State Agencies

Pandemic EBT (Schools) (New)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0660 can be found here:

Documents and Forms

Document Name Document Type
Attachment C_P-EBT Plan Template Schools.pdf Other-Attachment C_P-EBT Plan Templa
Attachment C_P-EBT Plan Template Schools.pdf Other-Attachment C_P-EBT Plan Templa
Appendix D_SNAP-D-292B.pdf Appendix D_SNAP-D-292B IC Document
Appendix D_SNAP-D-292B.pdf Appendix D_SNAP-D-292B IC Document
Attachment E_SNAP FNS-388.pdf Attachment E_SNAP FNS-388 IC Document
Attachment E_SNAP FNS-388.pdf Attachment E_SNAP FNS-388 IC Document
Attachment F_SNAP FNS-46.jpg Attachment F_SNAP FNS-46 IC Document
Attachment F_SNAP FNS-46.jpg Attachment F_SNAP FNS-46 IC Document
Attachment G_FNS-366A.pdf Attachment G_FNS-366A IC Document
Attachment G_FNS-366A.pdf Attachment G_FNS-366A IC Document
Attachment H_SF-425.pdf Attachment H_SF-425 IC Document
Attachment H_SF-425.pdf Attachment H_SF-425 IC Document

Information Collection (IC) Details

IC Title:	State Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment C_P-EBT Plan Template Schools			Attachment C_P-EBT Plan Template Schools.pdf		Yes	Yes	Fillable Fileable

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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,660,954	1,660,954
Annual IC Time Burden (Hours)	416,431	416,431
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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