Information Collection

SNAP Online Purchasing Pilot

IC 222785 under ICR 201503-0584-004 · OMB 0584-0606.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0606 can be found here:

Documents and Forms

Document Name Document Type
Attachment A - Online Purchasing Pilot RFV 07-29.docx Other-Attachment A - Online Purchasi
Attachment B - Online Pilot Form 07-29-16.docx Other-Attachment B - Online Pilot Fo
Online Purchasing Pilot ICR Memo 07-28-16.pdf Online Purchasing Pilot ICR Memo 07-28-16 IC Document
FNS-252.pdf FNS-252 (0584-0008) IC Document
FNS-252-C Application Form - Corporate Supplemental Application ver 8-2017.pdf FNS-252-C Application Form (0584-0008) - Corporate Supplemental Application ver 8-2017 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SNAP Online Purchasing Pilot	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A - Online Purchasing Pilot RFV			Attachment A - Online Purchasing Pilot RFV 07-29.docx		No		Fillable Printable
Other-Attachment B - Online Pilot Form			Attachment B - Online Pilot Form 07-29-16.docx		No		Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-9 Food Stamp Retailer Information	FR Citation: 75 FR 81205

Number of Respondents: 50	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	50	50
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Online Purchasing Pilot ICR Memo 07-28-16	Online Purchasing Pilot ICR Memo 07-28-16.pdf	08/01/2016
FNS-252 (0584-0008)	FNS-252.pdf	08/01/2016
FNS-252-C Application Form (0584-0008) - Corporate Supplemental Application ver 8-2017	FNS-252-C Application Form - Corporate Supplemental Application ver 8-2017.pdf	08/01/2016

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