53 State: Applications, Periodic Reporting, Notices

SNAP Forms: Applications, Periodic Reporting, Notices

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0064 can be found here:

Documents and Forms

Document Name Document Type
OMB 0584-0064 Appendix D Food Programs Reporting System (FPRS) Form Images_20200828.pdf OMB 0584-0064 Appendix D Food Programs Reporting System (FPRS) Form Images IC Document

Information Collection (IC) Details

IC Title:	53 State: Applications, Periodic Reporting, Notices	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273 7 CFR 272

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-10, Persons Doing Business with the Food and Nutrition Service	FR Citation: 65 FR 17251

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	391,644,095	132,702,305	258,941,790
Annual IC Time Burden (Hours)	51,929,547	20,308,211	31,621,336
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB 0584-0064 Appendix D Food Programs Reporting System (FPRS) Form Images	OMB 0584-0064 Appendix D Food Programs Reporting System (FPRS) Form Images_20200828.pdf	10/20/2020

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