Information Collection

Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters

IC 3036 under ICR 201505-0584-002 · OMB 0584-0336.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0336 can be found here:

Documents and Forms

Document Name Document Type
FNS-292B Screenshots.pdf FNS form -292B IC Document
Example Client Disaster Supplemental Nutrition Assistance Application.doc Example Client Disaster Supplemental Nutrition Assistance Application IC Document

Information Collection (IC) Details

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 280

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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: 9	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9	-5	14
Annual IC Time Burden (Hours)	90	-50	140
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
FNS form -292B	FNS-292B Screenshots.pdf	10/28/2015
Example Client Disaster Supplemental Nutrition Assistance Application	Example Client Disaster Supplemental Nutrition Assistance Application.doc	10/28/2015

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