Food Stamp Nutrition Connection Resource Sharing Form (Private)

Food Stamp Nutrition Connection Resource Sharing Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0518-0031 can be found here:

Documents and Forms

Document Name Document Type
Sharing Center19.pdf www.nal.usda.gov/fsn/sharing_center_submission.shtml Other-Food Nutrition Connection Web

Information Collection (IC) Details

IC Title:	Food Stamp Nutrition Connection Resource Sharing Form (Private)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2.65

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Food Nutrition Connection Web Site			Sharing Center19.pdf	http://www.nal.usda.gov/fsn/sharing_center_submission.shtml	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 2

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-30	50
Annual IC Time Burden (Hours)	6	-10	16
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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