Resource Sharing Form (State, Local & Tribal Government)

Food Stamp Nutrition Connection Resource Sharing Form

OMB: 0584-0625

IC ID: 182694

Information Collection (IC) Details

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Resource Sharing Form (State, Local & Tribal Government)
 
No Modified
 
Voluntary
 
7 CFR 272.2(2)(d)

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

Community and Social Services Social Services

 

10 0
   
State, Local, and Tribal Governments
 
   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 50 0 0 -400 0 450
Annual IC Time Burden (Hours) 8 0 0 -70 0 78
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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