Information Collection

SNAP Participants (Individuals/Households) Respondents

IC 235728 under ICR 202512-0584-002 · OMB 0584-0621.

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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: Modified

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: 1,878,378	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,878,378	35,790	1,842,588
Annual IC Time Burden (Hours)	148,460	-645	149,105
Annual IC Cost Burden (Dollars)	0	0	0

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

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