Information Collection

SNAP Online Purchasing Pilot

IC 222785 under ICR 201503-0584-004 · OMB 0584-0606.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0606 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - Online Purchasing Pilot RFV 07-29.docx	Other-Attachment A - Online Purchasi
Attachment B - Online Pilot Form 07-29-16.docx	Other-Attachment B - Online Pilot Fo
Online Purchasing Pilot ICR Memo 07-28-16.pdf Online Purchasing Pilot ICR Memo 07-28-16	IC Document
FNS-252.pdf FNS-252 (0584-0008)	IC Document
FNS-252-C Application Form - Corporate Supplemental Application ver 8-2017.pdf FNS-252-C Application Form (0584-0008) - Corporate Supplemental Application ver 8-2017	IC Document

IC Title:

SNAP Online Purchasing Pilot

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Attachment A - Online Purchasing Pilot RFV			Attachment A - Online Purchasing Pilot RFV 07-29.docx		No		Fillable Printable
Other-Attachment B - Online Pilot Form			Attachment B - Online Pilot Form 07-29-16.docx		No		Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS-9 Food Stamp Retailer Information

FR Citation: 75 FR 81205

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Online Purchasing Pilot ICR Memo 07-28-16	Online Purchasing Pilot ICR Memo 07-28-16.pdf	08/01/2016
FNS-252 (0584-0008)	FNS-252.pdf	08/01/2016
FNS-252-C Application Form (0584-0008) - Corporate Supplemental Application ver 8-2017	FNS-252-C Application Form - Corporate Supplemental Application ver 8-2017.pdf	08/01/2016

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