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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Food Stamp Program - Store Applications
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 278-279 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS 252-E
Online Store Application
OSA screens 052208.doc
http://www.fns.usda.gov/fsp
Yes
Yes
Fillable Fileable Signable
Form
FNS-252-2
Application for Meal Services
FNS-252-2.pdf
Yes
No
Fillable Printable
Form
FNS-252-C
Corporate Supplemental Application (Addendum to Food Stamp Application for Stores)
FNS-252C.pdf
Yes
No
Fillable Printable
Form
FNS-252
Food Stamp Application for Stores
Form252_w_instr_052208.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS 252
Food Stamp Application for Stores (Spanish)
252paper_spanish.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS 252-2
USDA Supplemental Nutrition Assistance Program - Application for Meal Services
FNS-252-2 proposed.pdf
Yes
No
Fillable Printable
Form
FNS 252-C
Corporate Supplemental Application (Addedum to Supplemental Nutrition Assistance Program Application for Stores)
FNS-252C proposed.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS 252
Supplemental Nutrition Assistance Program Application for Stores
Form252_Name Change to SNAP.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
Food Stamp Program Retailer Information
FR Citation:
64 FR 17604
Number of Respondents:
41,486
Number of Respondents for Small Entity:
9,430
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
40 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
41,486
0
0
0
0
41,486
Annual IC Time Burden (Hours)
5,936
0
0
0
0
5,936
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.