Information Collection

Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule)

IC 204669 under ICR 202204-0584-003 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 583 (screensho Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule)	Form and Instruction
FNS 583.pdf fprs.fns.usda.gov	Instruction
FNS 583.pdf fprs.fns.usda.gov	Instruction
FNS 583 (screensho SNAP Employment and Training Program Activity Report SNAP-OP FNS-583.jpg fprs.fns.usda.gov	Form and Instruction
FNS 583 (screensho SNAP Employment and Training Program Activity Report SNAP-OP FNS-583.jpg fprs.fns.usda.gov	Form and Instruction
FNS 583 (Proposed U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVIC ATTACHMENT 4_FNS-583 Mockup.pdf www.fprs.fns.gov	Form and Instruction
FNS 583 (Proposed U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVIC ATTACHMENT 4_FNS-583 Mockup.pdf www.fprs.fns.gov	Form and Instruction
ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf	IC Document
ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf	IC Document

IC Title:

Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule)

Agency IC Tracking Number:

Change due to AE68 merge

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.7

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
Form and Instruction	FNS 583 (screenshot)	SNAP Employment and Training Program Activity Report	SNAP-OP FNS-583.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 583.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 583 (Proposed Changes AE68)	U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE SNAP EMPLOYMENT AND TRAINING (E&T) PROGRAM ACTIVITY REPORT	ATTACHMENT 4_FNS-583 Mockup.pdf	https://www.fprs.fns.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	244	32	212
Annual IC Time Burden (Hours)	20,845	69	20,776
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf	ATTACHMENT 3_ FPRS Home Page Screenshot w-Public Burden Statement expired 7-2023 home page.pdf	05/03/2022

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