SNAP - Store Applications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS-252 Supplemental Nutrition Assistance Program - Store Applications	Form and Instruction	Modified	Available
Form FNS 252 Federal Commissaries	Form and Instruction	New	Available
SNAP Retailer Applications Ref. No. 201705-0584-009 - Memo for Financial Institution Information 12-27-17v1.docx	Supplementary Document	Uploaded 2017-12-27	Repair queued
Supporting Statement - OMB 0584-0008 June72017.doc	Supporting Statement A	Uploaded 2017-06-07	Available
Appendix 1 Burden Narrative 0008.docx	Supplementary Document	Uploaded 2017-06-07	Available
81 FR 90675-Final Rule-2016-29837.pdf	Supplementary Document	Uploaded 2017-05-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2888	Supplemental Nutrition Assistance Program - Store Applications	Form and Instruction	Modified
227090	Federal Commissaries	Form and Instruction	New

ICR Details

OMB Control No: 0584-0008	ICR Reference No: 201705-0584-009
Status: Historical Active	Previous ICR Reference No: 201603-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: SNAP - Store Applications
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2018
	Date Received in OIRA: 07/24/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	132,599	0	150,030
Time Burden (Hours)	19,381	0	15,986
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this information collection is to allow the Food and Nutrition Service (FNS) to accept applications from retailers, wholesalers, meal service providers, certain types of group homes, shelters, and state-contracted restaurants that wish to participate in the Supplemental Nutrition Assistance Program (SNAP).

---

Authorizing Statute(s): PL: Pub.L. 110 - 246 4001-4002 Name of Law: Food, Conservation & Energy Act, 2008
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 10871	02/16/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 34276	07/24/2017
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Federal Commissaries	FNS 252, FNS 252-R	SNAP Application for Stores (English) ,   Supplemental Nutrition Assistance Program Application for Stores – Reauthorization (English)
Supplemental Nutrition Assistance Program - Store Applications	FNS 252E, FNS 252FE, FNS 252-R, FNS 252-2, FNS 252-C, FNS 252 , FNS-252	SNAP Application for Stores ,   SNAP Application for Stores (Spanish) ,   SNAP Application for Stores (Online) ,   Supplemental Nutrition Assistance Program Application for Farmers’ Markets (Online Application screen shots) (English) ,   Supplemental Nutrition Assistance Program Application for Stores – Reauthorization (English) ,   Supplemental Nutrition Assistance Program Application for Meal Services(English) ,   Corporate Supplemental Application (addendum to Supplemental Nutrition Assistance Program Application for Stores) (English)

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	132,599	150,030	0	0	-17,431	0
Annual Time Burden (Hours)	19,381	15,986	0	0	3,395	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved collection related to the authorization and reauthorization of retail firms participating in the SNAP. The currently approved burden inventory of OMB No. 0584-0008 is 15,986. Due to adjustments, the estimated annual burden is 19,383, an increase of 3,395 hours. There are program changes and those didn’t impact the burden estimates. The estimated total number of annual responses decreased. The current total number of responses is 150,030; FNS is seeking 132,599 as an estimated total annual responses. This revision reflects a decrease of 17,431 total annual responses.

---

Annual Cost to Federal Government: $1,305,484

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/24/2017

---