SNAP - Store Applications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 252-E Supplemental Nutrition Assistance Program - Store Applications	Form and Instruction	Modified	Repair queued
Justification for Removing Extraneous Info - FNS-252 6-5-2012.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2012-07-17	Available
OMB 0584-0008 Supporting Statement-OCIO comments 6 6 2011.doc	Supporting Statement A	Uploaded 2011-06-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2888	Supplemental Nutrition Assistance Program - Store Applications	Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0008	ICR Reference No: 201206-0584-001
Status: Historical Active	Previous ICR Reference No: 201103-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: SNAP - Store Applications
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2012
	Date Received in OIRA: 07/17/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	07/31/2014	07/31/2014
Responses	133,951	0	133,951
Time Burden (Hours)	16,125	0	16,125
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection is to allow the Food and Nutrition Service (FNS) to accept applications from retailers, wholesalers, meal service providers, certain types of group homes, shelters, and state-contracted restaurants that wish to participate in the Supplemental Nutrition Assistance Program (SNAP).

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Authorizing Statute(s): PL: Pub.L. 110 - 246 4001-4002 Name of Law: Food, Conservation & Energy Act, 2008
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 80787	12/23/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 30089	05/24/2011
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Supplemental Nutrition Assistance Program - Store Applications	FNS-252, FNS-252-2, FNS-252-C, FNS 252-E, FNS 252-R, FNS 252 , FNS-252 (REV), FNS-252 (REV) Spanish, FNS-252-R REVISED English	SNAP Online Store Application ,   SNAP Application for Meal Services ,   SNAP Corporate Supplemental Application (Addendum to Food Stamp Application for Stores) ,   SNAP Application for Stores ,   SNAP REAUTHORIZATION APPLICATION FOR STORES ,   SNAP Retailer Application (Spanish version) ,   SNAP Applications for Stores ,   SNAP Applications for Stores (REV Spanish) ,   SNAP Reauthorization for Store Applications

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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	133,951	133,951	0	0	0	0
Annual Time Burden (Hours)	16,125	16,125	0	0	0	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: No

Burden Reduction Due to:

Short Statement: The estimated total annual burden hours associated with this information collection requirement is 16,125 hours. This is an increase of 3,259 hours due to the merging of the information from OMB No. 0584-0553. The remaining 6,930 is due to an increase in the number of respondents due to increase participation.

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Annual Cost to Federal Government: $117,471

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 07/17/2012

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