excluded from the active case
universe during the review process are identified in 7 CFR 275.12(g)''
would remain in this paragraph.
7 CFR 275.11(g)-(h)--Active Sample Allocation and Weighting
In order for the new sampling method to be reflective of the SNAP
caseload, the Department proposes to add two new paragraphs at 7 CFR
275.11(g), entitled ``Active sample allocation'' and 7 CFR 275.11(h),
entitled ``Weighting,'' which will describe how State agencies would
allocate the sample across the strata defined in the new sampling
design and compute the weights needed to make the sample representative
of the sample universe/target population.
As described earlier, the Department proposes to add requirements
at 7 CFR 275.11(g) for the active sample allocation so that active
cases are allocated to five pre-defined strata. These five strata are
based on the combination of action type (i.e., certification,
recertification, and when a required monthly, quarterly, or periodic
report is due and an allotment is issued in the following month) and
reporting period (i.e., less than six months, six months, and more than
six months). This proposed change would ensure the resulting allocation
will contain sufficient sample sizes within each stratum and cases from
each stratum are represented in the sample.
In addition, the Department proposes to add a section, 7 CFR
275.11(h) ``Weighting'' to illustrate how to compute the weights needed
to make the sample representative of the universe/target population.
The new sampling design samples cases with unequal probabilities across
the strata and, therefore, some cases have higher selection
probabilities than others. State agencies must provide FNS the data
necessary to compute the weights. To compensate for the unequal
probabilities of selection across the strata, the Department is
proposing the following formula for the weights Wi:
Wi = (Ni/Fi) x (Fi/
ni) = Ni/ni for i = a,b,c,d,e,
Where:
--Wi is the weight for cases sampled from stratum i (the
new proposed sampling design has five strata);
--Ni is the size of stratum i in the sampling universe/
target population;
--Fi is the size of stratum i in the sampling frame;
--ni is the number of cases sampled from stratum i.
--Fi/ni is in the inverse of the sampling
probability for cases sampled from stratum i (also called sampling
weight), while Ni/Fi represents the post-
stratification weights and corrects for the biases in the sampling
frame. This ensures the sample represents the sampling universe,
i.e., the SNAP caseload.
State agencies would be responsible for providing to FNS the counts
Ni, Fi, and ni (for i = a,b,c,d,e).
7 CFR 275.12--Review of Active Cases--General
By focusing only on eligibility actions, the Department anticipates
the information obtained through the modified QC review process will be
more useful for program improvement purposes, as it will be focused on
the main touchpoints of a SNAP case and will be collected closer in
time to those touchpoints. Currently, SNAP's error rates are a
combination of errors measured at random points of time within a
household's certification period and at points of eligibility. By
narrowing the review, FNS would issue an error rate derived from the
time of most recent eligibility action for all cases reviewed. This
would allow FNS to more accurately identify where errors are occurring
and allow State agencies to correct more effectively the causes of
error at certification or the point of most recent eligibility action.
FNS would also be collecting information at a point in time that is
closer to when many actions and their corresponding errors are
occurring, making the monitoring of State agency performance timelier
than is possible under the current QC system.
Under the new proposed methodology, the PER would be representative
of points in time when households have an obligation to report or
confirm their circumstances and attest the information is accurate. In
addition, at those points in time, the State agency also has an
obligation to verify those household circumstances and accurately
determine the household's eligibility and benefit level. With this new
approach, payment errors would specifically reflect errors made
directly as a result of the benefit determination process, a connection
that has proven challenging with the current review system due to the
distance in time between the selected review month and the action
causing the errors. By identifying errors in a timelier manner, FNS
could raise deficiencies in program operations more quickly and
effectively, and State agencies and FNS would be able to address the
root causes of errors more quickly than under the current QC system.
Another significant impact of moving from a random ``point in
time'' review of the present QC system to this modified ``eligibility
action-only'' review is that FNS would no longer require SQCRs to re-
create all of a household's sample month circumstances for a random
month within a certification period. Currently, to review the sample
month (which can be at any point in time during a household's
certification period), SQCRs must collect and validate the household's
circumstances for that new month, which most of the time does not exist
in the case record, to determine whether the allotment they received
that month is accurate for what they should have received based on
those circumstances. In order to determine whether the sample month's
allotment determination by the SQCR is accurate, the SQCR must often
request information about household circumstances for the past months
in between the sample month and the most recent certification month, if
they are not one in the same, making the review process very complex
and prone to inaccurately applying QC policy since it relies on the
ability to collect information from SNAP households for, in some
instances, a year or more in the past. The reason these are so
challenging to obtain is that SNAP households do not always have stable
incomes, bank accounts, and contracts with cellular phone carriers or
other utility companies, for example, that
[[Page 64766]]
would make verifications easy to recall months later.\30\
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\30\ Enhancing SNAP Quality Control Completion Rates Final
Report, January 2016, https://fns-prod.azureedge.us/sites/default/files/ops/SNAPQCCompletion.pdf.
---------------------------------------------------------------------------
In the new approach, SQCRs would still be required to verify the
household's circumstances for the sample month; however, the sample
month would be the month the action took place, eliminating the need to
look at previous months. As a result, the process would require fewer
months to review, and much of the information a SQCR needs to verify
the household's circumstances and determine the allotment's accuracy
should already be available in the case record. In addition, if
verifications do not already exist in the case record and SQCRs must
either obtain this information from the SNAP household or collateral
contacts, it would be less challenging for them to produce verification
from the previous month or two than it would be for them to produce
verification issued at some point in the previous four to twelve
months, as is necessitated under the current system. Since this change
would make obtaining verifications less challenging, compliance from
households and collateral contacts will likely increase and SQCRs would
be able to complete more of their QC case reviews, resulting in a more
accurate PER.
Given the proposed change in review focus, FNS considered whether
an ex parte review, in which the SQCR relies solely on the case record
and does not contact the household, would be appropriate. FNS
determined that relying solely on an ex parte review for QC reviews
would not be appropriate for several reasons. First, the purpose of the
QC review is to determine the accuracy of the allotment authorized by
the State, and to accomplish that purpose, SQCRs must verify all
household circumstances in the sample month. However, using allowable
administrative flexibilities, many States choose to ease verification
requirements at certification to reduce the administrative burden on
applicants. As a result, verifications of all household circumstances
may not be included in the case record and available for QC reviewers.
Generally accepted government auditing standards (GAGAS) require
reviewers to obtain sufficient, appropriate evidence to provide a
reasonable basis for addressing review objectives and supporting their
findings and conclusions.\31\ If SQCRs rely solely on the information
in the case record, they may not have sufficient evidence from which to
assess the accuracy of eligibility and benefit determinations. In
addition, GAGAS require reviewers to have a certain level of
independence when conducting quality control evaluations and audits,
and to avoid situations that could lead reasonable and informed third
parties to conclude they are not independent and thus are not capable
of exercising impartial judgment.\32\ If SQCRs were to rely solely on
the information in the case record, they may not be able to
independently review all elements of eligibility and benefit
determinations.
---------------------------------------------------------------------------
\31\ See Section 5.08 of the Government Auditing Standards, GAO
21-368G, April 2021, Government Auditing Standards: 2018 Revision
Technical Update April 2021 (Supersedes GAO-18-568G) [bond] U.S.
GAO.
\32\ See Section 3.19 of the Government Auditing Standards, GAO
21-368G, April 2021, Government Auditing Standards: 2018 Revision
Technical Update April 2021 (Supersedes GAO-18-568G) [bond] U.S.
GAO.
---------------------------------------------------------------------------
This proposed review would still require a complete and independent
review of the household's circumstances to assess whether the State
agency accurately determined the household's eligibility and SNAP
benefit amount. By focusing on the eligibility action and not on a
random sample month, FNS hopes to place greater emphasis for corrective
action on making more accurate benefit determinations through better
documentation, verification, and accountability.
The change in review procedure would also eliminate the current
SNAP QC Comparison I and Comparison II process when determining a QC
case's reportable error (an error that is above the current fiscal year
threshold for excluding small errors).\33\ As described earlier, SQCRs
and FQCRs conduct up to two assessments, Comparison I and Comparison
II, to determine the final error amount in a case. In Comparison I, the
reviewer determines the accuracy of the benefit received by the
household based on the household's sample month circumstances. If the
reviewer finds an error above the national error tolerance threshold
(presently $54) in Comparison I, the reviewer completes Comparison II
by examining the accuracy of the certification action that authorized
the sample month's benefits. The final error amount is the lesser error
amount of the two comparisons. In OIG's audit report titled, ``FNS
Quality Control Process for SNAP Error Rate,'' \34\ OIG asserted that
these comparisons measure two different points in time and suggested
FNS should take action to increase consistency in the PER measure. FNS
has determined the improvements to the quality and consistency of QC
data inherent with the proposed approach would address OIG's concerns
regarding the Comparison I and II processes. Along with these changes,
the Department also proposes to eliminate the concept of ``as of the
review date'' throughout 7 CFR 275.12, since eligibility actions would
now be the critical focus of the QC review and this phrase would no
longer be meaningful.
---------------------------------------------------------------------------
\33\ See Section 16(c)(1)(A)(ii) of the FNA or 7 CFR
275.12(f)(2).
\34\ OIG Audit Report 27601-0002-41.
---------------------------------------------------------------------------
7 CFR 275.12(b)--Review of Active Cases--Household Case Record Review
The process of reviewing a case in QC has several distinct
components, including the household case record review, where the
reviewer gathers information and evidence from the case record to
determine what occurred in the case and to plan for the next fact-
finding phase.
The Department proposes to amend the regulations at 7 CFR 275.12(b)
to update the case record review provisions to reflect the new proposed
review process. The proposed change specifies that the case record must
include the initial certification or recertification application or,
the monthly, quarterly, or periodic report, and QC worksheets
applicable to the sample month determination. Documentation contained
in the eligibility case record is allowable as verification, but only
if the evidence used in the eligibility determination meets or exceeds
QC verification standards found in the FNS Handbook 310. The Department
also proposes to eliminate the requirement at 275.12(b) that reviewers
examine the household issuance record for pertinent information if they
cannot find the household's case record, as the case record review
would be an essential component of the active review process. Under the
proposed rule, situations where the case record could not be located
would result in an incomplete case and, therefore, the total dollar
amount issued would be reported as an error. Further discussion on
incompletes becoming total dollar errors is in this preamble under the
heading, Review of active cases--Disposition of case reviews.
The purpose of this proposed change is two-fold. First, including
dropped/incomplete cases in the error amount would strengthen integrity
by acting as a deterrent against the types of dropped-case manipulation
that previously led to unreliable State PER data reporting, discussed
in the history part of this preamble. Second, by including dropped/
incomplete cases now
[[Page 64767]]
excluded from the improper payment rate calculation, the proposed
change would align SNAP with PIIA and other Federal programs, as noted
in an audit released on July 6, 2016, by the General Accounting
Office.\35\
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7 CFR 275.12(c)--Review of Active Cases--Field Investigation
The field investigation is another fact-finding phase of the QC
review and includes interviewing the household and collateral contacts.
Collateral contacts can include, for example, individuals,
organizations, governmental agencies, and businesses that hold relevant
information on the household's circumstances.
While conducting QCIRs, FNS staff found that State agencies do not
widely use technology to collect documentary evidence during the field
investigation phase. For example, while some SQCRs have access to
digital scanners or cellular phone cameras to make electronic copies of
verifications, many SQCRs have no access to these technologies during
the field investigation or were not aware the use of electronic devices
was a permissible way of obtaining documentary evidence that could not
be brought back to the office.
Additionally, in the 2018 RFI,\36\ FNS asked for recommendations to
encourage greater use of technology that could enhance the accuracy of
case reviews. A prevalent response was that more funding and grants
from the Federal Government would assist in State agencies using
additional technology. The Department emphasizes here that, under
current regulations at 7 CFR 277.3, expenditures for technology to aid
in program administration, including in association with QC reviews,
qualifies for reimbursement up to 50 percent.
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FNS hopes that promoting the use of technology in regulations to
collect documentary evidence from both households and collateral
contacts would encourage State agencies to offer households better
customer service by limiting the need to send in a physical copy of
documentary evidence, a step that can prove challenging for many.
Therefore, the Department proposes to amend paragraph 7 CFR 275.12(c)
to provide that the use of technology is not only permitted, but
encouraged, to obtain verification, including copies of documentary
evidence from households and collateral contacts, so long as the
privacy of the household and the information gathered are protected
pursuant to applicable Federal and State privacy laws.
7 CFR 275.12(c)(1)--Review of Active Cases--Personal Interviews
QC regulations currently require SQCRs to conduct a face-to-face
personal interview for all households. Under current regulations at 7
CFR 275.12(c)(1), only specific circumstances allow telephone
interviews to be used in lieu of face-to-face interviews for the QC
field investigation. Seventy percent of State agency responses to the
RFI \37\ question about the interview process included requests that
telephone interviews be an acceptable interview method instead of face-
to-face, citing reports of QC staff regularly traveling long distances
only to find households failing to meet for the scheduled interview
times, resulting in lost time and wasted administrative funds. During
FNS's QCIRs, SQCRs raised concerns about staff safety while conducting
the required face-to-face interviews outside of the local office.
Finally, comments on the RFI from non-profit organizations presented
that face-to-face interviews may be more challenging for SNAP's working
households to comply with.
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In considering the various comments provided by different
stakeholders, the Department determined that switching to telephone
interviews as the primary interview method will continue to meet the
needs of the proposed QC review changes in this rule. As a result, the
Department proposes to revise the QC personal interview regulation at 7
CFR 275.12(c)(1) to require that telephone interviews be the default
interview format, and require that State agencies inform households
that a face-to-face interview is an option available to them by
request. This change will not only address the concerns brought forth
by commenters but may also have a positive impact on State agency
completion rates since the increased flexibility that telephone
interviewing allows will provide more households the opportunity to
comply with the QC review process. The reason the Department proposes
standardizing the telephonic interview as the default interview mode as
opposed to making it another interview option is to ensure fair
treatment for all sampled households during the QC review process. In
addition, because of this change, the Department proposes to eliminate
the exception at 7 CFR 275.12(c)(1) available to remote, isolated
households in Alaska because this proposed change will cause the
exception to be unnecessary.
Regulations at 7 CFR 275.12(c)(1)(iii) require that, during the
personal interview, reviewers must review with the household all
documentary evidence in the household's possession and secure
information about collateral sources of verification. The Department
proposes to amend the provisions at 7 CFR 275.12(c)(1)(iii) to codify
that during the personal interview, reviewers would also be required to
review with the household all documentary evidence that is already in
the case file and request new documentary evidence from the household,
as needed. This is a best practice of State agencies and, by codifying
this requirement, FNS seeks to ensure greater consistency in the
interview process as well as accountability for the quality and scope
of interviews, a vital component in the QC review process.
7 CFR 275.12(c)(1)-(2)--Review of Active Cases--Collateral Contacts
During, prior to, or after the personal interview, the SQCR may
need to contact a collateral contact of the household who can be used
as a source to verify household circumstances. Because State law might
require an SQCR to obtain consent from the head of household to contact
collateral contacts FNS codified the provision at 7 CFR
275.12(c)(1)(iv), which currently reads, ``If required by the State,
the reviewer shall obtain consent from the head of the household to
secure collateral information.'' However, FNS has since discovered the
language of 7 CFR 275.12(c)(1)(iv) is being interpreted differently by
States. For example, some States without such laws are still mandating
consent be obtained, which has created roadblocks for SQCRs and
resulted in preventing the SQCR from being able to complete cases. It
is imperative that SQCRs accurately complete as many QC cases as
possible without any unnecessary burdens. Therefore, the Department
proposes to amend the language at 7 CFR 275.12(c)(1)(iv) to clarify its
intent by linking obtaining consent to the presence of a State law.
Currently, regulations at 7 CFR 275.12(c)(2) require SQCRs to
obtain verification from collateral contacts in all instances when
adequate documentation is not available from the household. The current
regulatory provision does not address situations when there is
inadequate documentation in the case file. Therefore, the Department
proposes to
[[Page 64768]]
amend 7 CFR 275.12(c)(2) to require the reviewer to obtain verification
from collateral contacts in all instances when adequate documentation
is not available.
7 CFR 275.12(d)--Review of Active Cases--Variance Identification
According to Section 2(b) of the PIIA,\38\ an improper payment
includes ``any payment that should not have been made or that was made
in an incorrect amount, under a statutory, contractual, administrative,
or other legally applicable requirement.'' Per Section 2(c), when an
agency cannot discern whether a payment was proper because of lacking
or insufficient documentation, the payment shall be treated as an
improper payment. The Department proposes to amend and reorganize 7 CFR
275.12(d), as discussed in the three sections that follow, to reflect
the new review focus and align it with requirements in PIIA. In
addition, consistent with what was noted earlier, all references under
7 CFR 275.12(d) regarding the ``sample month'' would either be changed
to ``action under review'' or eliminated, where applicable.
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\38\ 31 U.S.C. 3351.
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7 CFR 275.12(d)(2)--Review of Active Cases--Variances Excluded From
Error Analysis
Regulations at 7 CFR 275.12(d) define a `variance' as a review
finding that policy was applied incorrectly or that information
verified as of the review date differs from the information used at the
most recent certification action. The Department is also proposing to
allow fewer opportunities for variance exclusion from the error
analysis. There are two reasons for this proposal: (1) a more
restrictive review focus in accordance with PIIA specifications on
which errors are and are not considered payment errors; and (2) the
change in review focus to reviewing only the household's eligibility
determination versus a point in time analysis. As such, the Department
proposes to eliminate regulations at 7 CFR 275.12(d)(2)(i), (iii), and
(ix). These provisions are related to variances associated with
countable income unable to be verified at the time of certification,
changes in household circumstances that were not yet required to be
reported as of the review date, and changes to child support orders
that occurred after the most recent certification action, respectively,
and no longer align with the new review focus. Provisions (ii) and
(viii) regarding variances resulting from postponed verification for
expedited service households and from incorrect written Federal policy,
respectively, would be revised, as further discussed below, and
references to Immigration and Naturalization Services (INS) would be
updated.
FNS found in its QCIRs that inadequate documentation in household
eligibility case records presents challenges for reviewers to complete
cases, particularly in expedited service cases where verification of
certain elements of eligibility is postponed. In these cases, the QC
reviewer must rely solely on the eligibility case record to determine
what verification was postponed and if any variances in benefits
resulting from the postponed verification qualify to be excluded from
the error rate calculation, called a variance exclusion. In these
cases, a lack of required documentation should result in forfeiture of
the variance exclusion since the reviewer cannot validate if regulatory
requirements regarding verification were followed accurately. Current
regulations are not clear that a lack of documentation means the
exclusion does not apply, and some State agencies have used this
ambiguity to apply the variance exclusion inappropriately. Therefore,
the Department proposes to amend the language at 7 CFR 275.12(d)(2)(ii)
to clarify that, for this exclusion to apply, the case record must
include clear documentation indicating which elements of verification
were postponed. Otherwise, if an eligibility worker does not
sufficiently document an element to indicate they properly postponed
it, the exclusion would not apply and any variances arising from errors
related to the element would then be included in the error
determination process.
The Department proposes to amend the current regulatory language at
7 CFR 275.12(d)(2)(viii) [re-designated as 7 CFR 275.12(d)(2)(vii)]
regarding policy memoranda for clarity. Instead of specifying
categories of policy memoranda, as exists now, the Department proposes
to generalize the concept to be all-inclusive of SNAP policy memoranda
issued.
7 CFR 275.12(d)(3)--Review of Active Cases--Other Findings
The regulations at 7 CFR 275.12(d) define a variance as a review
finding that policy was applied incorrectly or that information
verified as of the review date differs from the information used at the
most recent certification action while the regulations at 7 CFR
275.12(d)(1) and (2) further describe which variances are included in
and excluded from the error analysis. Regulations at 7 CFR 275.12(d)(3)
describe findings other than variances; however, there is currently no
requirement to report these findings to a local office. When a SQCR
does report a finding other than a variance, they do so through a
notification comment that is sent along with the case's official QC
results. The lack of a requirement to report these findings can lead
SQCRs to bypass those issues, thereby reducing the local eligibility
office's ability to determine whether a change in the case record is
warranted following the QC review. This is important to address,
because currently it is possible for a SQCR to learn information about
a household's current circumstances that do not affect the sample month
under review but could affect the household's ongoing SNAP allotment
after the sample month. For example, a SQCR conducts an interview with
a household in May for a case selected for the March sample month.
During the interview, the SQCR finds that a household member recently
started a new job that increased the household's earned income over the
income limit for its household size but failed to report this
information to the State agency within the required time frames. The
new earnings are excludable from the review because they occurred after
the sample month, but the household is required to report this change
and it may impact the household's ongoing SNAP allotment in future
months.
As a result, the Department is proposing to amend 7 CFR
275.12(d)(3) by adding that the State QC office would be required to
notify the local office of these other findings in all cases,
regardless of the error impact those deficiencies may have on the case.
The Department believes this notification is essential to good
management of the Program, because it provides information about
inaccuracies in the case file to eligibility staff, enabling them to
correct the issue, prevent future errors from occurring, and
potentially provide improved customer service to households. The
Department also proposes to remove the following examples from the same
paragraph since the household would not have been eligible for benefits
according to SNAP rules at 7 CFR 273, and therefore, any benefits
issued to such households are considered improper payments under PIIA:
\39\ an overdue subsequent certification and no current application on
file. Additionally, the Department proposes to remove the following
examples from the same paragraph since
[[Page 64769]]
the change in review focus would no longer exclude them from variances
cited in the QC review: insufficient documentation and incorrect
application of the verification requirements specified in part 273.
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Currently, at 7 CFR 275.12(d)(3), State agencies have the
discretion to act on findings other than error variances discovered
during the review, which are pertinent to the SNAP household or the
case record. Such findings may include, for example, the incorrect age
of a household member that is unrelated to an element of eligibility
and deficiencies in work registration procedural requirements, among
others. The Department proposes to maintain this State agency
discretion to act or not act on additional information discovered
during the QC review.
7 CFR 275.12(f)--Review of Active Cases--Reporting of Review Findings
Consistent with the changes made at 7 CFR 275.12(d)(3), where SQCRs
would be required to document all variances discovered in the review
and not just those causing a reportable error, the Department proposes
to revise regulations at 7 CFR 275.12(f)(1) and (f)(2) to require
reviewers include all variances in their individual review findings
reports for both eligibility and basis of issuance variances,
respectively. Changes in both sections would also remove the reference
to `sample month', as this would be consistent with the shift in review
focus from a point in time to the eligibility action under review.
7 CFR 275.12(g)--Review of Active Cases--Disposition of Case Reviews
As noted, proposed updates to the active review would be more
reflective of improper payment requirements for PIIA, which requires a
more thorough reporting of errors. Currently, FNS ``charges'' State
agencies a penalty for having a low QC completion rate. This penalty is
part of the calculation that determines the State agency's PER. This
method is unique to SNAP. Other programs that report for PIIA, follow a
different process, whereby any case they are unable to complete for QC
results in a total dollar error. In SNAP, reviewers drop cases for
which they cannot verify an element of eligibility or basis for the
benefit amount. For instance, if a case indicates the household
received earned income, and the household is unable to provide
verification or a collateral contact that can validate the information,
the reviewer drops the case as incomplete.
To be consistent with PIIA, the Department proposes to amend 7 CFR
275.12(g)(1) so that, as with other Federal programs, all cases that
cannot be completed, regardless of the reason, would result in the
reporting of an error for the total allotment issued for the action
under review. The Department requests public comment for considerations
of circumstances it should consider in implementing this policy.
The Department is also seeking feedback on whether there should be
a threshold applied to completion rates in the proposed error rate
calculation methodology, similar to the current percent completion
threshold which requires a penalty be applied to a State agency's error
rate if it fails to complete at least 98 percent of its minimum QC case
load.
Current regulations at 7 CFR 275.12(g)(1)(ii) list instances in
which the household's unwillingness to cooperate in completing a QC
review has the effect of a refusal to cooperate. Those instances
include when the household fails to respond to mail sent Certified
Mail-Return Receipt Requested; when the household fails to attend an
agreed upon interview; and when the household does not return a signed
release of information after agreeing to do so or after receiving one
through Certified Mail-Return Receipt Requested. FNS received input
from State agencies through various meetings with the American Public
Human Services Association (APHSA) that the use of certified mail is
prohibitively expensive and that delivery and service issues with the
United States Postal Service (USPS) have presented challenges even when
using Certified Mail-Return Receipt Requested.
APHSA members requested reviewers be provided an opportunity to use
a process similar to the Request for Contact (RFC) process used for
unclear information, as found in 7 CFR 273.12(c)(3)(i)(A). FNS
determined the use of a modified RFC process; whereby households that
fail to respond to the request are suspended from SNAP for one month,
with opportunity to verify their circumstances during that time, prior
to having their SNAP participation terminated; is appropriate for QC
purposes. This new process would be referred to as a request for
quality control contact or RFQCC. Allowing a RFQCC will help State
agencies complete cases and reduce the number of incomplete cases that,
under the new process, would count as total dollar errors. The
availability of this process will ensure integrity in the Program by
encouraging households to cooperate with the QC process. It will also
protect access to the Program for those households that do cooperate as
required, as current regulations do not provide an additional month for
the household to cooperate before the State must pursue termination of
their participation. In addition, commonly known issues with mail
delivery necessitate other allowable processes for States to utilize in
gaining household cooperation. For that reason, the Department proposes
to revise 7 CFR 275.12(g)(1)(ii) by reordering the examples and adding
the previously mentioned RFQCC process as an alternative way to respond
to households that either refuse or fail to ever respond to
communication from State QC to cooperate with the QC review. Similar to
the RFC process outlined in 7 CFR 273.12(c)(3)(i)(B)(2), if the
household fails to respond to the RFQCC, the reviewer will inform the
State and the State will send a notice of adverse action that suspends
the household for one month to allow the household an opportunity to
cooperate with QC prior to termination. If the household does not
cooperate with QC by the deadline provided in the notice of adverse
action, the reviewer must notify the State agency of the household's
refusal and the State must follow through with terminating the
household as stated at 7 CFR 275.12(g)(1)(ii).
The proposed review process would also require an update to
regulations at 7 CFR 275.12(g)(2) regarding active cases that are not
subject to review. The Department proposes to eliminate the current
provisions at 7 CFR 275.12(g)(2)(iv) and 7 CFR 275.12(g)(2)(ix)
pertaining to households receiving restored benefits and households not
receiving benefits in the sampled month, because the provisions would
no longer be relevant to the way cases would be sampled. In addition, 7
CFR 275.12(g)(2)(x) would be removed because all cases in which the
household is unable to be reached for the QC review would result in a
total dollar error amount for the eligibility action under review, as
mentioned above, and, therefore, no longer be considered a case not
subject to review. As a result of the proposed changes, the Department
would also reorganize the section to accommodate the removals and
additions.
Subpart E--Corrective Action
7 CFR 275.16(b)(2)--Corrective Action Planning--Negative Cases
In 2012, the Department changed the negative case review process in
the final rule titled, Supplemental Nutrition Assistance Program:
Quality Control
[[Page 64770]]
Provisions of Title IV of Public Law 107-171 (75 FR 33421),\40\ from a
review of the accuracy of a denial, termination, or suspension to a
process that incorporated a customer service review of those actions,
including whether the State agency accurately informed the household of
the reason for the action and whether the State agency's procedures
were correct. Since that change, the requirement at 7 CFR 275.16(b)(2)
for State agencies to implement a corrective action plan (CAP) whenever
its CAPER rose above one percent has become impractical, as exceeding
the one percent threshold became routine because of the new review
procedures. State agencies have informed FNS of their concerns in
various ways, including through conferences and advisory group
meetings, since the first CAPER release in calendar year 2013. In the
2018 RFI,\41\ FNS requested feedback from commenters regarding the
factors FNS should consider in revising the current CAP requirement for
negative cases. FNS received ten comments about changes to CAP
requirements and three suggested a threshold change for CAPs required
on CAPERs. However, those three commenters overwhelmingly agreed the
threshold should be increased. FNS based the current threshold on the
previous negative case review process and now agrees that the threshold
should be adjusted to better accommodate the process implemented in FY
2012.
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Consequently, the Department is proposing that a State agency would
be required to implement a CAP when its CAPER is higher than the
national CAPER for a given fiscal year. To do so, the Department
proposes to amend 7 CFR 275.16(b)(2) by removing the phrase ``of 1
percent or more in negative cases'' and adding in its place the phrase
``above the national average CAPER.'' However, because FNS has received
only limited and mainly anecdotal feedback from State agencies since
the changes, the Department is seeking additional comments through this
rulemaking regarding when State agencies would be required to implement
a CAP to improve their CAPER.
7 CFR 275.16(b)(4)--Corrective Action Planning--Incomplete Cases
The CAP requirement at 7 CFR 275.16(b)(4) for incomplete cases is
another area that State agencies have questioned. A CAP is currently
required whenever a State agency is unable to complete more than 5
percent of its annual QC caseload. The Department received comments to
the 2018 RFI \42\ on factors to consider in revising the current CAP
requirement in this area. Ten commenters provided comments on factors
to consider if revising the current CAP requirements. The commenters,
which included eight State agencies, provided the following to
consider: adjust the completion rate because a 95 percent completion
rate is unreasonable and unattainable for many State agencies; utilize
the Federal regression rate penalty only if State agencies are not
completing cases in accordance with Federal rules and regulations;
adjust acceptable levels of performance before corrective action occurs
based on trends and current data; and initiate CAPs only when FQCRs
demonstrates that incomplete cases were completed by FQCRs and SQCRs
had the ability to complete the case in the same manner. The Department
considered these comments but determined that, due to the proposed new
handling of incomplete cases as complete dollar amount errors, the most
appropriate revision to this threshold would be to eliminate the CAP
requirement altogether for active cases.
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Since this rule proposes to count the full allotment for incomplete
cases as an error, the Department has concluded that the development of
a separate CAP for active cases would be duplicative and unnecessary.
This is due, in part, to the fact that an excess number of dropped
cases would result in higher PERs and the Department has procedures,
namely the liability and sanction process, to respond to high PERs.
For negative cases, current rules related to dispositioning a case
as incomplete in the negative sample frame stipulate that State
agencies may list as incomplete only those cases where the whole case
file cannot be located. This largely stems from long-standing
requirements that eligibility workers fully document their case files
in sufficient detail to permit a reviewer to determine the
reasonableness and accuracy of the determination. As a practical
matter, the incidence of incomplete negative cases by State agencies is
extremely low. For example, for FY 2019, there were no dropped cases in
the negative sample frame.
For these reasons, the Department is proposing to remove the
provision at 7 CFR 275.16(b)(4). As a result, current regulations at 7
CFR 275.16(b)(5) will be redesignated as 7 CFR 275.16(b)(4).
Subpart F--Responsibilities for Reporting on Program Performance
7 CFR 275.21(b)(1)--Quality Control Review Reports--Mandating the Use
of SNAP QC System
In 2013, FNS successfully implemented a web-based electronic QC
review system (SNAP-QCS) for State agencies to input their QC case
review data, including the documentary evidence to support case
reviews. Therefore, the Department is proposing to require State
agencies to use the Federally funded SNAP-QCS.
The primary purpose of SNAP-QCS is to provide a central location to
house QC review cases which can be accessed at both the State and
Federal levels. SNAP-QCS provides complete audit and status tracking
for each case. All changes, beyond drafts, are available (where
authorized) for comparison to prior iterations. SNAP-QCS contains edit
check rules that prevent the submission by any user of information that
violates business logic or other policy/regulatory guidance. In all
cases, SNAP-QCS informs users of the nature of the rule violation in a
manner that allows for correction of any such violation.
Since its inception, SNAP-QCS has replaced numerous State agency
legacy systems. The system provides the following functionality: the
creation of worksheets and review schedules (FNS 380, FNS-245 and FNS-
380-1) \43\ by the States, workflow management for State review
worksheets and schedules; the Federal subsampling of QC review cases,
the creation of review notes and findings by FQCRs, detailed workflow
management for the Federal review process; tracking of case-related
information, reporting tools for workflow and case characteristics, and
analysis tools for advanced QC finding reports.
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\43\ FNS 380--OMB Form 0584-0074; FNS 245-OMB Form 0584-0034;
FNS 380-1--OMB Form 0584-0299.
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FNS requested comments in the 2018 RFI \44\ as to whether the
Department should mandate SNAP-QCS for all QC Worksheets. Ten State
agency respondents commented on such a mandate. Four State agencies
expressed support for mandated use of SNAP-QCS because they currently
use it and asserted that it would allow for improved consistency in the
submittal of required information to FNS across States. One State
agency indicated it
[[Page 64771]]
had no concerns about the mandate because State agencies would retain
the option to maintain their own internal automated QC system and
upload the results into SNAP-QCS. However, four State agencies objected
to the mandated use of SNAP-QCS. One State agency noted SNAP-QCS does
not account for special budgeting rules, such as waivers, and other
commenters expressed concerns related to State system variability
resulting in system modifications, increased work, and inefficient use
of State agency staff time (e.g., double data entry).
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The Department appreciates all comments submitted. Most State
agency commenters who opposed the requirement to use SNAP-QCS did not
have experience using the automated version of the system. The
Department understands there is a learning curve when a new reviewer
begins using SNAP-QCS. FNS anticipates that mandating the use of SNAP-
QCS will improve data integrity and expects that the edit checks would
assist in accurate data collection. Therefore, the Department proposes
to mandate the use of SNAP-QCS at 7 CFR 275.21(b)(1). This includes
using the Auto-FNS Form 380, FNS Form 380-1, and FNS Form 245, and
upload all documentation necessary to understand the disposition and
findings for each sampled case.
Subpart G--Program Performance
7 CFR 275.23(b)(2)--Determination of State Agency Program Performance--
Determination of Payment Error Rates
To accurately apply the new sampling method to determine State
agency program performance, the Department proposes to amend the
language at 7 CFR 275.23(b)(2)(i)(A) to clarify what the quantities
y1, b1, x1, and X1 in the
PER determination formula are and that X1 should be weighted
(using Wi) to account for the differential selection
probabilities of the new sampling design. The Department also proposes
to amend the language at 7 CFR 275.23(b)(2)(i)(B) to clarify what the
quantities y2, b2, x2, and
X2 in the formula are and that X2 should be
weighted (using Wi) to account for the differential
selection probabilities of the new sampling design. The Department also
proposes to remove language about stratified sample designs covered by
both provisions because it would no longer apply when using the
proposed sampling method.
To avoid confusion with the notation introduced in the new
paragraph 7 CFR 275.11(g), Active sample allocation, the Department
proposes to change the notation of ``u'' to ``Z'' in paragraph 7 CFR
275.23(b)(2)(i)(C). In addition, the Department proposes to remove and
rephrase language about the quantity ``Z'' to make its definition
clearer.
The assignment of error rates by FNS, whether for active or
negative cases, has occurred only infrequently in the past. Typically,
FNS made assignments because of extraneous circumstances beyond a State
agency's control, such as when a large disaster impedes its ability to
complete cases. However, situations do arise in which FNS must assign
rates to State agencies due to other reasons. FNS assigned multiple
State agency error rates in FY 2017 due to data integrity issues and
found that greater clarity in regulations at 7 CFR 275.23(b)(2)(ii) is
necessary. First, the Department proposes to amend the regulation to
reflect the name change of the error rates for negative cases and
clarify that assigned rates could be used in the determination of
liability status, subject to 7 CFR 275.23(d). Second, the Department
proposes to amend the paragraph by adding a statement at the end of the
section to indicate that under no circumstance, would an assigned rate
be eligible for appeal unless the rate resulted in a liability amount,
per 7 CFR 275.23(d). While these clarifications are consistent with
current practice and law, the Department maintains that the additional
language adds emphasis.
7 CFR 275.23(b)(2)(iii)--State Agency Error Rates--Completion Rate
Penalty
The Department proposes to change the current penalties applied to
State agencies that fail to complete 98 percent of their active QC
caseload as described in 7 CFR 275.23(b)(2)(iii) by changing the
application of the penalty to apply to any State agency that fails to
sample the required minimum annual sample size, while also increasing
the impact of the penalty. Since State agencies would report all active
cases with a disposition of incomplete as a total dollar error for the
sampled action under review, the Department believes there is a
sufficient deterrent to past State agency practices of dispositioning
cases as incomplete to avoid errors. Still, situations exist where a
State agency may not sample the minimum sample size. For FY 2022, a
total of seven States did not sample enough cases to meet the minimum
regulatory requirement for active and negative sample frames. This
could happen in situations beyond the control of the State agency, such
as when a natural disaster impedes the State agency's ability to sample
and complete its required QC reviews. This could also occur in
situations that are within the State agency's control to prevent, such
as when a State agency fails to sufficiently staff the QC unit and is
subsequently unable to complete the required minimum sample size.
Specifically, the Department seeks input on the proposal to apply
an adjustment penalty to a State agency's error rate when the State
agency fails to sample enough cases to complete the minimum sample size
in any given sample month, including the following: (1) if the changes
proposed to the current penalty formula are sufficient and (2) whether
FNS should distinguish in how it applies the penalty based on whether a
State agency cannot sample its minimum sample size due to situations
beyond its control.
7 CFR 275.24--High Performance Bonuses
Section 4013(d) of the 2018 Farm Bill removed the requirement for
the Secretary to award performance bonus payments to State agencies and
prohibited the Secretary from awarding performance bonuses in calendar
year 2019 for FY 2018 performance. The 2018 Farm Bill also required the
Department to establish performance criteria relating to actions taken
to correct errors, reduce rates of error, improve eligibility
determinations and any other indicators of effective administration
determined by the Secretary.
To ensure SNAP performance bonuses are removed from regulations
throughout 7 CFR 275.24, the Department proposes to amend current
regulations at 7 CFR 275.24 with this rulemaking and replace that
language with performance criteria, as directed by Congress pursuant to
Section 4013(d)(3) of the 2018 Farm Bill. The performance criteria
mirror current language at 7 CFR 275.24 but removes all references to
bonuses and adjusts the language, grammar, and structure of the
provision accordingly. The Department proposes these performance
criteria because they mirror prior performance bonus criteria, which
the Department believes, based on prior experience with performance
bonuses, are informative measures of performance.
7 CFR 275.24(a)(3)--Performance Measures--Program Access Index
As one of the technical changes, the Department proposes to remove
the fourth sentence in subparagraph 7 CFR 275.24(a)(3)(i) as it is no
longer necessary to allow an exception to calculating the program
access index rate for the State of California as the State converted
its cash out program to allow households to receive SNAP. Therefore,
the Department can use actual SNAP participant numbers for
[[Page 64772]]
their calculation and the sentence is unnecessary.
Proposed Timeframe for Implementation of QC Sampling and Active Review
Changes
The Department recognizes the significant sampling and active
review changes will require lead time and technical assistance for
State agencies to come into compliance for implementation. The
Department is considering establishing an implementation date of two
full fiscal years after publication of the final rule. For example, if
a final rule were published in March of 2027, the Department would
establish an implementation date of October of 2029. The Department
seeks input on this implementation timeline.
To summarize, the simplification of the QC review is expected to
benefit several stakeholders. Households would benefit from no longer
having to provide verifications for multiple months in the
certification period if their case is selected for QC review, SQCRs and
FQCRs would have an equally robust but less complicated active case
review to conduct, and the Department and Congress would benefit from
both an improvement in the quality of information that comes out of the
reviews and by being able to compare improper payments more effectively
across government social safety net programs.
In addition, simplifying the QC review in the proposed manner would
also allow State agencies to implement more timely corrective actions.
Timely corrective actions should reduce the compounding impact of
improper payments as State agencies would be able to correct systemic
errors and implement policies or processes more immediately, thus
improving customer service to recipients, State agencies, and the
American taxpayer.
The Department acknowledges some of the most impactful changes for
State agencies administering SNAP and households sampled for review
include (1) the shift in review of the action that authorized the
allotment; (2) the handling of cases that cannot be validated, and (3)
the introduction of the RFQCC process. The Department asks for and
welcomes comment on all provisions in this proposed rulemaking, and we
also request comments on potential impacts, direct and indirect, of
these changes on State agencies and SNAP households. The Department
reiterates this is a proposed rule, and we will consider all comments
provided before a final rule implements any changes to SNAP's QC
system.
Procedural Matters
Executive Order 12866, 13563, and 14094
Executive Orders 12866, 13563, and 14094 direct agencies to assess
all costs and benefits of available regulatory alternatives and, if
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, distributive impacts, and equity). Under
Executive Order 12866, as amended, OMB's Office of Information and
Regulatory Affairs (OIRA) determines whether a regulatory action is
significant and, therefore, subject to OMB review. This proposed rule
has been determined to likely be significant under E.O. 12866, as
amended, and is being reviewed by the Office of Management and Budget
(OMB) in conformance with Executive Order 12866.
Executive Order 13563 emphasizes the importance of quantifying both
costs and benefits, of reducing costs, of harmonizing rules, and of
promoting flexibility. The analysis below outlines the impacts that the
Department anticipates may result from this proposed rule, if
finalized, and was prepared pursuant to the above-mentioned executive
orders.
Summary of Total Cost Impacts
A regulatory impact analysis (RIA) must be prepared for rules which
are determined to be significant under Section 3(f)(1) of E.O. 12866,
as amended ($200 million or more in economic effects in any one year).
USDA does not anticipate this proposed rule is likely to have an
economic impact of $200 million or more in any one year, and therefore,
does not meet the definition of significant under Section 3(f)(1) of
E.O. 12866 as amended. This proposed rule will not impact SNAP
participants' benefit levels. Overall household burden will increase
due to the increase in case samples required by the new process, not by
adding additional burden to individual households.
The Department expects several of the proposed rule provisions to
impact State Administrative Expenses (SAE) or FNS administrative costs.
The rule includes the following changes expected to have measurable
impacts:
--Section 275.11(b)(1)(iii) modifies the active case sample size
formulas for State reviewers and Federal re-reviewers, increasing the
sample size by 30 percent, to maintain the current level of precision.
--Section 275.11(3)(1) changes the active case sampling frame from all
households to those with an action, including initial certification,
recertification, and the submission of monthly, quarterly, or periodic
reports.
--Section 275.12(b) clarifies that reviewers will only be required to
examine households' circumstances for the month that the action took
place, eliminating the need for comparing households' circumstances at
the month of action versus the month of the review. As a result of the
changes to the active case reviews, the shift to only reviewing
eligibility actions will result in collecting less information about
the household since only the point of eligibility will be reviewed,
rather than a random point in time during a household's certification,
which requires the collection of a new month's circumstances, not one
that's already in the case record.
--Section 275.11(g) specifies that the active sample is divided into
five strata, allowing the sample to be representative of the SNAP
caseload.
--Section 275.12(d)(3) requires SQCRs to notify local offices of all
non-error causing variances found in the review.
--Section 275.21(b)(1) mandates that SQCRs use the SNAP-QC system for
QC reporting, rather than using their State systems.
Below in Table E.1 is a summary of the combined impacts of these
provisions on both State Agencies and the Federal Government. The
Annual Baseline column shows the current annual costs for each row. The
columns with FY headers are the difference between the annual baseline
and new procedures resulting from this rule change in that specific
fiscal year, with FY 2024 being the first implementation year and the
first year in which the discount rate is applied. The Total column
shows the sum of the five FY columns: the costs over the first five
years of implementation. As noted previously, there are no anticipated
impacts on SNAP allotments, but there are some expected costs for SNAP
households as a result of the increased number of sampled households.
Cost savings are anticipated after the implementation year, in FY 2026,
due to expected reductions in the time needed for a caseworker to
perform a QC review in under the new rule from 8.98 to 6.33 hours.
[[Page 64773]]
Table E.1--Summary of Total Cost Impacts **
----------------------------------------------------------------------------------------------------------------
Impacts on state administrative Baseline: Annualized cost differences from pre-rule baseline
expense (cost in nominal FY 2024 ----------------------------------------------------------------------------
$000s) FY 2024 FY 2025 FY 2026 FY 2027 FY 2028 FY 2029 Total
----------------------------------------------------------------------------------------------------------------
New Sampling Procedures............ $11,370.3 $3,393.4 -$950.9 -$950.9 -$950.9 -$950.9 -$410.2
Training........................... 0.0 974.2 0.0 0.0 0.0 0.0 974.2
Reporting all variances............ 0.0 0.0 411.5 411.5 411.5 411.5 1,646.0
Record keeping..................... 59.8 0.0 17.9 17.9 17.9 17.9 71.6
Help Desk **....................... 70.0 0.0 210.0 210.0 210.0 210.0 840.0
Require all States use QCS **...... 175.0 0.0 525.0 525.0 525.0 525.0 22,100.0
----------------------------------------------------------------------------
Total.......................... 11,675.1 4,367.6 213.5 213.5 213.5 213.5 55,221.6
----------------------------------------------------------------------------------------------------------------
Discounted Cost Impact
----------------------------------------------------------------------------------------------------------------
7 percent.......................... 11,675.1 4,081.9 186.5 174.3 162.9 152.2 4,757.7
3 percent.......................... 11,675.1 4,240.4 201.2 195.4 189.7 184.2 5,010.9
----------------------------------------------------------------------------------------------------------------
Impacts on Household Burden (cost in nominal 000s)
----------------------------------------------------------------------------------------------------------------
Increase in Household Burden for 0.0 49.5 49.5 49.5 49.5 49.5 247.5
Newly Sampled Cases...............
----------------------------------------------------------------------------------------------------------------
Discounted Cost Impact
----------------------------------------------------------------------------------------------------------------
7 percent.......................... 0.0 46.3 43.2 40.4 37.8 35.3 203.0
3 percent.......................... 0.0 48.1 46.7 45.3 44.0 42.7 226.7
----------------------------------------------------------------------------------------------------------------
* Totals may not sum due to rounding.
** These costs are incurred only by the Federal Government.
The net present value of costs to State and Federal governments
over five years is $4,76 million at a seven percent discount rate and
$5,01 million at a three percent discount rate. The net present value
of costs to SNAP participants over five years is $203.0 thousand at a
seven percent discount rate and $226.7 thousand at a three percent
discount rate. Annualized in perpetuity, the government costs are
$333.04 ($150.33) thousand per year at a seven (three) percent discount
rate, and participant costs are $14.21 ($6.80) thousand per year at a
seven (three) percent discount rate.
This rule change will result in substantive benefits for QC
reviewers. By changing the active case review to focus on eligibility
determinations (certifications, recertifications, and submission of
required reports), the rule will result in the SNAP QC process being
better aligned with how other Federal programs measure payment accuracy
and with PIIA. The proposed changes are also expected to simplify QC
reviews, which in turn will improve the quality of the reviews and of
the information collected. The time spent by each caseworker in QC
review is anticipated to drop from 8.98 to 6.33 hours per case, which
will result in -$950.9 thousands in savings per year, even accounting
for the expected increase in 13,649 QC reviews per year (see Table
E.3). Simplifying the process and focusing on eligibility actions will
also allow for more timely corrective actions.
Implementation Costs (State and Federal Administrative Expense)
Developing New Sampling Plans. Statisticians from each of the 53
State Agencies will need to develop new sampling plans for active
cases. It will take an estimated 40 hours for each State Agency to
develop a plan. Given an hourly rate of $47.81 (the median hourly wage
for a statistician, according to the Bureau of Labor Statistics (BLS)),
the total one-time cost is $101,400 (Table E.2). Because these are
State Administrative Expenses for which the Federal Government
reimburses States, $50,700 will be borne by the Federal Government and
$50,700 will be borne by State Agencies.
Training SQCRs on new review procedures. SQCRs will need to be
trained in the changes to the active case QC review process. There are
approximately 634 SQCRs. Training will take an estimated 40 hours. At
an hourly rate of $27.83 (the median hourly rate for a social worker,
according to the BLS at time of analysis), the total cost for training
will be $705,800. Because these are State Administrative Expenses for
which the Federal Government reimburses States, $352,900 will be borne
by the Federal Government and $352,900 will be borne by State Agencies.
Training SQCRs on entering data into the SNAP QC system. All SQCRs
will be required to enter QC review data into the SNAP QC system.
Currently, 263 SQCRs of an estimated 634 SQCRs nationwide are entering
QC data into the SNAP QC system. Therefore, based on this estimate, an
additional 371 SQCRs will need to be trained on how to enter data into
SNAP-QCS by making the system mandatory. This training will take an
estimated 26 hours. At an average social worker rate of $27.83, the
cost for this training will be $268,400. Because these are State
Administrative Expenses for which the Federal Government reimburses
States, $134,200 will be borne by the Federal Government and $134,200
will be borne by State Agencies.
Longer time initially processing cases. During the first year,
reviewers are expected to take an estimated 2 hours longer to review
each case as they become accustomed to the changes in QC. With an
estimated 59,149 cases, at $27.83 an hour, the one-year cost is
$3,292,100. Because these are State Administrative Expenses for which
the Federal Government reimburses States, $1,646,100 will be borne by
the Federal Government and $1,646,100 will be borne by State Agencies.
These one-time implementation costs will total an estimated
$4,367,700, of which $2,183,900 will be borne by the Federal Government
and $2,183,900 borne by State Agencies.
[[Page 64774]]
Table E.2--Implementation Costs (State and Federal Administrative Expense) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Additional time
Develop Train SQCRs on Train QC for SQCRs to Total
sampling new review revisers to use process active implementation
plan procedures QC system cases cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number Impacted.................................................... 53.0 634.0 371.0 59,146.1 ................
Time (hours)....................................................... 40.0 40.0 26.0 2.0 ................
Hourly rate........................................................ $47.8 $27.8 $27.8 $27.8 ................
Total Cost ($000).................................................. $101.4 $705.8 $268.4 $3,292.1 $4,367.7
Federal Share ($000)............................................... $50.7 $352.9 $134.2 $1,646.1 $2,183.9
State Share ($000)................................................. $50.7 $352.9 $134.2 $1,646.1 $2,183.9
--------------------------------------------------------------------------------------------------------------------------------------------------------
* Totals may not sum due to rounding.
Annual Operational Costs and Cost Savings (State Administrative
Expense)
Impact of changes in sample size and review procedures. Currently,
SQCRs review 45,497 active cases per year.\45\ It takes an average of
8.908908 hours per review. The median hourly rate for a social worker
is $27.83. Thus, the cost of performing QC reviews is currently an
estimated $11,370,300. (Table E.3)) Under the proposal, SQCRs will
review about 59,146 cases per year, an increase of 30 percent. However,
after the first year, the average time per review is expected to drop
from 8.908908 hours to 6.33 hours. This is because reviewers will only
be required to examine households' circumstances for the month that the
action took place, eliminating the need for comparing households'
circumstances at the month of action versus the month of the review.
The cost of performing QC reviews is estimated to be $10,419,400, a
savings of $950,900. Because these are State Administrative Expenses
the savings will be equally split between the Federal Government and
State Agencies, with each saving $475,450.
---------------------------------------------------------------------------
\45\ The changes in sampling procedures only affect active
cases, not negative cases.
---------------------------------------------------------------------------
New requirement to report non-error causing variances. Currently,
States are not required to report non-error causing variances back to
local SNAP offices. Section 275.12(d)(3) will require SQCRs to notify
the local office of deficiencies in all cases, regardless of the error
impact on the case. Little is known about how many variances of these
kinds are currently reported, how many non-error causing variances will
be reported under the requirement, or how long it takes to report such
variances. Some cases will have no non-error causing variances, whereas
others may have multiples of these variances. FNS is assuming that the
additional time will average 15 minutes per case. This average is not
meant to assume that all cases will have variances to report; rather,
it is an average to balance cases with many variances to report against
cases that have no additional variances to report. Using the hourly
rate of $27.83 for a social worker times 59,146 cases (this is equal to
30 percent more than the FY 2017 actives QC case load, as required by
the proposed sampling methodology) times 15 minutes per case yields a
cost estimate of about $411,500, of which nearly $205,750 will be borne
by the Federal Government and $205,750 will be borne by State Agencies.
Record keeping for more cases. States are required to keep records
of all State QC reviews. It is estimated that the record keeping takes
about 3 minutes per case, and that will be unchanged under the proposed
system. However, because the number of cases is increasing by 13,649,
using the average hourly rate of $27.83 for a social worker, the cost
will increase by an estimated $17,900. This cost will be split between
the Federal Government ($8,950) and State Agencies ($8,950).
New requirement to attest the validity of the sampling plan. State
Agencies will now be required to provide an annual statement attesting
to the validity of the sampling plan. The time to provide the statement
is estimated to be 12 minutes. Each of the 53 State Agencies will have
a SNAP manager provide this statement. According to the Bureau of Labor
and Statistics, the median rate for a general manager is $55.41 at time
of analysis. Thus, the cost is $600 per year, $300 borne by the Federal
Government and $300 borne by State Agencies.
Increased QC help desk support. FNS will be required to provide
increased help desk support. Currently, FNS contracts for one staff
member to provide this support, at an annual cost of $70,000. FNS
anticipates needing to contract for three additional people, for an
additional cost of $210,000. This cost will be entirely borne by the
Federal Government.
Additional QC data storage. FNS currently stores the SNAP QC data
on six servers, at an annual cost of $27,333.33 per server, or $164,000
total. In addition, the storage costs are currently $11,000 per year.
With all States using the SNAP QC data system and the increased sample
size, FNS anticipates that these costs will quadruple, to $656,000 for
the servers and $44,000 for storage, for a total of $700,000. The
additional cost will total $492,000 for the servers and $33,000 for
storage, for a total of $525,000. This cost will be entirely borne by
the Federal Government.
The total annual administrative cost of the changes to the QC
review process is estimated to be $214,100. Because some costs, such as
help desk support and additional data storage, are not shared with
State Agencies, the estimated cost to the Federal Government is
$474,600. State Agencies are expected to save $260,500 annually due to
the reduced case processing time.
Annual Household Administrative Burden
As discussed previously, the changes to the case sampling
procedures will result in an overall increase in the number of cases
sampled each year, from 45,497 annually to 59,146 (an increase of
13,649 cases). As described in the Paperwork Reduction Act section of
this proposed rule, the burden to an individual household selected for
review is not expected to change and will remain about 30 minutes per
household. However, since the number of cases selected will increase,
overall household burden will also increase. The increase is expected
to cost $49,477.6 annually (13,649 cases x .5 hours per case x minimum
wage of $7.25).
Uncertainties
While this proposed rule is expected to improve SNAP program
integrity, it is
[[Page 64775]]
unclear whether the rule provisions will result in additional sanctions
or liabilities being imposed on State Agencies as a result of these
proposed changes.
Table E.3--Annual Operating Costs and Savings (Changes From Current Procedures) *
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Current Proposed
Annual variable costs Current Proposed Difference Current Proposed Difference hourly hourly Difference Current cost Proposed cost Difference
units units hours hours ($) rate ($) rate ($) ($) ($000's) ($000's) ($000's)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Processing Active Cases.......................... 45,497.00 59,146.10 13,649.10 8.98 6.33 -2.65 27.83 27.83 0.00 11,370.30 10,419.40 -950.90
Reporting all non-error causing Variances........ 0.00 59,146.00 59,146.00 0.25 0.25 0.00 27.83 27.83 0.00 0.00 411.50 411.50
Record Keeping................................... 45,497.00 59,146.10 13,649.10 0.05 0.05 0.00 27.83 27.83 0.00 59.80 77.70 17.90
Attest Sample Plan............................... 53.00 53.00 0.00 0.00 0.20 0.20 55.41 55.41 0.00 0.00 0.60 0.60
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Annual Fixed Costs Current Proposed
unit cost unit cost
($) ($)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Help Desk Support................................ 1.00 4.00 3.00 N/A N/A N/A 70,000.00 70,000.00 0.00 70.00 280.00 210.00
Servers.......................................... 6.00 24.00 18.00 N/A N/A N/A 27,333.33 27,333.33 0.00 164.00 656.00 492.00
Storage.......................................... 1.00 4.00 3.00 N/A N/A N/A 11,000.00 11,000.00 0.00 11.00 44.00 33.00
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total Annual Costs........................... ......... ......... .......... ....... ........ .......... ......... ......... .......... 11,675.10 11,889.20 214.10
Federal Share................................ ......... ......... .......... ....... ........ .......... ......... ......... .......... 5,95960.05 6,434.60 474.55
State Share.................................. ......... ......... .......... ....... ........ .......... ......... ......... .......... 5,75715.05 5,454.60 -260.45
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* Totals may not sum due to rounding.
Regulatory Flexibility Act
The Regulatory Flexibility Act (5 U.S.C. 601-612) requires Agencies
to analyze the impact of rulemaking on small entities and consider
alternatives that would minimize any significant impacts on a
substantial number of small entities. The entities impacted by this
rule are State SNAP agencies that conduct QC reviews, which are not
considered small entities for purposes of this analysis.
Pursuant to our review, the Department certifies that this rule
will not have a significant impact on a substantial number of small
entities.
Unfunded Mandates Reform Act
Title II of the Unfunded Mandates Reform Act of 1995 (UMRA), Public
Law 104-4, establishes requirements for Federal agencies to assess the
effects of their regulatory actions on State, local and Tribal
governments, and the private sector. Under section 202 of the UMRA, the
Department generally must prepare a written statement, including a cost
benefit analysis, for proposed and final rules with ``Federal
mandates'' that may result in expenditures by State, local or Tribal
governments, in the aggregate, or the private sector, of $100 million
or more in any one year. When such a statement is needed for a rule,
Section 205 of the UMRA generally requires the Department to identify
and consider a reasonable number of regulatory alternatives and adopt
the most cost effective or least burdensome alternative that achieves
the objectives of the rule.
This rule does not contain Federal mandates (under the regulatory
provisions of Title II of the UMRA) for State, local and Tribal
governments, or the private sector of $100 million or more in any one
year. Thus, the rule is not subject to the requirements of sections 202
and 205 of the UMRA.
Executive Order 12372
SNAP is listed in the Catalog of Federal Domestic Assistance under
Number 10.551. For the reasons set forth in the Final Rule codified in
7 CFR part 3015, subpart V and the related Notice (48 FR 29115), this
Program is excluded from the scope of Executive Order 12372, which
requires intergovernmental consultation with State and local officials.
Federalism Summary Impact Statement
Executive Order 13132 requires Federal agencies to consider the
impact of their regulatory actions on State and local governments.
Where such actions have federalism implications, agencies are directed
to provide a statement for inclusion in the preamble to the regulations
describing the agency's considerations in terms of the three categories
called for under Section (6)(b)(2)(B) of Executive Order 13121.
The Department has considered the impact of this proposed rule,
with comment, on State and local governments and has determined that
this rule does not have federalism implications. Therefore, under
Section 6(b) of the Executive Order, a federalism summary is not
required.
Executive Order 12988, Civil Justice Reform
This proposed rule has been reviewed under Executive Order 12988,
Civil Justice Reform. This rule is intended to have preemptive effect
with respect to any State or local laws, regulations, or policies which
conflict with its provisions or which would otherwise impede its full
and timely implementation. This rule is not intended to have
retroactive effect unless so specified in the Effective Dates section
of the final rule. Prior to any judicial challenge to the provisions of
the final rule, all applicable administrative procedures must be
exhausted.
Civil Rights Impact Analysis
FNS has reviewed the proposed rule, Provisions to Improve the
Supplemental Nutrition Assistance Program's QC System, in accordance
with the Department Regulation 4300-004, Civil
[[Page 64776]]
Rights Impact Analysis to identify and address any major civil rights
impacts the proposed rule may have on participants on the basis of
race, color, national origin, sex, and disability. A comprehensive
Civil Rights Impact Analysis (CRIA) was conducted on the proposed rule,
including an analysis of data and provisions contained in the proposed
rule. The CRIA outlines outreach and mitigation strategies to lessen
any possible civil rights impacts. The CRIA concludes the provisions of
the proposed rule will impact the statistical design and active case
review process, as well as clarify and update current regulations. The
proposed rule would result in more SNAP households being selected for
QC review in the active frame. The demographic profile of SNAP
participants includes minorities, persons with disabilities, and the
elderly; thus, program participants in these groups may be selected for
QC review in the active frame. Additionally, the proposed rule will
require State agencies to revise their review procedures, possibly
resulting in less onerous reviews for a larger number of cases. The
Department finds that the implementation of mitigation strategies and
monitoring by the FNS Civil Rights Division and FNS SNAP may lessen
these impacts. If necessary, the FNS Civil Rights Division will propose
further mitigation and outreach strategies to alleviate impacts that
may result from the implementation of the proposed rule.
Executive Order 13175
Executive Order 13175 requires Federal agencies to consult and
coordinate with Tribes on a government-to-government basis on policies
that have Tribal implications, including regulations, legislative
comments or proposed legislation, and other policy statements or
actions that have substantial direct effects on one or more Indian
Tribes, on the relationship between the Federal Government and Indian
Tribes, or on the distribution of power and responsibilities between
the Federal Government and Indian Tribes. This regulation has possible
Tribal implications, so consultation is required. FNS attended a Tribal
consultation meeting on May 1, 2019, in Washington, DC and virtually to
a Nevada meeting on December 6, 2022, where the changes to this rule
were explained. No questions or concerns were brought to FNS's
attention about this rule by any members of either meeting. If further
consultation is requested, the Office of Tribal Relations will work
with FNS to ensure quality consultation is provided.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. Chap. 35; see 5 CFR
1320), requires that the Office of Management and Budget (OMB) approve
all collections of information by a Federal agency from the public
before they can be implemented. Respondents are not required to respond
to any collection of information unless it displays a current, valid
OMB control number. We are seeking a new OMB Control Number for these
new, existing, and changing provisions in this rule and, once OMB
approves the information collection request burden associated with this
rulemaking, we will submit a request to merge the burden hours into
their respective OMB Control Numbers. Once the merge is approved the
newly assigned OMB control number can be discontinued. The current
burden inventories for this collection are found in OMB-0584-0074,
Expiration Date: 07/30/2025; 0584-0299, Expiration Date: 07/31/2023,
and 0584-0303, Expiration Date: 1/31/2024. These changes are contingent
upon OMB approval under the Paperwork Reduction Act of 1995.
Additionally, when the information collection requirements have been
approved, FNS will publish a separate action in the Federal Register
announcing OMB's approval.
Comments on the information collection in this proposed rule must
be received by November 20, 2023.
Send comments to the Office of Information and Regulatory Affairs,
OMB, Attention: Desk Officer for FNS, Washington, DC 20503. Please also
send a copy of your comments to John McCleskey, Branch Chief, Quality
Control Branch, Program Administration and Nutrition Division, 1320
Braddock Place, 5th Floor; Alexandria, Virginia 22314. For further
information, or for copies of the information collection requirements,
please contact John McCleskey at the address indicated above. Comments
are invited on: (1) whether the proposed collection of information is
necessary for the proper performance of the Agency's functions,
including whether the information will have practical utility; (2) the
accuracy of the Agency's estimate of the proposed information
collection burden, including the validity of the methodology and
assumptions used; (3) ways to enhance the quality, utility and clarity
of the information to be collected; and (4) ways to minimize the burden
of the collection of information on those who are to respond, including
use of appropriate automated, electronic, mechanical, or other
technological collection techniques or other forms of information
technology.
All responses to this request for comments will be summarized and
included in the request for OMB approval. All comments will also become
a matter of public record.
Title: Provisions to Improve the Supplemental Nutrition Assistance
Program's Quality Control System.
OMB Number: 0584-NEW.
Expiration Date: Not Yet Determined.
Type of Request: New collection.
Abstract: Section 16 of the Act provides the legislative basis for
the operation of the QC system. Part 275, Subpart C, of SNAP
regulations implements the legislative mandates found in section 16.
Regulations at 7 CFR 275.1, 275.14(d) and 275.21(a) and (b)(1) provide
the regulatory basis for the QC reporting requirements. Section 11(a)
of the Act provides the legislative basis for the recordkeeping
requirements. Existing SNAP regulations at 7 CFR 275.4 specifically
address record retention requirements for QC including form FNS-380,
FNS-380-1, and the sampling plans found in 7 CFR 275 of the
regulations.
Component (1) Form FNS-380 [OMB Control Number: 0584-0074], is a
SNAP worksheet used to determine eligibility and benefits for
households selected for review in the QC sample of active SNAP cases.
This form provides a systematic means of aiding the State's Quality
Control Reviewer in analyzing the case record, planning and doing field
investigation and gathering, comparing, analyzing and evaluating data.
FNS estimates that while this rule will require thirty percent more
cases (households) be reviewed for QC, the rule does not change the
existing burden on households, and will effectively decrease the
ongoing burden for 53 State agencies by 20,151 hours annually. In
addition, in order to implement the changes of the rule in the first
year, the rule will add 196,915.17 startup burden hours for State
agencies. These startup hours include 40 hours of training for 263
State QC reviewers on just the new review procedures for active cases,
64 hours to train 371 reviewers on using both SNAPQCS's automated FNS
380 worksheet and the new review procedures for active cases, and FNS
is including 2.75 hours of additional time for State agencies to
complete the FNS 380 worksheet for each case review to properly review
and document according to the new procedures for the active case
review. The revised total ongoing burden associated with this rule for
this component is 385,844.12 reporting and recordkeeping burden
[[Page 64777]]
hours and the first year's total reporting and recordkeeping burden due
to rulemaking including the startup hours is 196,915.17 hours, bringing
the total burden in the first year of implementation of the rule to
582,759.29 reporting and recordkeeping hours for this component.
Component (2) FNS 380-1 [OMB Control Number: 0584-0299], is SNAP's
QC Review Schedule which collects QC and household characteristics
data. The information needed to complete this form is obtained from the
SNAP case record and State quality control findings. The information is
used to monitor and reduce errors, develop policy strategies, and
analyze household characteristic data. FNS estimates this rule will
require 53 State agencies a revised total of 63,853.892 ongoing
reporting and recordkeeping burden hours annually for this component of
this collection. This is an increase of 14,735.33 burden hours. An
estimated total of 742 additional startup hours are necessary for the
first year's implementation of components within this collection for
this rule. This startup includes 2 hours for 371 State QC reviewers to
be trained on how to use SNAPQCS's automated FNS 380-1 worksheet. The
revised total reporting and recordkeeping ongoing burden hours for the
first year 64,595.89 hours.
Component (3) In the 275 regulations [OMB Control Number: 0584-
0303], each State agency is required to develop a QC sampling plan that
demonstrates the integrity of its case selection procedures. The QC
system is designed to measure each State agency's payment error rate
based on a statistically valid sample of SNAP cases. A State agency's
payment error rate represents the proportion of cases that were
reported through a QC review as being ineligible, overissued and
underissued as well as the proportion of SNAP allotments that were
either overissued or underissued to SNAP households. The FNS 311
Handbook is used by State agencies as a reference tool for creating
their sampling plans. The current ongoing reporting and recordkeeping
burden for this collection is 2,829 hours. FNS estimates this rule will
require 53 State agencies a revised total of 2,829 ongoing reporting
and recordkeeping hours and an additional 2,120 startup reporting
burden hours for this first year of implementation of components within
this rule. These startup hours include 40 hours for 53 State agency
statisticians to update their State's sampling procedures to comply
with the new sampling requirements of this rule. The first year of
implementation for this component of the rule will require a total of
4,949 reporting and recordkeeping burden hours.
In total, FNS estimates this rule will decrease the overall ongoing
burden associated with these three collections by 5,416 reporting
burden hours. The overall total burden for these three components
associated with the rule will require 53 State agencies, a total of
422,951 ongoing reporting and recordkeeping burden hours and 59,146
households 29,573 ongoing reporting burden hours annually. FNS also
estimates this rule will require State agencies an additional
199,777.17 startup burden hours to implement the changes in this rule.
Therefore, a grand total of 652,302 reporting and recordkeeping burden
hours are estimated for this first year of implementation for this
rule. This rule affects the three components of the QC process
mentioned above, the use of (1) FNS forms 380, (2) FNS 380-1 and (3)
the creation of the State QC Sampling plan attestation. The average
burden per response and the annual startup and ongoing burden hours are
explained below and summarized in the charts that follow.
Ongoing Reporting and Recordkeeping Burden
FNS 380: A SNAP worksheet used to determine eligibility and
allotment amounts for households selected for review in the QC sample
of active SNAP cases.
Reporting Respondents for this Proposed Rule: 59,199 (59,146
Individuals/Households and 53 State, Local and Tribal Government).
Estimated reporting responses for this Rule: 473,172 responses
(59,146 for Individuals/Households and 473,172 for State, Local and
Tribal Government).
Estimated hours per reporting response: 6.58 hours (0.5 hours for
Individuals/Households and 6.08 hours for State, Local and Tribal
Government).
Estimated Responses per Respondent to report for this Rule: 7812.81
(7,811.81 responses per State agency and 1 response per Household).
Estimated Reporting hours for this Rule: 384,449 hours (354,876
hours for State agencies and 29,573 burden hours for Households).
Estimated Records to keep per respondent for this Rule: 59,146
records for State agencies and there is no recordkeeping burden imposed
on Individuals/Households.
Estimated hours per recordkeeping response: 0.0236 hour.
Estimated Total Recordkeeping hours for this Rule: 1,396 hours.
Estimated Total Ongoing Annual Reporting and Recordkeeping Burden
for this rule: 385,845 hours.
Rule impacting ongoing reporting and recordkeeping burden: -20,151
hours.
FNS 380-1: SNAP's QC Review Schedule which collects QC and
household characteristics data.
Respondents for this Proposed Rule: 53 State, Local, and Tribal
Government.
Estimated Responses for this Proposed Rule: 59,146 responses.
Estimated Responses per Respondent to report for this Proposed
Rule: 1,115.96 responses.
Estimated hours to report each response: 1.056 hours.
Estimated Total Reporting burden for this Rule: 62,458 hours.
Estimated Records to keep for this Proposed Rule: 59,146 responses.
Estimated Number of Records to keep per respondent for this Rule:
1,115.96 records per respondent to keep.
Estimated hours per recordkeeping response: 0.0236 hour.
Estimated Total Recordkeeping burden for this Rule: 1,395.84 hours.
Estimated Annual reporting and recordkeeping Burden on Respondents
for this Proposed Rule: 63,853.89 hours.
Rule impacting ongoing reporting and recordkeeping burden:
+14,735.33 hours.
FNS 275 Rules: Sampling Plan, 3rd Party Contractors, Arbitration, Good
Cause, New Investment
Estimated Respondents for this Proposed Rule: 53 State, Local, and
Tribal Government.
Estimated Number of Responses per Respondent to report for this
Proposed Rule: 129 responses.
Estimated hours to report for each response: 21.91 hours.
Estimated Total Reporting Burden for this rule: 2826 hours.
Estimated Records to keep for this Rule: 246 records.
Estimated Records to keep per respondent for this Rule: 4.64
records per respondent.
Estimated hours to keep records for each response: 0.118 hours.
Estimated Total Recordkeeping burden for this Rule: 2.7612 hours.
Estimated annual reporting and recordkeeping Burden on Respondents
for this Proposed Rule: 545 hours.
Rule impacting ongoing reporting and recordkeeping burden: 0 hours.
Estimated Grand Total Reporting and Recordkeeping Ongoing burden
for this rule: 2,828.75 hours.
Estimated Total Rule impacting ongoing reporting and recordkeeping
burden: 0 hours.
[[Page 64778]]
Startup Reporting and Recordkeeping Burden
FNS 380:
Reporting Respondents for this Proposed Rule: 687 State, Local and
Tribal Government (53 State agencies and 634 State QC reviewers).
Estimated Number of startup reporting responses for this Rule:
237,218 responses.
Estimated hours per reporting response: .83 hours.
Estimated Number of annual Reporting hours for this Rule: 196,915
hours.
Estimated Total Recordkeeping startup hours for this Rule: 0 hours.
Estimated Total startup year Burden for this Rule: 196,915 hours.
FNS 380-1:
Reporting Respondents for this Proposed Rule: 371 State QC
Reviewers.
Estimated Number of startup reporting responses per respondent for
this Rule: 1 response.
Estimated hours per reporting response: 2 hours.
Estimated Number of annual Reporting hours for this Rule: 742 hours
for State reviewers.
Estimated Total startup year Reporting and Recordkeeping Burden for
this Rule: 742 hours.
FNS 275:
Reporting Respondents for this Proposed Rule: 53 State, Local and
Tribal Government.
Estimated Number of startup reporting responses for this Rule: 53
responses.
Estimated hours per reporting response: 40 hours.
Estimated Number of Responses per Respondent to report for this
Rule: 1 response.
Estimated Number of annual Reporting hours for this Rule: 2,120
hours.
Estimated Total Recordkeeping startup hours for this Rule: 0 hours.
Estimated Total startup Burden for this component of this Rule:
2,120 hours.
Estimated Grand Total Reporting and Recordkeeping Startup burden
for this rule: 452,524.40 hours.
Estimated Grand Total Reporting and Recordkeeping burden for first
year for this rule: 652,302 hours.
Table A.1--Revised I/H Reporting Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting burden for individuals/households FNS 380, OMB 0584-0074
---------------------------------------------------------------------------------------------------------------------------------------------------------
Revised Revised
Estimated Estimated Revised number of estimated Previous Difference Difference
Reg. section Description of number of responses total burden total submission due to due to
activity respondents per annual hours per burden total hours program adjustments
respondent responses response hours changes
--------------------------------------------------------------------------------------------------------------------------------------------------------
275.12 (c)(1)................. Personal 59,146.00 1 59,146.00 0.5 29,573 22,748 ........... +6,825
Interviews--Ind
ividuals or
Households.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Individuals & Households Grand Total 59,146.00 ........... 59,146.00 ........... 29,573 ........... ........... +6,825
Reporting Burden Hours.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Table A.2--Revised State agency (SA) Reporting and Recordkeeping Burden 0584-0074
--------------------------------------------------------------------------------------------------------------------------------------------------------
Revised Revised
Est number Estimated Revised number of estimated Previous Difference Difference
Reg. section Description of of responses total burden total submission due to due to
activity respondents per annual hours per burden total hours program adjustments
respondent responses response hours changes
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting Burden for State Agencies FNS 380, OMB 0584-0074
--------------------------------------------------------------------------------------------------------------------------------------------------------
275.12 (b)..................... Household Case 53 1,115.96 59,146 2 118,292 136,490.37 -18,199 ...........
Record Review.
275.12 (c)..................... Field 53 1,115.96 59,146 2 118,292 159,238.77 -40,947 ...........
investigation.
275.12 (c)(1).................. Personal 53 1,115.96 59,146 0.5 29,573 22,748.40 6,825 ...........
interviews.
275.12 (d)(1).................. Variance 53 1,115.96 59,146 0.5 29,573 40,947.11 -11,374 ...........
identification.
275.12 (e)..................... Error analysis... 53 1,115.96 59,146 0.5 29,573 22,748.40 6,825 ...........
275.12 (f)..................... Reporting of 53 1,115.96 59,146 0.25 14,786 n/a 14,786 ...........
review findings.
275.12 (d)(3).................. Reporting all 53 1,115.96 59,146 0.25 14,786 n/a 14,786 ...........
variances to
Local offices.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sub Total Reporting Burden.................... 53 7,811.72 414,021 6.08 354,875 382,173 -27,298 0
--------------------------------------------------------------------------------------------------------------------------------------------------------
Recordkeeping Burden for State Agencies FNS 380, OMB 0584-0074
--------------------------------------------------------------------------------------------------------------------------------------------------------
FNS 380 Recordkeeping
--------------------------------------------------------------------------------------------------------------------------------------------------------
275.4.......................... Record Retention. 53 1,115.96 59,146 0.0236 1,396 1,073.73 322.113568 ...........
--------------------------------------------------------------------------------------------------------------------------------------------------------
Grand Total Reporting & Recordkeeping Burden.. 53 ........... 473,167 0.75295 356,271 383,247 -26,976 0
--------------------------------------------------------------------------------------------------------------------------------------------------------
Table A.3--State Agency (SA) Reporting Startup Burden 0584-0074
----------------------------------------------------------------------------------------------------------------
Startup Startup
Estimated Estimated Startup number of estimated
Reg. section Description of number of responses annual burden total
activity respondents per responses hours per burden
respondent response hours
----------------------------------------------------------------------------------------------------------------
Reporting Burden Hours for State Agencies FNS 380, OMB 0584-0074 STARTUP Hours First Year Only
----------------------------------------------------------------------------------------------------------------
275.12 (d)(1)................ Variance 53 1,115.96 59,146 0.75 44,359.41
identification.
[[Page 64779]]
275.12 (e)................... Error analysis.. 53 1,115.96 59,146 0.75 44,359.41
275.12 (f)................... Reporting of 53 1,115.96 59,146 0.5 29,572.94
review findings.
275.12 (d)(3)................ Reporting 53 1,115.96 59,146 0.75 44,359.41
findings to
Local offices.
275.12....................... Training State 263 1 263 40 10,520.00
Agency QC
reviewers on
New Actives
Process only.
275.12 and 275.21 (b)(1)..... Train reviewers 371 1 371 64 23,744.00
on New Actives
Process AND
train new
SNAPQCS users
(reviewers) how
to use SNAPQCS
for 380.
----------------------------------------------------------------------------------------------------------------
Grand Total STARTUP Hours Reporting Burden 687 345.294789 237,218 106.75 196,915.17
Only.
----------------------------------------------------------------------------------------------------------------
Table A.4--State Agency (SA) Reporting Revised Burden 0584-0299
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Revised
Estimated Estimated Revised number of Revised Previous Difference Difference
Reg. section Description of activity number of responses total burden estimated submission due to due to
respondents per annual hours per total annual total hours program adjustments
respondent responses response burden hours changes
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FNS 380-1 Reporting for State Agencies OMB Control Number 0584-0299
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
275.12(f)...................................... Reporting of Review Findings..... 53 1,115.96 59,146 1.056 62,458.049 48,044.83 14,413.22 ...........
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Grand Total Reporting Burden Hours Only....................................... 53 1,115.96 59146 1.056 62,458.049 .............. 14,413.22 ...........
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Reg. section Description of activity Estimated Estimated Annual Ongoing Number of Previously Differences Differences
number of responses responses number of annual burden submission due to due to
respondents per burden hours per total burden program adjustments
respondent hours per response changes
response
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FNS 380-1 Recordkeeping Ongoing
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
275.4.......................................... Record Retention................. 53 1,115.96 59,146 0.0236 1395.842768 1,073.7292 322.1136 ...........
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Grand Total Affected Public................................................... 53 2,231.92 118,292 1.08 63,853.892 49,118.56 14,735.33 ...........
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Table A.5--State Agency (SA) Startup Burden 0584-0299
----------------------------------------------------------------------------------------------------------------
Startup
Estimated Startup number of
Description of Estimated responses Startup number of annual
Reg. section activity number of per annual burden burden
respondents respondent responses hours per hours per
response response
----------------------------------------------------------------------------------------------------------------
FNS 380-1 Reporting for State Agencies OMB Control Number 0584-0299 STARTUP First Year Only
----------------------------------------------------------------------------------------------------------------
275.21 (b)(1).................. Train new State 371 1 371 2 742
agency reviewers
how to use
SNAPQCS for 380-1.
----------------------------------------------------------------------------------------------------------------
Grand Total STARTUP Hours Reporting Burden Only 371 1 371 2 742
----------------------------------------------------------------------------------------------------------------
Table A.6--State Agency (SA) Revised Burden 0584-0303
--------------------------------------------------------------------------------------------------------------------------------------------------------
Revised
Estimated Estimated Revised Revised estimated Previous Difference Difference
Reg. section Description of number of responses total number of total submission due to due to
activity respondents per annual burden hours burden total hours program adjustments
respondent responses per response hours changes
--------------------------------------------------------------------------------------------------------------------------------------------------------
275 Regs Reporting OMB 0584-0303
--------------------------------------------------------------------------------------------------------------------------------------------------------
275.11(a)(1)-(a)(2).......... Sampling Plan.. 53 1 53 20 1,060 1,060 0 0
275.2(c)(1)(i)............... Use of 3rd 3 1 3 0.25 0.75 0.75 0 0
Party
Contractors--N
otification of
intent to hire.
275.2(c)(1)(ii).............. Use of 3rd 3 1 3 0.5 1.5 1.5 0 0
Party
Contractors--S
ubmission of
signed
contract and
tasks.
[[Page 64780]]
275.2(c)(1)(iii)............. Use of 3rd 3 1 3 0.5 1.5 1.5 0 0
Party
Contractors--S
ubmission of
completed
deliverables.
275.2(c)(1)(iv).............. Use of 3rd 3 1 3 0.08 0.24 0.24 0 0
Party
Contractors--N
otification of
training
sessions.
275.2(c)(4).................. Arbitration 12 3 36 34 1,224 1,224 0 0
Process.
273.23(f).................... Good Cause 1 1 1 160 160 160 0 0
Process.
275.23(h).................... New Investment 9 1 9 32 288 288 0 0
Plan Template
Form FNS 74 A.
275.23(h)(4)................. New Investment 9 2 18 5 90 90 0 0
Progress
Report
Template Form
FNS 74 B.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sub-Total Reporting Burden................ 53 2.433962264 129 21.90689922 2,825.99 2,825.99 0 0
--------------------------------------------------------------------------------------------------------------------------------------------------------
275.4........................ Sampling Plan 53 1 53 0.0236 1.2508 1.2508 0
Record
Retention.
275.4........................ Arbitration 12 3 36 0.0236 0.8496 0.8496 0
Process Record
Retention.
275.4........................ Good Cause 1 1 1 0.0236 0.0236 0.0236 0
Process Record
Retention.
275.4........................ New Investment 9 1 9 0.0236 0.2124 0.2124 0
Plan Template
Form FNS 74 A
Record
Retention.
275.4........................ New Investment 9 2 18 0.0236 0.4248 0.4248 0
Progress
Report
Template Form
FNS 74 B
Record
Retention.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Recordkeeping Total....................... 53 2.20754717 117 0.0236 2.7612 2.7612 0
--------------------------------------------------------------------------------------------------------------------------------------------------------
Table A.7--State Agency (SA) Startup Burden 0584-0303
----------------------------------------------------------------------------------------------------------------
Revised Revised
Estimated Estimated Revised number of estimated
Reg. section Description of number of responses total burden total
activity respondents per annual hours per burden
respondent responses response hours
----------------------------------------------------------------------------------------------------------------
275 Regs Reporting STARTUP OMB Control Number 0584-0303
----------------------------------------------------------------------------------------------------------------
275.11....................... Implement new 53 1 53 40 2,120
sampling plan.
----------------------------------------------------------------------------------------------------------------
Grand Total Reporting Burden............... 53 ........... 53 ........... 2,120
----------------------------------------------------------------------------------------------------------------
Table A.8--Summary of Grand Total Annual Reporting & Recordkeeping Burden Estimates
----------------------------------------------------------------------------------------------------------------
Description of
activity Estimated Annual Number of Estimated
Form or citation (ongoing or number of responses burden hours total burden
start up) respondents per response hours
----------------------------------------------------------------------------------------------------------------
380 SA........................ Ongoing......... 53 473,172 0.75295 353,272.00
380 I/H....................... Ongoing......... 59,146 59,146 0.5 29,573.00
380-1......................... Ongoing......... 53 118,292 1.0796 63,854.00
275........................... Ongoing......... 53 246 20 2,828
380 SA........................ Startup......... 53 236,584 2.75 162,651
380 SA Staff train on Review Startup......... 263 263 40 10,520.00
process.
380 SA Staff train on Review Startup......... 371 371 64 23,744.00
process and SNAPQCS.
380-1 SA Staff for SNAPQCS.... Startup......... 371 371 2 742
275 Regulations............... Startup......... 53 53 40 2,120
----------------------------------------------------------------------------------------------------------------
Grand Total Reporting and Recordkeeping 59,886 888,498 98 649,304.00
Burden for Rule.
----------------------------------------------------------------------------------------------------------------
[[Page 64781]]
Table A.8--Summary of Current and Rule Associated Burden
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
OMB control number 0074 Rule related Rule related
revised ongoing new startup
----------------------------------------------------------------------------------------------------------------
Estimated Total No. Respondents........................ 45,550 13,649 687
Estimated Average No. Responses per Respondent......... 6.991833 0.97 345.294
Estimated Total Annual Responses....................... 318,478.00 154,689.00 237,218
Estimated Average Hours per Response................... 0.00 ................. 0.83
Estimated Total Annual Burden Hours Requested.......... 582,759 385,844 196,915.17
Current OMB Inventory.................................. 405,997 405,997 .................
Difference Due to Rulemaking........................... 176,762 (-20,152) 196,915.17
----------------------------------------------------------------------------------------------------------------
OMB control number 0299 Rule related Rule related
revised ongoing new startup
----------------------------------------------------------------------------------------------------------------
Estimated Total No. Respondents........................ 53.00 53 371
Estimated Average No. Responses per Respondent......... 2,238.925 2,231.920 1
Estimated Total Annual Responses....................... 118,663.000 118,291.760 371
Estimated Average Hours per Response................... 0.54654 0.54607 2
Estimated Total Annual Burden Hours Requested.......... 64,854.000 64595.89205 742
Current OMB Inventory.................................. 49,119 49,119 .................
Difference Due to Rulemaking........................... 15,477 14,735 742
----------------------------------------------------------------------------------------------------------------
OMB control number 0303 Rule related Rule related
revised ongoing new startup
----------------------------------------------------------------------------------------------------------------
Estimated Total No. Respondents........................ 53.00 53 53
Estimated Average No. Responses per Respondent......... 4.6420 4.642 1
Estimated Total Annual Responses....................... 246 426 1
Estimated Average Hours per Response................... 11.4989 11.4989 40
Estimated Total Annual Burden Hours Requested.......... 4,949 4,949 2,120
Current OMB Inventory.................................. 2,829 2,825 0
Difference Due to Rulemaking........................... 0 10 2120
----------------------------------------------------------------------------------------------------------------
E-Government Act Compliance
The Department is committed to complying with the E-Government Act,
2002 to promote the use of the internet and other information
technologies to provide increased opportunities for citizen access to
Government information and services, and for other purposes.
List of Subjects
7 CFR Part 271
Grant programs--social programs, Reporting and recordkeeping
requirements.
7 CFR Part 275
Grant programs--social programs, Reporting and recordkeeping
requirements.
Accordingly, 7 CFR parts 271 and 275 are proposed to be amended as
follows:
PART 271--GENERAL INFORMATION AND DEFINITIONS
0
1. The authority citation for part 271 continues to read as follows:
Authority: 7 U.S.C. 2011-2036.
0
2. In Sec. 271.2:
0
a. Revise the definition of ``active case'';
0
b. Remove the definition ``active case error rate'';
0
c. Add in alphabetical order a definition for ``Case and Procedural
Error Rate (CAPER)'';
0
d. Revise the definitions of ``error'' and ``negative case'';
0
e. Remove the definition of ``negative case error rate'';
0
f. Revise the last sentence in the definition of ``payment error
rate'';
0
g. Revise the definitions ``review date'' and ``sample month'';
0
h. Remove ``INS'' and add in its place ``USCIS'' in the definition of
``Systematic Alien Verification for Entitlements (SAVE)''; and
0
i. Remove the definition ``Underissuance error rate. (See Underpayment
error rate.)'',
The revisions and additions read as follows:
Sec. 271.2 Definitions.
* * * * *
Active case means a case where households experienced an
eligibility action during the sample month which resulted in an
issuance of benefits. For purposes of this definition, an eligibility
action refers to initial certification, recertification, or submission
of a required monthly, quarterly, or periodic report in the sample
month and a benefit allotment is issued in the following month.
* * * * *
Case and Procedural Error Rate (CAPER) means an estimate of the
proportion of denied, suspended, or terminated cases where the
household was incorrectly denied, suspended, or terminated or where
procedural deficiencies exist. This estimate will be expressed as a
percentage of completed negative quality control reviews.
* * * * *
Error for active cases results when a determination is made by a
quality control reviewer that a household that experienced an
eligibility action--as described in the definition of ``active case''
in this section--was ineligible, received an incorrect allotment, or
was determined ``incomplete'' by the QC reviewer. Thus, errors in
active cases involve dollar loss to either the participant
(underissuance) or the government (overissuance). For negative cases,
an ``error'' means that the reviewer determines that the decision or
process to deny, suspend, or terminate a household was incorrect.
* * * * *
Negative case means a case where there was an action to deny,
suspend, or
[[Page 64782]]
terminate a household during the sample month.
* * * * *
Payment error rate * * * Each component error rate is the value of
benefits either overissued or underissued expressed as a percentage of
all allotments issued to completed active sample cases.
* * * * *
Review date for quality control active cases means the date an
eligibility action was taken to authorize the allotment. The ``review
date'' for quality control negative cases, depending on the
characteristics of individual State systems, could be the date on which
the eligibility worker makes the decision to suspend, deny, or
terminate the case, the date on which the decision is entered into the
eligibility system, or the date of the notice to the client. For no
case is the ``review date'' the day the quality control review is
conducted. State agencies must consistently apply the same definition
for review date to all sampled cases of the same classification.
* * * * *
Sample month means the month of the sample frame from which a case
is selected (e.g., the January sample month, for active cases, shall be
comprised of a selection of cases where the household was certified in
January, recertified in January, or required to have submitted a
monthly, quarterly, or periodic report in January resulting in an
issuance of benefits in February. The January sample month for negative
cases would be comprised of all cases that were denied, terminated, or
suspended in January).
* * * * *
PART 275--PERFORMANCE REPORTING SYSTEM
0
3. The authority citation for part 275 continues to read as follows:
Authority: 7 U.S.C. 2011-2036.
0
4. In Sec. 275.2, revise paragraph (b) and add a sentence to the end
of paragraph (d) to read as follows:
Sec. 275.2 State agency responsibilities.
* * * * *
(b) Staffing standards. The State agency shall employ sufficient
staff to perform all aspects of the Performance Reporting System as
required in this part.
(1) The State agency shall ensure that the staff used to conduct QC
reviews operate independently from those responsible for overseeing the
eligibility determination process to ensure objective and accurate
assessments of the Performance Reporting System.
(2) The staff used to conduct QC reviews shall not have prior
knowledge of either the household or the decision under review. Where
there is prior knowledge, the reviewer must disqualify themselves. To
ensure no prior knowledge on the part of QC or ME reviewers, local
project area staff shall not be used to conduct QC or ME reviews;
exceptions to this requirement concerning local level staff may be
granted with prior approval from FNS. However, local personnel shall
not, under any circumstances, participate in ME reviews of their own
project areas. Prior knowledge is defined as having:
(i) Taken any part in the eligibility determination that has been
made in the case;
(ii) Discussed the case with staff who participated in the
decision; or
(iii) Personal knowledge of or acquaintance with persons in the
case itself.
(3) Nothing in this part shall preclude a State-level staff person
to be used as a collateral contact for purposes of the QC review. Such
contact must, however, be limited to those same rules governing all
other collateral contacts, including privacy-related rules, found in 7
CFR 273.2(f)(4)(ii).
* * * * *
(d) * * * Non-compliance with this requirement, as determined by
the Secretary, may result in the suspension or disallowance of Federal
reimbursements for costs of the administration of SNAP for the
system(s) found to be out of compliance, pursuant to 7 CFR 277.16.
0
5. In Sec. 275.3:
0
a. Revise paragraph (d)(1)(i);
0
b. Revise the paragraph (d)(3) heading'
0
c. Remove ``negative case error rate'' and add in its place ``case and
procedural error rate'' in paragraph (d)(3) introductory text;
0
d. Add a sentence at the end of paragraph (d)(4)(i)(A);
0
e. Remove the phrase ``appropriate FNS regional office addressed to the
attention of the FNS Arbitrator'' and add in its place the phrase ``FNS
Arbitrator and copy the appropriate FNS regional office'' in paragraph
(d)(4)(iv) introductory text; and
0
f. Remove the word ``may'' and add in its place the word ``must'' in
the second sentence of paragraph (d)(4)(iv) introductory text.
The revision and addition read as follows:
Sec. 275.3 Federal monitoring.
* * * * *
(d) * * *
(1) * * *
(i) FNS will select a subsample of a State agency's active cases,
as follows:
(A) The Federal review sample for active cases is determined as
follows:
Table 1 to Paragraph (d)(1)(i)(A)
------------------------------------------------------------------------
Average monthly reviewable caseload (N) Federal subsample target (n')
------------------------------------------------------------------------
60,000 and over........................ n' = 400.
10,001 to 59,999....................... n' = .005 N + 100.
10,000 and under....................... n' = 150.
------------------------------------------------------------------------
(B) In the above formula, n' is the minimum number of Federal
review sample cases which must be selected when conducting a validation
review, except that FNS may select a lower number of sample cases if:
(1) The State agency does not report a change in sampling
procedures associated with a revision in its required sample size
within 10 days of effecting the change; or
(2) The State agency does not complete the number of case reviews
specified in its approved sampling plan.
(C) The reduction in the number of Federal cases selected will be
equal to the number of cases that would have been selected had the
Federal sampling interval been applied to the State agency's shortfall
in its required sample size. This number may not be exact due to random
starts and rounding.
(D) In the above formula, N is the State agency's minimum active
case sample size as determined in accordance with Sec. 275.11(b)(1).
(E) Once the minimum Federal subsample size n' is determined, the
Federal subsample must be
[[Page 64783]]
proportionally allocated across the five strata, defined in Sec.
275.11(g), to the State final weights to ensure there is no loss of
precision due to differential sampling probabilities. The Federal
subsample size for each stratum shall be determined as follows:
[GRAPHIC] [TIFF OMITTED] TP19SE23.100
(1) In the formulas in the table above, N is the sampling universe/
monthly caseload; F is the sampling frame; n is the State sampling
size; n' is the Federal subsample size; W is the State sampling
weights; and W' is the Federal sampling weights.
(2) For stratum i, the Federal subsample size n'i shall
be proportional to the final State weight for that stratum, Wi, in
other words
[GRAPHIC] [TIFF OMITTED] TP19SE23.101
This means that the sampling probability for cases in stratum i is
Wi/W and the final weight for the cases selected for the
Federal subsample from stratum i, W'i, is given by:
[GRAPHIC] [TIFF OMITTED] TP19SE23.102
for every i, which is a constant across the strata. This makes the
Federal subsample self-weighting.
* * * * *
(3) Case and procedural error rate. * * *
* * * * *
(4) * * *
(i) * * *
(A) * * * No other types of disagreement are eligible for
arbitration.
* * * * *
0
6. In Sec. 275.11:
0
a. Revise paragraphs (a) introductory text, (a)(1) through (3), and
(b)(1) and (2);
0
b. Remove paragraph (b)(4);
0
c. Revise paragraphs (c)(1) and (2), (e) introductory text, (e)(1), and
(f)(1);
0
d. Redesignate paragraph (g) as paragraph (i); and
0
e. Add new paragraph (g) and paragraph (h).
The revisions and additions read as follows
Sec. 275.11 Sampling.
(a) Sampling plan. Each State agency shall develop a quality
control sampling plan that is compliant with this section and
demonstrates the integrity of its sampling procedures.
(1) Content. The sampling plan shall include a complete description
of the frame, the method of sample selection, and methods for
estimating characteristics of the population and their sampling errors
that the State
[[Page 64784]]
agency will apply when conducting its quality control procedures. The
description of the sample frames shall include: source, availability,
accuracy, completeness, components, location, form, frequency of
updates, deletion of cases not subject to review, and structure. The
description of the methods of sample selection shall include procedures
for: estimating caseload size, addressing corrections, computation of
sampling intervals and random starts (if any), stratification,
identifying sample cases, correcting over-or under sampling, and
monitoring sample selection and assignment. The State agency shall
provide FNS with a schedule for completion of each step in the sampling
procedures contained in this section.
(2) Criteria. All sampling plans shall:
(i) Conform to principles of probability sampling; and (ii) Select
an overall quality control sample size in accordance with paragraphs
(b) through (f) of this section.
(3) Design. Each State agency shall, over the course of the annual
review period, implement a sample design each month for both active and
negative case samples. For the active case sample selection, the State
agency shall define the sampling frame as the monthly list of active
cases as defined in 7 CFR 271.2. This list reflects a subset of all the
active SNAP cases in a given month. This list will then be stratified
for sample selection based on action type and the length of the
certification or reporting period. Within each of these strata, each
month, the State agency may select a systematic sample or use another
method of random selection (e.g., sorting the cases in a random order
and selecting the first `m' number of cases required to meet the
monthly sample target) of cases to equal the overall sample size
required for the year, divided evenly by twelve.
* * * * *
(b) * * *
(1) Active cases. (i) All active cases shall be selected in
accordance with procedures specified in this section, and the review
findings shall be included in the calculation of the State agency's
payment error rate. A State agency shall select a sample that is
divided equally across 12 months. Sample size is specified as follows:
Table 1 to Paragraph (b)(1)(i)
------------------------------------------------------------------------
Average monthly reviewable caseload (N) Minimum annual sample size (n)
------------------------------------------------------------------------
60,000 and over........................ n = 1,326.
12,942 to 59,999....................... n = 390 + [0.0199(N-12,941)].
Under 12,942........................... n = 390.
------------------------------------------------------------------------
(ii) In the formulas in paragraph (b)(1)(i) of this section, n is
the required active case sample size. This is the minimum number of
active cases subject to review which must be selected during the annual
review period. One-twelfth of this value shall be selected each month,
rounded to the next whole number (e.g., if the yearly sample size is
1,326 then 111 would be sampled monthly). In the same formulas, N is
the average monthly participating caseload subject to quality control
review (i.e., cases which are included in the active universe defined
in paragraph (e)(1) of this section) during the annual review period.
(2) Negative cases. (i) All negative cases shall be selected in
accordance with procedures specified in this section, and the review
findings shall be included in the calculation of the State agency's
case and procedural error rate.
(ii) The minimum number of negative cases to be selected and
reviewed by a State agency during each annual review period shall be
determined as follows:
Table 2 to Paragraph (b)(2)(ii)
------------------------------------------------------------------------
Average monthly reviewable negative
caseload (N) Minimum annual sample size (n)
------------------------------------------------------------------------
5,000 and over......................... n = 680
684 to 4,999........................... n = 150 + [ 0.1224(N-683)]
Under 684.............................. n = 150
------------------------------------------------------------------------
(iii) In the formulas in paragraph (b)(2)(ii) of this section, n is
the required negative sample size. This is the minimum number of
negative cases subject to review which must be selected each review
period.
(iv) In the formulas in paragraph (b)(2)(ii) of this section, N is
the average monthly number of negative cases which are subject to
quality control review (i.e., cases which are part of the negative
universe defined in paragraph (e)(2) of this section) during the annual
review period.
* * * * *
(c) * * *
(1) Substitutions. Once a case has been identified for inclusion in
the sample by a predesigned sampling procedure, substitutions are not
acceptable. An active case must be reviewed each time it is selected
for the sample. If a case is selected more than once for the negative
sample as the result of separate and distinct instances of denial,
suspension, or termination, it must be reviewed each time.
(2) Corrections. Under sampling must be corrected during the annual
review period. Oversampling may be corrected at the State agency's
option. Cases which are dropped to compensate for oversampling shall be
reported as not subject to review. Because corrections must not bias
the sample results, cases which are dropped to compensate for
oversampling must comprise a random subsample of all cases selected
(including those completed, not completed, and not subject to review).
Cases which are added to the sample to compensate for under sampling
must be randomly selected from the entire frame in accordance with the
sample size, sample selection, sampling frame, and sample allocation
procedures specified in paragraphs (b), (c) (e), and (g) of this
section. All sample adjustments must be fully documented and available
for review by FNS.
* * * * *
(e) Sample frame. The State agency shall select cases for quality
control review from a sample frame. Complete
[[Page 64785]]
coverage of the sample universes, as defined in paragraph (f) of this
section, must be assured so that every case subject to quality control
review has an equal or known chance of being selected in the sample.
Since the SNAP quality control review process requires an active and
negative sample, two corresponding sample frames are also required.
(1) Active cases. The sample frame shall consist of all active
cases as defined in 7 CFR 271.2. Cases which did not experience any of
these eligibility actions in the sample month shall be removed prior to
sampling. State agencies must use a list of certified and recertified
cases as well as the household's report due date for the following
reporting systems: monthly, quarterly, and simplified.
* * * * *
(f) * * *
(1) Active cases. The universe for active cases shall include all
households in which any of the following eligibility actions occurred
in the sample month: initial certification, recertification, or a
required monthly, quarterly, or periodic report was due during the
sample month and a benefit allotment is issued in the following month.
The following shall be excluded from the sampling frame:
(i) A household receiving Disaster-SNAP benefits under the
authority of the Food and Nutrition Act of 2008, as amended, and the
Robert T. Stafford Disaster Relief and Emergency Assistance Act;
(ii) A household which is under investigation for an intentional
Program violation, including a household with a pending administrative
disqualification hearing;
(iii) A household appealing an adverse action which was the result
of an eligibility action taken during the sample month; or
(iv) Other households excluded from the active case universe during
the review process are identified in 7 CFR 275.12(g).
* * * * *
(g) Active sample allocation. States shall stratify both the sample
universe and the sampling frame specified in paragraphs (e)(1) and
(f)(1) of this section according to the five strata described in
paragraphs (g)(1)(i) through (v) of this section. If not all 5 strata
exist, the State shall allocate the full sample across the existing
strata according to the following guidelines:
[GRAPHIC] [TIFF OMITTED] TP19SE23.103
(1) In table 3 to paragraph (g) introductory text, strata a through
e have the following action types and reporting periods:
(i) Stratum a--Action type: initial certification or re-
certification; Reporting period: less than 6 months;
(ii) Stratum b--Action type: redetermination based on a monthly,
quarterly or periodic report; Reporting period: less than 6 months;
(iii) Stratum c--Action type: initial certification or
recertification; Reporting period: 6 months;
(iv) Stratum d--Action type: redetermination based on a monthly,
quarterly or periodic report; Reporting period: 6 months;
(v) Stratum e--Action type: all; Reporting period: more than 6
months.
(2) State agencies shall allocate 10 percent of the sample to
stratum a and 10 percent of the sample to stratum b. The remaining 80
percent of the sample should be allocated in a manner proportionate to
the size of the strata in the sample universe as described in table 3
to paragraph (g) introductory text.
(3) If a State agency does not have stratum a or b or both, it
shall allocate the full sample size proportionately to the size of the
existing strata in the sample universe.
(4) In the formulas in table 3 to paragraph (g) introductory text,
N represents the sample universe (i.e., the total number of eligible
SNAP cases) and Na (for example) represents the number of
SNAP cases in the universe that belong to stratum a; F represents the
total number of eligible SNAP cases in the sampling frame (i.e., the
list of eligible SNAP cases having one of the three actions in the
month of selection) and Fa (for example) represents the
number of SNAP cases in the frame that belong to stratum a; n
represents the total sample size and na (for example)
represents the number of SNAP cases selected from stratum a meeting the
stratum requirements.
(5) Within each stratum the State agency shall select the
designated number of cases at random or using a systematic method upon
a random sort of the cases. If in any strata the number of cases to be
sampled exceeds the actual number in the frame, the State shall select
all of the cases in that stratum. For example, if the proposed sample
size for stratum a is greater than Fa then the State agency
shall take all Na SNAP cases for stratum a, hence
na = Fa, and allocate (n-na-
nb) to the last three
[[Page 64786]]
strata proportionately to the size of these strata in the sample
universe (N).
(h) Weighting. Given that the active stratified sampling design
oversamples some strata and under-samples others, weighting is
necessary. The weights for the active cases sample are defined as
follows:
Wi = (Ni/Fi) x (Fi/
ni) = Ni/ni for i=a,b,c,d,e
State agencies are responsible for providing to FNS the counts
Ni, Fi, and ni (for i=a,b,c,d,e) as
part of the sampling plan described at 7 CFR 275.11(a)(4).
* * * * *
0
7. In Sec. 275.12:
0
a. Revise paragraphs (a) and (b);
0
b. Add a sentence at the end of paragraph (c) introductory text;
0
c. Revise paragraphs (c)(1) introductory text and (c)(1)(iii) ;
0
d. Remove the phrase ``the State'' and add in its place the phrase
``State law'' in the third sentence of paragraph (c)(1)(iv);
0
e. Add the phrase ``or in the case file'' at the end of the first
sentence of paragraph (c)(2);
0
f. Remove the phrase ``as of the review date'' and add in its place the
phrase ``by the reviewer'' and remove the phrase ``at the most recent
certification action)'' and add in its place the phrase ``in the
eligibility action under review)'' in paragraph (d) introductory text;
0
g. Remove the phrase ``for the sample month'' in paragraph (d)(2)
introductory text;
0
h. Add a sentence after the second sentence and remove the last
sentence of paragraph (d)(2)(ii);
0
i. Remove paragraphs (d)(2)(iii) and (ix);
0
j. Redesignate paragraphs (d)(2)(iv) through (viii) as paragraphs
(d)(2)(iii) through (d)(2)(vii);
0
k. Remove the phrase ``Immigration and Naturalization Service's (INS)''
and add in its place the phrase ``United States Citizenship and
Immigration Services (USCIS)'' in newly redesignated paragraph
(d)(2)(v) introductory text;
0
l. Remove ``INS'' and add in its place ``USCIS'' in newly redesignated
paragraphs (d)(2)(v)(A) introductory text, (d)(2)(v)(A)(3) (two
occurrences), (d)(2)(v)(B) introductory text, and (d)(2)(v)(B)(2);
0
m. Remove the phrase ``category three and four Policy Memoranda under
the Policy Interpretation Response System'' and add in its place the
phrase, ``FNS policy memoranda'' in newly redesignated paragraph
(d)(2)(vii);
0
n. Revise paragraph (d)(3);
0
o. Remove the phrase ``in the sample month'' and add in its place ``as
an error'' in the first sentence of paragraph (f)(1) and revise the
last sentence of paragraph (f)(1);
0
p. Remove the phrase ``in the sample month'' in the first sentence of
paragraph (f)(2) and revise the last sentence of paragraph (f)(2);
0
q. Add a sentence to the end of paragraph (g)(1) introductory text;
0
r. Revise paragraphs (g)(1)(ii) and (g)(2)(i) and (ii);
0
s. Remove paragraphs (g)(2)(iv), (ix), and (x);
0
t. Redesignate paragraphs(g)(2)(v) through (viii) as paragraphs
(g)(2)(iv) through (vii); and
0
u. Revise newly redesignated paragraphs (g)(2)(vi) and (vii).
The revisions and additions read as follows:
Sec. 275.12 Review of active cases.
(a) General. A sample of households that experienced an eligibility
action--i.e., certified for SNAP, recertified for SNAP, or required to
have submitted a monthly, quarterly, or periodic report in the sample
month which resulted in an issuance of benefits in the following month,
shall be selected for active case review. These active cases shall be
reviewed to determine if the household was eligible and, if eligible,
whether the household received the correct allotment. The determination
of a household's eligibility shall be based on an examination and
verification of all elements of eligibility (i.e., non-financial
eligibility requirements, resources, income, and deductions). The
verified circumstances and the resulting benefit level determined by
the quality control review shall be compared to the benefits authorized
by the State agency. The review of active cases shall include: a
household case record review; a field investigation; the identification
of any variances; an error analysis; and the reporting of review
findings.
(b) Household case record review. The reviewer shall examine the
household case record to identify the facts relating to the household's
eligibility and basis of issuance. The case record review shall include
all information applicable to the eligibility action under review,
including the application and, as applicable, the monthly, quarterly,
or periodic report and worksheet in effect as of the review date.
Documentation contained in the case record should be used as
verification if it was verified using documentary evidence at the time
of the certification action. If during the case record review the
reviewer can determine and verify the household's ineligibility, the
review can be terminated at that point, provided that, if the
determination is based on information not obtained from the household,
the correctness of that information is confirmed as specified in
paragraph (c)(2) of this section. The reviewer shall utilize
information obtained through the case record review to complete column
(2) of the Form FNS-380, and to tentatively plan the content of the
field investigation.
(c) * * * In obtaining documentary evidence and collateral contact
verification, the State agency is encouraged to utilize technology to
assist in the gathering of documentary evidence, however the State
agency shall ensure it preserves the privacy and confidentiality of the
household regardless of what technology it uses.
(1) Personal interviews. State agencies shall conduct interviews in
a manner that respects the rights, privacy, and dignity of the
participants. The personal interview shall be a telephone interview
unless the household requests a face-to-face interview or indicates
they lack access to a telephone. Prior to conducting the personal
interview, the reviewer must notify the household that it has been
selected, as part of an ongoing review process, for review by quality
control, that a personal interview will be conducted in the future, and
that the household may request a face-to-face interview in lieu of a
telephone interview. For face-to-face interviews, the interview may
take place at the participant's home, at an appropriate State agency
certification office, by secure video call, or at a mutually agreed
upon alternative location. Should a face-to-face interview be
warranted, the State agency shall determine the best location for the
face-to-face interview, taking into account input from the household,
including any hardship conditions or disability needs of the household.
If the household meets any of the hardship conditions at 7 CFR
273.2(e)(2), the quality control reviewer shall either conduct the
personal interview with the participant's authorized representative, if
one has been appointed by the household, or at a place of the
participant's choosing. During the personal interview with the
participant, the reviewer shall:
* * * * *
(iii) Request and review with the household documentary evidence in
the case file, as well as documentary evidence that may be in the
household's possession, and secure information about collateral sources
of verification; and
* * * * *
(d) * * *
(2) * * *
[[Page 64787]]
(ii) * * * For this exclusion to apply, the case record must
include documentation specifying the elements of eligibility for which
verification was postponed.
(3) Other findings. All QC review findings must be reported to the
local office by the State agency. However, State agencies may determine
if and how to act upon findings made during the review that are
pertinent to the case record but do not result in a variance. For
example, the State may establish its own procedures for cases when a
household member's age is shown incorrectly in the case record, if
their age is unrelated to an element of eligibility.
* * * * *
(f) * * *
(1) * * * In addition, the reviewer shall code and report any other
variances related to eligibility which were discovered and verified
during the course of the review and the State agency shall notify the
local office of all variances in elements of eligibility.
(2) * * * The reviewer shall code and report any other variances in
the basis of issuance which were discovered and verified during the
course of the review and the State agency shall notify local offices of
all variances in elements of the basis of issuance.
(g) * * *
(1) * * * The total allotment issued, shall be coded and reported
as an error when the case is reported as not complete.
* * * * *
(ii) If a household refuses to cooperate with the quality control
reviewer and the State agency has taken other administrative steps to
obtain that cooperation without obtaining it, the household shall be
notified of the penalties for refusing to cooperate with respect to
termination and reapplication and of the possibility that its case will
be referred for investigation for willful misrepresentation. If a
household refuses to cooperate after such notice, the reviewer must
attempt to complete the case and shall report the household's refusal
to the State agency for termination of its participation without regard
for the outcome of that attempt. For a determination of refusal to be
made, the household must be able to cooperate but clearly demonstrate
that it will not take actions that it can take and that are required to
complete the quality control review process. In certain circumstances,
the household may demonstrate that it is unwilling to cooperate by not
taking actions after having been given every reasonable opportunity to
do so, even though the household or its members do not state that the
household refuses to cooperate. Examples of when a household appears to
be unwilling to cooperate with a QC review that have the effect of a
refusal to cooperate shall include:
(A) The household does not attend an agreed upon interview with the
reviewer and then does not contact the reviewer within 10 calendar days
of the date of the scheduled interview to reschedule the interview.
(B) The household does not return a signed release of information
statement to the reviewer within 10 calendar days of either agreeing to
do so or receiving a request from the reviewer sent Certified Mail-
Return Receipt Requested.
(C) The household does not respond to any communication sent from
the reviewer, and either:
(1) The household has not responded to a letter sent to the
household's current known address via Certified Mail-Return Receipt
requesting a response within 30 calendar days of the date of receipt,
or
(2) The household has not responded to a written request for
quality control contact (RFQCC). The RFQCC, sent by the State agency at
the reviewer's request, must have advised the household of the
following: that quality control is trying to contact them for a review;
the requirement of the household to cooperate with the quality control
review; the penalties for not responding to the RFQCC and not
cooperating with the quality control review; and the contact
information the household must use to get in touch with the quality
control reviewer or office. The RFQCC must have afforded the household
at least 10, but no more than 15 calendar days to respond from the date
on the letter. RFQCC requests from the reviewer must be fulfilled by
the State agency.
(i) If the household does not respond to the RFQCC by the deadline
provided in the request, the reviewer must report the household's
failure to respond to the State agency and request the State agency
issue a notice of adverse action to suspend the household for one month
before a termination becomes effective. The notice of adverse action
must include the reason the household's benefits were suspended, an
explanation that the consequence for failing to respond to quality
control during the suspension period is for their benefits to be
terminated for refusal to cooperate with quality control, and the
quality control reviewer's or office's contact information.
(ii) If the household does not respond to the RFQCC, but does
respond during the period of suspension and cooperates with quality
control, the reviewer must notify the State agency to reinstate the
household without requiring a new application and issue the allotment
for the month of suspension.
(D) In these and other situations, if there is any question as to
whether the household has merely failed to cooperate, as opposed to
refused to cooperate, the household shall not be reported to the State
agency for termination.
* * * * *
(2) * * *
(i) Death of all members of a household if they died after the
eligibility action but before the review could be undertaken or
completed;
(ii) The household moved out of State after the eligibility action
but before the review could be undertaken or completed;
* * * * *
(vi) A case incorrectly listed in the active frame; or
(vii) A household appealing the eligibility action under review.
Sec. 275.13 [Amended]
0
8. In Sec. 275.13:
0
a. Amend paragraph (c)(2) introductory text by removing the words
``Immigration and Nationalization Services (INS)'' and adding in their
place ``USCIS'' and removing the words ``Systematic Alien Verification
for Entitlements (SAVE)'' and adding in their place ``SAVE''; and
0
b. Amend paragraph (c)(2)(iii) by removing ``INS'' and adding in its
place ``USCIS'' in both occurrences.
Sec. 275.16 [Amended]
0
9. In Sec. 275.16:
0
a. Remove the phrase ``of 1 percent or more in negative cases'' and add
in its place the phrase ``above the national average CAPER'' in
paragraph (b)(2);
0
b. Remove paragraph (b)(4); and
0
c. Redesignate paragraph (b)(5) as paragraph (b)(4).
0
10. In Sec. 275.21, revise paragraph (b)(1) to read as follows:
Sec. 275.21 Quality control review reports.
* * * * *
(b) * * *
(1) The State agency shall use SNAP-QCS, FNS's automated, web-based
QC System for State agency users, to input, edit, and upload supporting
evidence and information necessary to understand the disposition and
findings for all active and negative sampled cases.
* * * * *
0
11. In Sec. 275.23:
0
a. Remove the words ``active case, payment, and negative case error
rate''
[[Page 64788]]
and add in its place the words ``payment and case and procedural error
rates'' in paragraph (b) introductory text;
0
b. Remove the words ``active case error rate, payment error rate, and
negative case error rate'' and add in its place the words ``payment and
case and procedural error rates'' in paragraph (b)(1);
0
c. Revise paragraphs (b)(2)(i)(A) and (B) and (b)(2)(ii) and (iii);
0
d. Revise the second and third sentences in paragraph (c); and
0
e. Revise the second sentence in paragraph (d)(1).
The revisions read as follows:
Sec. 275.23 Determination of State agency program performance.
* * * * *
(b) * * *
(2) * * *
(i) * * *
(A) Y1' = y1 + b1 (X1-
x1), where Y1' is the estimated average value of
allotments overissued to eligible and ineligible households in the full
Quality Control (QC) sample; y1 is the average value of
allotments overissued to eligible and ineligible households in the re-
review sample according to the Federal finding; b1 is the
estimated regression coefficient through a regression of the Federal
findings of allotments overissued to eligible and ineligible households
on the corresponding State agency findings; x1 is the re-
review average value of allotments overissued to eligible and
ineligible households according to State agency findings; and
X1 is the weighted average value of allotments overissued to
eligible and ineligible households in the full QC sample according to
State agency's findings. Based on the sample design, only X1
is weighted to account for the probability of selection in the full QC
sample.
(B) Y2' = y2 + b2(X2-
x2), where Y2' is the estimated average value of
allotments underissued to households included in the active error rate;
y2 is the average value of allotments underissued to
participating households in the re-review sample according to the
Federal finding; b2 is the estimated regression coefficient
obtained through a regression of the Federal findings of allotments
underissued to participating households on the corresponding State
agency findings; x2 is the re-review average value of
allotments underissued to participating households according to State
agency findings; and X2 is the weighted average value of
allotments underissued to participating households in the full QC
sample according to the State agency's findings. Based on the sample
design, only X2 is weighted to account for the probability
of selection in the full QC sample.
* * * * *
(b) * * *
(2) * * *
(ii) If FNS determines that a State agency has sampled incorrectly,
estimated improperly, or has deficiencies in its QC data management
system, FNS will correct the State agency's payment error rate and case
and procedural error rate based upon a correction to that aspect of the
State agency's QC system which is deficient. If FNS cannot accurately
correct the State agency's deficiency, FNS will assign the State agency
a payment error rate or case and procedural error rate based upon the
best information available. After consultation with the State agency,
the assigned payment error rate can then be used in a liability
determination, if applicable per the rules governing liabilities at 7
CFR 275.23(d). State agencies shall have the right to appeal the
assignment of an error rate in this situation in accordance with the
procedures of part 283 of this chapter. State agencies assigned error
rates that do not result in the determination of a liability amount, as
discussed in 7 CFR 275.23(d), are not eligible for appeal.
(iii) Should a State agency fail to sample and disposition its
required minimum annual sample size for the fiscal year, FNS shall
adjust the State agency's regressed error rate using the following
equations:
(A) r1'' = r1' + 5(1-C)S1, where
r1'' is the adjusted regressed overpayment error rate,
r1' is the regressed overpayment error rate computed from
the formula in paragraph (b)(2)(i)(C) of this section, C is the State
agency's rate of completion of its required sample size expressed as a
decimal value, and S1 is the standard error of the State
agency sample overpayment error rate. If a State agency completes all
of its required sample size, then r1'' = r1'.
(B) r2'' = r2' + 5(1-C)S2, where
r2'' is the adjusted regressed underpayment error rate,
r2' is the regressed underpayment error rate computed from
the formula in paragraph (b)(2)(i)(C) of this section, C is the State
agency's rate of completion of its required sample size expressed as a
decimal value, and S2 is the standard error of the State
agency sample underpayment error rate. If a State agency completes all
of its required sample size, then r2'' = r2'.
* * * * *
(c) * * * FNS shall determine and announce the national average
payment error rate for the fiscal year by June 30 following the end of
the fiscal year and shall determine and announce the national average
case and procedural error rate for the fiscal year by September 30
following the end of the fiscal year. At those times, FNS shall notify
all State agencies of their individual payment and case and procedural
error rates, respectively, and payment error rate liabilities, if any.
* * * * *
(d) * * *
(1) * * * The national performance measure is the sum of the
products of each State agency's payment error rate multiplied by that
State agency's proportion of the total value of allotments issued for
the fiscal year using the most recent issuance data available at the
time the State agency is notified of its payment error rate. * * *
0
12. Revise Sec. 275.24 to read as follows:
Sec. 275.24 Performance measures.
(a) Performance measures. FNS will measure performance for the
following categories of performance measures:
(1) Payment accuracy. FNS will assess State agencies annually for
individual and overall payment accuracy, including measurements for
overpayments and underpayments of SNAP benefits issued based on the
results of cases reviewed in the actives sampling frame.
(i) Improvements in payment accuracy. FNS will assess the
percentage point decrease in a State agency's combined payment error
rates based on the comparison of the State agency's validated payment
error rates for the performance measurement year to those of the
previous fiscal year.
(ii) [Reserved]
(2) Case and procedural errors. FNS will assess State agencies
annually to produce case and procedural error rates based on the
results of cases reviewed in the negative sampling frame.
(i) Most improved case and procedural error rate. FNS will assess
the percentage point decrease in a State agency's case and procedural
error rates, based on the comparison of the State agency's performance
measurement year's validated quality control case and procedural error
rates for the performance measurement year with to those of the
previous fiscal year.
(ii) [Reserved]
(3) Program access index (PAI). FNS will annually assess the degree
to which each State agency provides low-income people access to SNAP
benefits. The PAI is the ratio of participants to persons with incomes
below 125 percent of poverty, as calculated in accordance with
paragraph (a)(3)(i) of this section.
[[Page 64789]]
(i) Data. For the number of participants (numerator), FNS will use
the administrative annual counts of participants minus the average
amount of new participants certified under special disaster program
rules by the State agency averaged over the calendar year. For the
number of people below 125 percent of poverty (denominator), FNS will
use the Census Bureau's American Community Survey (ACS) count of people
below 125 percent of poverty for the same calendar year. FNS will
reduce the count in each State where a Food Distribution Program on
Indian Reservations (FDPIR) program is operated by the administrative
counts of the number of individuals who participate in this program
averaged over the calendar year.
(ii) [Reserved]
(4) Application processing timeliness. FNS will annually assess the
timeliness of processed applications for each State agency.
(i) Data. FNS will use quality control data to determine each State
agency's rate of application processing timeliness.
(ii) Timely processed applications. A timely processed application
is one that provides an eligible applicant the ``opportunity to
participate'' as defined in 7 CFR 274.2, within thirty days for normal
processing or 7 days for expedited processing. New applications that
are processed outside of this standard are untimely for this measure,
except for applications that are properly pended in accordance with 7
CFR 273.2(h)(2) because verification is incomplete and the State agency
has taken all the actions described in 7 CFR 273.2(h)(1)(i)(C). Such
applications will not be included in this measure. Applications that
are denied will not be included in this measure.
(b) [Reserved]
Cynthia Long,
Administrator, Food and Nutrition Service.
[FR Doc. 2023-20023 Filed 9-18-23; 8:45 am]
BILLING CODE 3410-30-P