Information Collection

Fns-834

IC 225044 under ICR 201904-0584-002 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-834 FNS-834 Form and Instruction
FNS-834.pdf fprs.fns.usda.gov Instruction
FNS-834 State Agency (NSLP/SNAP) Direct Certification Rate Data FORM FNS 834_12.31.2019.pdf www.fprs.gov Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Report.jpg fprs.fns.usda.gov Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Remarks.jpg fprs.fns.usda.gov Form and Instruction

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 and Instruction	FNS-834	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)	FORM FNS 834_12.31.2019.pdf	www.fprs.gov	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-834 (screenshot1)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Report.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-834 (screenshot2)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Remarks.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-834.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

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	Previously Approved
Annual Number of Responses for this IC	106	0	106
Annual IC Time Burden (Hours)	530	477	53
Annual IC Cost Burden (Dollars)	0	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.