View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	FNS-834	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.12(c) 7 CFR 272.8(a)(5)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-834	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)	FORM FNS 834_12.31.2019.pdf	www.fprs.gov	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-834 (screenshot1)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Report.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-834 (screenshot2)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Remarks.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-834.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 106	Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	106	0	0	0	0	106
Annual IC Time Burden (Hours)	530	0	477	0	0	53
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.