Information Collection

Supplemental Nutrition Assistance Program - Store Applications

IC 2888 under ICR 201311-0584-009 · OMB 0584-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 252-E Supplemental Nutrition Assistance Program - Store Applications	Form and Instruction
FNS-252-R (Online Screen Shots) revised 07-14-14.pdf www.fns.usda.gov/snap	Other-FNS 252 R Screenshots
FNS-252-E (Online Screen Shots) revised 07-14-14.pdf www.fns.usda.gov/snap	Other-FNS-252-E Screen Shots revised
FNS-252-FE (Online Screen Shots) revised 07-14-14.pdf www.fns.usda.gov/snap	Other-FNS-252-FE Screen Shots revise
FNS 252-E SNAP Online Store Application FNS-252-E (Unzipped) 6-23-14.pdf www.fns.usda.gov/snap	Form and Instruction
FNS-252-2 SNAP Application for Meal Services FNS-252-2.pdf www.fns.usda.gov/snap	Form and Instruction
FNS-252-C SNAP Corporate Supplemental Application (Addendum to Foo FNS 252-C - SNAP Application for Stores - Chain Store Addendum - revised.pdf www.fns.usda.gov/snap.	Form and Instruction
FNS-252 SNAP Application for Stores FNS-252.pdf www.fns.usda.gov/snap	Form and Instruction
FNS 252-R SNAP REAUTHORIZATION APPLICATION FOR STORES FNS-252-R.pdf www.fns.usda.gov/snap.	Form and Instruction
FNS-252 (REV) SNAP Applications for Stores FNS-252-SNAP Application for Stores - revised.pdf www.fns.usda.gov/snap	Form and Instruction
FNS-252 (REV) Span SNAP Applications for Stores (REV Spanish) Static Spanish FNS-252-SNAP Application for Stores - July 10.pdf www.fns.usda.gov/snap	Form and Instruction
FNS-252-FE (farmer Farmers’ Market FNS-252-FE (unzipped) 6-23-14.pdf ww.fns.usda.gov/snap	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Supplemental Nutrition Assistance Program - Store Applications

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 278-279 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-E	SNAP Online Store Application	FNS-252-E (Unzipped) 6-23-14.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-252-2	SNAP Application for Meal Services	FNS-252-2.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Printable
Form and Instruction	FNS-252-C	SNAP Corporate Supplemental Application (Addendum to Food Stamp Application for Stores)	FNS 252-C - SNAP Application for Stores - Chain Store Addendum - revised.pdf	http://www.fns.usda.gov/snap.	Yes	Yes	Fillable Printable
Form and Instruction	FNS-252	SNAP Application for Stores	FNS-252.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Printable
Form and Instruction	FNS 252-R	SNAP REAUTHORIZATION APPLICATION FOR STORES	FNS-252-R.pdf	http://www.fns.usda.gov/snap.	Yes	Yes	Fillable Fileable
Other-FNS 252 R Screenshots			FNS-252-R (Online Screen Shots) revised 07-14-14.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-252 (REV)	SNAP Applications for Stores	FNS-252-SNAP Application for Stores - revised.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-252 (REV) Spanish	SNAP Applications for Stores (REV Spanish)	Static Spanish FNS-252-SNAP Application for Stores - July 10.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-252-FE (farmersâ market).	Farmersâ Market	FNS-252-FE (unzipped) 6-23-14.pdf	http://ww.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable
Other-FNS-252-E Screen Shots revised 07-14-14			FNS-252-E (Online Screen Shots) revised 07-14-14.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable
Other-FNS-252-FE Screen Shots revised 07-14-14			FNS-252-FE (Online Screen Shots) revised 07-14-14.pdf	http://www.fns.usda.gov/snap	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: Supplemental Nutrition Assistance Program Retailer Information

FR Citation: 75 FR 81205

Number of Respondents: 150,030

Number of Respondents for Small Entity: 12,776

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 87 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150,030	16,079	0	133,951
Annual IC Time Burden (Hours)	15,986	107	-246	16,125
Annual IC Cost Burden (Dollars)	0	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.