OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

(State Agencies) - ABAWD Startup

IC 3082 under ICR 202504-0584-005 · OMB 0584-0479.

Documents and Forms
Document Name
Document Type
Other-Appendix F_ABAWD Request Templ
Other-Appendix F_ABAWD Request Templ
Other-Appendix G.1_WIMS Public Burde
Other-Appendix G.1_WIMS Public Burde
Other-Appendix G_WIMS Request Screen
Other-Appendix G_WIMS Request Screen
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

(State Agencies) - ABAWD Startup VACATE ABAWD 0584-AE57
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 7 CFR 273.24(c)(7), (8), (9), 7 CFR 273.7(b) 7 CFR 7 CFR 273.24(c) (10), 7 CFR 273.24(k), 7 CFR 273.24(l)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix F_ABAWD Request Template_0584-0479_Updated Appendix F_ABAWD Request Template_0584-0479_Updated.docx https://wims.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix G.1_WIMS Public Burden Statement_0584-0479 Appendix G.1_WIMS Public Burden Statement_0584-0479.jpg https://wims.fns.usda.gov Yes Yes Fillable Fileable Signable
Other-Appendix G_WIMS Request Screenshot_0584-0479 Appendix G_WIMS Request Screenshot_0584-0479.jpg https://wims.fns.usda.gov Yes Yes Fillable Fileable Signable

Income Security Food and Nutrition Assistance

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

105,189 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved 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 105,189 0 105,154 0 0 35
Annual IC Time Burden (Hours) 469,177 0 468,014 0 0 1,163
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C_FNS-366A Screenshot_0584-0479 Appendix C_FNS-366A Screenshot_0584-0479.jpg 12/20/2022
Appendix D_FNS-366B Screenshot_0584-0479 Appendix D_FNS-366B Screenshot_0584-0479.jpg 12/20/2022
Appendix E_FPRS Public Burden Statement_0584-0479 Appendix E_FPRS Public Burden Statement_0584-0479.pdf 12/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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