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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Waiver Under Section 6(o) of the Food Stamp Act (State Agencies)
Agency IC Tracking Number:
VACATE ABAWD 0584-AE57
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 273.24
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix F_ABAWD Request Template_0584-0479_Updated
Appendix F_ABAWD Request Template_0584-0479_Updated.docx
https://wims.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Other-Appendix G.1_WIMS Public Burden Statement_0584-0479
Appendix G.1_WIMS Public Burden Statement_0584-0479.jpg
https://wims.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Other-Appendix G_WIMS Request Screenshot_0584-0479
Appendix G_WIMS Request Screenshot_0584-0479.jpg
https://wims.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:
USDA/FNS-10 Entitled Persons Doing Business with the Food and Nutrition Service
FR Citation:
65 FR 17251
Number of Respondents:
35
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
35
0
-1,087,034
-3
0
1,087,072
Annual IC Time Burden (Hours)
1,163
0
-84,221
-105
0
85,489
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix C_FNS-366A Screenshot_0584-0479
Appendix C_FNS-366A Screenshot_0584-0479.jpg
12/20/2022
Appendix D_FNS-366B Screenshot_0584-0479
Appendix D_FNS-366B Screenshot_0584-0479.jpg
12/20/2022
Appendix E_FPRS Public Burden Statement_0584-0479
Appendix E_FPRS Public Burden Statement_0584-0479.pdf
12/20/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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