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Resource Sharing Form (Business - Private)
Food Stamp Nutrition Connection Resource Sharing Form
OMB: 0584-0625
IC ID: 1016
OMB.report
USDA/FNS
OMB 0584-0625
ICR 201710-0584-004
IC 1016
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0625 can be found here:
2024-05-24 - Revision of a currently approved collection
2021-04-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FNS 889
Resource Sharing Form (Business - Private)
Form and Instruction
FNS 889 SNAP Ed Connection Sharing Form
Attachment 1 FNS 889.pdf
snaped.fns.usda.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Resource Sharing Form (Business - Private)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 272.2(2)(d)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS 889
SNAP Ed Connection Sharing Form
Attachment 1 FNS 889.pdf
https://snaped.fns.usda.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
3
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
0
-260
0
320
Annual IC Time Burden (Hours)
10
0
0
-45
0
55
Annual IC Cost Burden (Dollars)
0
0
0
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.