Information Collection

Pilot Retailer/bank Food Stamp Redemption Certificate

IC 103182 under ICR 198206-0584-001 · OMB 0584-0113.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PILOT RETAILER/BANK FOOD STAMP REDEMPTION CERTIFICATE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-278				No	No
Form	TEST FORM				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,172	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	709,688	709,688
Annual IC Time Burden (Hours)	9,857	9,857
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.