Information Collection

Fns-252-r

IC 190026 under ICR 200907-0584-002 · OMB 0584-0553.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 252-R FNS-252-R	Form and Instruction
FNS 252-R Supplemental Nutrition Assistance Program Reauthorizatio ORA Mockups v3 7-23-09.docx stars.fns.usda.gov	Form and Instruction
FNS-252-R SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM REAUTHORIZATIO FNS-252-R.pdf stars.fns.usda.gov	Form and Instruction
Plain English Handbook.pdf Plain English Handbook	IC Document

IC Title:

FNS-252-R

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 278.1

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 252-R	Supplemental Nutrition Assistance Program Reauthorization Application for Stores	ORA Mockups v3 7-23-09.docx	http://stars.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-252-R	SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM REAUTHORIZATION APPLICATION FOR STORES	FNS-252-R.pdf	http://stars.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS-9, Food Stamp Program Retailer Information

FR Citation: 64 FR 69

Number of Respondents: 278,878

Number of Respondents for Small Entity: 23,139

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	278,878	278,878
Annual IC Time Burden (Hours)	3,259	3,259
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Plain English Handbook	Plain English Handbook.pdf	08/24/2009

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