Food Stamp Program - Store Applications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 252 Food Stamp Application for Stores (Spanish)	Form and Instruction	Modified	Available
Form FNS-252 Food Stamp Application for Stores	Form	Modified	Available
Form FNS-252-C Corporate Supplemental Application (Addendum to Food Stamp Application for Stores)	Form	Modified	Available
Form FNS-252-2 Application for Meal Services	Form	Modified	Available
Form FNS 252-E Online Store Application	Form and Instruction	Modified	Available
0008 Burden Summary.xls	Supplementary Document	Uploaded 2008-05-23	Available
FNS-252 Justification FINAL May21, 2008.doc	Supporting Statement A	Uploaded 2008-05-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2888	Food Stamp Program - Store Applications	Form and Instruction	Modified	Food Stamp Application for Stores (Spanish)
2888	Food Stamp Program - Store Applications	Form	Modified	Food Stamp Application for Stores
2888	Food Stamp Program - Store Applications	Form	Modified	Corporate Supplemental Application (Addendum to Food Stamp Application for Stores)
2888	Food Stamp Program - Store Applications	Form	Modified	Application for Meal Services
2888	Food Stamp Program - Store Applications	Form and Instruction	Modified	Online Store Application

ICR Details

OMB Control No: 0584-0008	ICR Reference No: 200708-0584-007
Status: Historical Active	Previous ICR Reference No: 200511-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Stamp Program - Store Applications
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/11/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/03/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	03/31/2009
Responses	41,486	0	74,949
Time Burden (Hours)	5,936	0	7,452
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this information collection is to accept applications from retail food establishments and meal service programs that wish to participate in the FSP.

---

Authorizing Statute(s): US Code: 7 USC 2011 Section 9 and 12 Name of Law: Food Stamp Act 1977
   US Code: 42 USC 4059(c)(2)(C) Section 6019 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 147	01/02/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 105	05/30/2008
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Food Stamp Program - Store Applications	FNS-252, FNS-252-2, FNS-252-C, FNS 252-E, FNS 252	Online Store Application ,   Application for Meal Services ,   Corporate Supplemental Application (Addendum to Food Stamp Application for Stores) ,   Food Stamp Application for Stores ,   Food Stamp Application for Stores (Spanish)

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	41,486	74,949	0	-31,588	-1,875	0
Annual Time Burden (Hours)	5,936	7,452	0	-2,373	857	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The estimated total annual burden hours associated with this information collection is 5,936 hours (5,692 hours for applications and 244 hours for store visits). This is a decrease of 1,516 burden hours from our previous burden estimate of 7,452 hours. The decrease in the overall burden is due in part, to the revision of the FNS-252 application, and the creation of the online application, Form FNS-252-E. We streamlined the form by eliminating unnecessary questions; using clearer and simpler language; and a decrease in the time it takes retailers to complete the paper form from 15.05 minutes to 11 minutes, a reduction of 4.04 minutes. We anticipate the implementation of the online application, Form FNS-252-E will help to further reduce the burden on program respondents, and as we continue to look for ways to use technology to reduce burden. An explanation of program changes and adjustment follows: Program Changes: 1. There are notable decreases in the number of affected respondents and burden hours from our previous submission to OMB. This is attributed, in part, to the revision of Form FNS-252 (paper); and the creation of the online application, Form FNS-252-E. 2. Data collected on the current Form FNS-252 was revised when designing the online application, Form FNS-252-E. The application process (paper and electronic) was streamlined. Questions were re-phrased or combined in order to provide clearer language. Questions that no longer have any relevance to the authorization process were deleted. Instructions and help tips were written in simpler terms. The application form and online screens were developed in a user friendly format. The revised form and the online application form takes applicants less time to complete because the questions are clearer than the previous forms. Previously, it took retailers, on average, 15.04 minutes to complete Form FNS-252. Due to our streamlining efforts; better form design and the elimination of redundant or ambiguous questions, retailers can complete the paper form in 11 minutes and approximately 10 minutes for an electronic application; 8 minutes are needed to obtain the eAuthentication Level 1 access. We estimate that approximately 40% of 25,531 (10,212) retailers will complete the online application. The Form FNS-252-E will collect the same information that is collected on Form FNS-252, just in an electronic format. Adjustments Significant decreases of burden hours associated with this information collection are most notably realized on the paper FNS-252 (6,228 previously reported; 2,204 this submission); FNS-252-C (421.92 previously reported; 361.97 this submission) are attributed to our efforts to streamline the application process; ask clearer questions; and re-format the design of the application (paper and electronic form) so that the content and section headings flow in a more logical order. The increase of burden hours associated with Form FNS-252-2 (42.12 previously reported; 55.84 this submission) is an adjustment due to the increase in meal service applications received and approved by FNS.

---

Annual Cost to Federal Government: $64,831

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2008

---