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State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 REVISED FOR AE79

IC 238225 under ICR 201909-0584-003 · OMB 0584-0692.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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State Agecny Reporting (Sampling Plan Activity PART 275 ) OMB 0584-0303 REVISED FOR AE79 Rev for only the hours needed for the merge
 
No New
 
Mandatory
 
7 CFR 275.11(a)(1)-(a)(2) 7 CFR 275.11(a)(4)(i) 7 CFR 275.4

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FNS 74A QC-Related New Investment Plan FFY B. FNS-74A pending OMB approval.pdf https://snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303) Yes Yes Fillable Fileable Signable
Form and Instruction FNS 74B QC New Investment Plan Progress Report FNS-74B.pdf https://snapqcs.fns.usda.gov/ (PLACEHOLDER UNTIL OMB APPROVES 0303) Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

USDA.FNS-5 Information on Persons Disqualified from the Supplemental Nutrition Assistance Program  75 FR 81205

53 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 246 0 246 0 0 0
Annual IC Time Burden (Hours) 2,829 0 2,829 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix E FNS SNAP QC Sampling Handbook Appendix E- FNS 311.pdf 01/14/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.