Information Collection

State Agency

IC 253804 under ICR 202006-0584-003 · OMB 0584-0673.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0673 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment I-1 - SNAP FNS-46.jpg FNS 46 Screenshot	IC Document
Attachment I-2 - SNAP FNS-46 Remarks.jpg Attachment I-2 - SNAP FNS-46 Remarks.	IC Document
FPRS Public Burden Statement expired 7-2023 home page.pdf PlaceholderJ	IC Document

IC Title:

State Agency

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 274.2(i)(2) 7 CFR 274.2(h)(3) 7 CFR 274.2(h)(4)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/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 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,535,912	3,535,912
Annual IC Time Burden (Hours)	30,738	30,738
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS 46 Screenshot	Attachment I-1 - SNAP FNS-46.jpg	05/24/2022
Attachment I-2 - SNAP FNS-46 Remarks.	Attachment I-2 - SNAP FNS-46 Remarks.jpg	05/24/2022
PlaceholderJ	FPRS Public Burden Statement expired 7-2023 home page.pdf	05/24/2022

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