Food Stamp Redemption Certificate

Documents and Forms

Document Name Document Type
Form FNS-278B Food Stamp Redemption Certificate Form and Instruction
FNS-278B Food Stamp Redemption Certificate FNS-278B _burden statement_instructions.pdf Form and Instruction
FNS 278-4 Wholesalers Food Stamp Redemption Certificate 278-4 burden statement_instructions.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Food Stamp Redemption Certificate	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 278.2(g) 7 CFR 278.3(c) 7 CFR 278.4(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-278B	Food Stamp Redemption Certificate	FNS-278B _burden statement_instructions.pdf		No		Paper Only
Form	FNS 278-4	Wholesalers Food Stamp Redemption Certificate	278-4 burden statement_instructions.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: Food Stamp Program Retailer Information	FR Citation: 64 FR 17604

Number of Respondents: 370	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,862	-1,613	3,475
Annual IC Time Burden (Hours)	32	-38	70
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.