Information Collection

Supplemental Nutrition Assistance Program Employment and Training (E&T) Program

IC 3043 under ICR 201701-0584-002 · OMB 0584-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B - FNS-583.pdf Attachment B - FNS-583.pdf	IC Document
Attachment C -FPRS Screenshot for FNS 583.pdf Attachment C -FPRS Screenshot for FNS 583.pdf	IC Document
Attachment D -FPRS Screenshot PBS -OMB Control - Exp. Date for FNS 583.pdf Attachment D -FPRS Screenshot PBS -OMB Control - Exp. Date for FNS 583.pdf	IC Document

IC Title:

Supplemental Nutrition Assistance Program Employment and Training (E&T) Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.7(d)(1)(i)(D) 7 CFR 273.7(c)(9),(10), and (11)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

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	Previously Approved
Annual Number of Responses for this IC	248	-676	924
Annual IC Time Burden (Hours)	50	-21,839	21,889
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B - FNS-583.pdf	Attachment B - FNS-583.pdf	07/12/2017
Attachment C -FPRS Screenshot for FNS 583.pdf	Attachment C -FPRS Screenshot for FNS 583.pdf	07/12/2017
Attachment D -FPRS Screenshot PBS -OMB Control - Exp. Date for FNS 583.pdf	Attachment D -FPRS Screenshot PBS -OMB Control - Exp. Date for FNS 583.pdf	07/12/2017

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