State Agencies

Annual State Report on Verification of Supplemental Nutrition Assistance Program (SNAP) Participation (Renewal)

OMB: 0584-0605

IC ID: 218873

Information Collection (IC) Details

View Information Collection (IC)

State Agencies
 
No Modified
 
Mandatory
 
7 CFR 272.14 and 273.16

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

Income Security Food and Nutrition Assistance

USDA/FNS–5, Information on Persons Disqualified from the Supplemental Nutrition Assistance   75 FR 81205

106 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 212 0 0 0 0 212
Annual IC Time Burden (Hours) 119 0 0 0 0 119
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C Email from Regional FNS Offices Appendix C Email from Regional FNS Offices.pdf 04/12/2022
Appendix C.1 Email from National FNS Office Appendix C.1 Email from National FNS Office.pdf 04/12/2022
Appendix D 4032 Policy Memo Appendix D 4032 Policy Memo.pdf 04/12/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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