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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters
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 273.7, 273.8(e)
7 CFR 273.9(a)
7 CFR 280
7 CFR 273.10(e), 273.10(f)
7 CFR 273.1(a), 273.2(f),
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix C_D-SNAP_Request_Template_0584-0336
Appendix C_D-SNAP_Request_Template_0584-0336_9-29 Edits_Clean.docx
No
Paper Only
Other-Appendix D.1_WIMS Public Burden Statement_0584-0336
Appendix D.1_WIMS Public Burden Statement_0584-0336.jpg
https:\\www.wims.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Other-Appendix D_WIMS Request Screenshot_0584-0336
Appendix D_WIMS Request Screenshot_0584-0336.jpg
https:\\www.wims.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Emergency Response
Privacy Act System of Records
Title:
USDA/FNS 10 Persons Doing Business with FNS
FR Citation:
65 FR 17251
Number of Respondents:
5
Number of Respondents for Small Entity:
0
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
14
0
0
7
0
7
Annual IC Time Burden (Hours)
112
0
0
56
0
56
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix E_FNS-292A Screenshot_0584-0336
Appendix E_FNS-292A Screenshot_0584-0336.jpg
09/28/2022
Appendix F_FNS-292-B Screenshot_0584-0336
Appendix F_FNS-292-B Screenshot_0584-0336.pdf
09/28/2022
Appendix G_FNS-366A Screenshot_0584-0336
Appendix G_FNS-366A Screenshot_0584-0336.jpg
09/28/2022
Appendix H_FNS-366B Screenshot_0584-0336
Appendix H_FNS-366B Screenshot_0584-0336.jpg
09/28/2022
Appendix I_FPRS Public Burden Statement_0584-0336
Appendix I_FPRS Public Burden Statement_0584-0336.pdf
09/28/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.