State, Local & Tribal Government

Food Stamp Nutrition Connection Resource Sharing Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0625 can be found here:

Documents and Forms

Document Name Document Type
NAL - SNAP_edForm for Collection 0518-0031.pdf snap.nal.usda.gov/resource-library/sharing-center/submission-form Other-SNAP-Ed Connection Submission

Information Collection (IC) Details

IC Title:	State, Local & Tribal Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2.65

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SNAP-Ed Connection Submission Form			NAL - SNAP_edForm for Collection 0518-0031.pdf	http://snap.nal.usda.gov/resource-library/sharing-center/submission-form	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	450	420	30
Annual IC Time Burden (Hours)	78	68	10
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.