Information Collection

State Agency

IC 253804 under ICR 202006-0584-003 · OMB 0584-0673.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0673 can be found here:

Documents and Forms

Document Name Document Type
Attachment I-1 - SNAP FNS-46.jpg FNS 46 Screenshot IC Document
Attachment I-2 - SNAP FNS-46 Remarks.jpg Attachment I-2 - SNAP FNS-46 Remarks. IC Document
FPRS Public Burden Statement expired 7-2023 home page.pdf PlaceholderJ IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 274.2(i)(2) 7 CFR 274.2(h)(3) 7 CFR 274.2(h)(4)

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/FNS-10: Persons Doing Business with the Food and Nutrition Service	FR Citation: 65 FR 17251

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,535,912	3,535,912
Annual IC Time Burden (Hours)	30,738	30,738
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FNS 46 Screenshot	Attachment I-1 - SNAP FNS-46.jpg	05/24/2022
Attachment I-2 - SNAP FNS-46 Remarks.	Attachment I-2 - SNAP FNS-46 Remarks.jpg	05/24/2022
PlaceholderJ	FPRS Public Burden Statement expired 7-2023 home page.pdf	05/24/2022

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