Information Collection

Fns-834

IC 204022 under ICR 201608-0584-001 · OMB 0584-0577.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-834 FNS-834	Form
FNS-834 State Agency (Nslp/Snap) Direct Certification Rate Data 0584-0577 FNS-834.pdf	Form

IC Title:

FNS-834

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.12(c) 7 CFR 272.8(a)(5)

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	FNS-834	State Agency (Nslp/Snap) Direct Certification Rate Data Element Report	0584-0577 FNS-834.pdf		No		Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 106

Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	106	106
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	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.