Information Collection

Fns-834

IC 204022 under ICR 201608-0584-001 · OMB 0584-0577.

Documents and Forms

Document Name Document Type
Form FNS-834 FNS-834 Form
FNS-834 State Agency (Nslp/Snap) Direct Certification Rate Data 0584-0577 FNS-834.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FNS-834	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.12(c) 7 CFR 272.8(a)(5)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-834	State Agency (Nslp/Snap) Direct Certification Rate Data Element Report	0584-0577 FNS-834.pdf		No		Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 106	Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	106	106
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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