Information Collection

Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters

IC 3036 under ICR 201808-0584-002 · OMB 0584-0336.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0336 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AppendixF-DSNAPWaiverRequestTemplate-091719.docx	Other-Sample of data elements needed
AppendixE-FNS-292BScreenshots with PBS from FPRS 9-18-19.pdf Appendix E FNS form -292B	IC Document
AppendixD-Example Client Disaster Supplemental Nutrition Assistance Application_091719.doc Appendix D - Example Client Disaster Supplemental Nutrition Assistance Application	IC Document
Appendix E 1 - for FNS 292B approved in 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf Appendix E 1 - for FNS 292B approved in 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf	IC Document
Appendix G D-SNAPGuidanceJuly2014 (002).pdf Appendix G D-SNAPGuidanceJuly2014 (002).pdf	IC Document

IC Title:

Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 273.1(a), 273.2(f), 7 CFR 273.7, 273.8(e) 7 CFR 273.9(a) 7 CFR 280 7 CFR 273.10(e), 273.10(f)

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
Other-Sample of data elements needed			AppendixF-DSNAPWaiverRequestTemplate-091719.docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: USDA/FNS 10 Persons Doing Business with FNS

FR Citation: 65 FR 17251

Number of Respondents: 5

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7	-2	9
Annual IC Time Burden (Hours)	56	-34	90
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E FNS form -292B	AppendixE-FNS-292BScreenshots with PBS from FPRS 9-18-19.pdf	10/22/2019
Appendix D - Example Client Disaster Supplemental Nutrition Assistance Application	AppendixD-Example Client Disaster Supplemental Nutrition Assistance Application_091719.doc	10/22/2019
Appendix E 1 - for FNS 292B approved in 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf	Appendix E 1 - for FNS 292B approved in 0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf	04/04/2019
Appendix G D-SNAPGuidanceJuly2014 (002).pdf	Appendix G D-SNAPGuidanceJuly2014 (002).pdf	10/22/2019

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