Information Collection

Food Stamp Redemption Certificate

IC 2993 under ICR 200804-0584-011 · OMB 0584-0085.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.