Food Stamp Program Pre-Screening Tool

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0519 can be found here:

Documents and Forms

Document Name Document Type
Public Burden Statement Screen Shot 8-12-08.doc www.foodstamps-step1.usda.gov Other-Web site

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Food Stamp Program Pre-Screening Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 243.9 Section 5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web site			Public Burden Statement Screen Shot 8-12-08.doc	www.foodstamps-step1.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 264,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	264,000	0	264,000
Annual IC Time Burden (Hours)	44,000	-4,183	48,183
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.