Information Collection

Fns-834

IC 225044 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⚠️ Notice: This information collection may be referencing outdated material.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-834 FNS-834	Form and Instruction
FNS-834.pdf fprs.fns.usda.gov	Instruction
FNS-834.pdf fprs.fns.usda.gov	Instruction
FNS-834 State Agency (NSLP/SNAP) Direct Certification Rate Data FORM FNS 834_12.31.2019.pdf www.fprs.gov	Form and Instruction
FNS-834 State Agency (NSLP/SNAP) Direct Certification Rate Data FORM FNS 834_12.31.2019.pdf www.fprs.gov	Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Report.jpg fprs.fns.usda.gov	Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Report.jpg fprs.fns.usda.gov	Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Remarks.jpg fprs.fns.usda.gov	Form and Instruction
FNS-834 (screensho State Agency (NSLP/SNAP) Direct Certification Rate Data 834_Remarks.jpg fprs.fns.usda.gov	Form and Instruction

IC Title:

FNS-834

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.12(c) 7 CFR 272.8(a)(5)

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-834	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)	FORM FNS 834_12.31.2019.pdf	www.fprs.gov	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-834 (screenshot1)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Report.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-834 (screenshot2)	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	834_Remarks.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-834.pdf	https://fprs.fns.usda.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: 106

Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	106	106
Annual IC Time Burden (Hours)	530	530
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.