Information Collection

Food Stamp Redemption Certificate

IC 103160 under ICR 199207-0584-003 · OMB 0584-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0085 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

FOOD STAMP REDEMPTION CERTIFICATE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-278B				No	No
Form	FNS-278-4				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 222,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,800,000	5,615,200	23,184,800
Annual IC Time Burden (Hours)	576,000	112,304	463,696
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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