Information Collection

SNAP Participants (Individuals/Households) Respondents

IC 235728 under ICR 201811-0584-003 · OMB 0584-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0621 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	SNAP Participants (Individuals/Households) Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 272.17

Information Collection Instruments:

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNSâ5, Information on Persons Disqualified from the Supplemental Nutrition Assistance Program.	FR Citation: 75 FR 81205

Number of Respondents: 27,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,500	27,500
Annual IC Time Burden (Hours)	4,593	4,593
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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