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Worksheet FNS 209 OMB# 0069
Food Programs Reporting System (FPRS)
OMB: 0584-0594
IC ID: 204659
OMB.report
USDA/FNS
OMB 0584-0594
ICR 202204-0584-003
IC 204659
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:
2024-05-16 - No material or nonsubstantive change to a currently approved collection
2023-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FNS 209 Screenshot
Worksheet FNS 209 OMB# 0069
Form and Instruction
FNS 209.pdf
fprs.fns.usda.gov
Instruction
FNS 209.pdf
fprs.fns.usda.gov
Instruction
FNS 209 Screenshot Status of Claims Against Households
SNAP-OP-FNS-209.jpg
https:/fprs.fns.usda.gov
Form and Instruction
FNS 209 Screenshot Status of Claims Against Households
SNAP-OP-FNS-209.jpg
https:/fprs.fns.usda.gov
Form and Instruction
FNS 209 Screenshot Status of Claims Against Households
SNAP-OP-FNS-209(PR).jpg
fprs.fns.usda.gov
Form and Instruction
FNS 209 Screenshot Status of Claims Against Households
SNAP-OP-FNS-209(PR).jpg
fprs.fns.usda.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Worksheet FNS 209 OMB# 0069
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 273.18
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS 209 Screenshot
Status of Claims Against Households
SNAP-OP-FNS-209.jpg
https:/fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Form and Instruction
FNS 209 Screenshot
Status of Claims Against Households
SNAP-OP-FNS-209(PR).jpg
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Instruction
FNS 209.pdf
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
54
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 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
216
0
0
0
0
216
Annual IC Time Burden (Hours)
648
0
0
0
0
648
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.