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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0584-0008
ICR Reference No:
200305-0584-004
Status:
Historical Active
Previous ICR Reference No:
200206-0584-002
Agency/Subagency:
USDA/FNS
Agency Tracking No:
Title:
Food Stamp Program Application, Form FNS-252 and Form FNS-252-2
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/27/2003
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/09/2003
Terms of Clearance:
The current form only is approved for 1 year. The new form is not approved at this time. FNS has agreed, as per the previous terms of clearance, to conduct testing of the new form prior to submitting the new form for OMB approval. This testing should include focus group or individual testing, as well as possibly including online consultation, on only the 252 revised form, but not on the revised meal service application or new addendum for corporations. Although FNS is not required to conduct testing on these other two forms, FNS shall work to ensure that the forms are vetted with the community and are as user friendly as possible. FNS shall immediately initiate procedures to clear the focus group testing under the PRA, in order to allow for sufficient time to revise the form if necessary prior to use. After revisions (if any), FNS shall submit the new 252 form to OMB for approval; OMB will waive the 60-day public comment period for the review. FNS shall submit the information collection request at the same time that they submit the 30-day Federal Register notice for publication. If there will be a time lag between approval of the new form and use of the new form, FNS will submit both forms for approval in order to allow for a seamless transition.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2004
07/31/2004
06/30/2003
Responses
34,888
0
40,190
Time Burden (Hours)
7,309
0
9,447
Cost Burden (Dollars)
0
0
0
Abstract:
The information collected on these forms are used by the field office to make a determination about a store or meal service's eligibility for the Food Stamp Program.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Food Stamp Program Application, Form FNS-252 and Form FNS-252-2
FNS-252, FNS-252-2
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
34,888
40,190
0
-5,302
0
0
Annual Time Burden (Hours)
7,309
9,447
0
-2,138
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/09/2003
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