Federal-State Supplemental Nutrition Programs Agreement (Form FNS-339)

ICR 202306-0584-004

OMB: 0584-0332

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0584-0332 can be found here:

2025-07-09 - Revision of a currently approved collection

Forms and Documents

Document Name	Status
Form FNS-339 WIC Federal and State Agreement FNS 339 Form and Instruction	Modified
Form FNS-339 WIC Federal and State Agreement FNS 339 Form and Instruction	Modified
FNS-339 Change Justification Memo-6292023-1.docx Justification for No Material/Nonsubstantive Change	2023-06-30
FNS-339 Change Justification Memo-6292023-1.docx Justification for No Material/Nonsubstantive Change	2023-06-30
Supporting Statement 4.8.22.docx Supporting Statement A	2022-04-12
Supporting Statement 4.8.22.docx Supporting Statement A	2022-04-12
Appendix C - FNS-339 Burden Table.xlsx Supplementary Document	2022-04-07
Appendix C - FNS-339 Burden Table.xlsx Supplementary Document	2022-04-07
Appendix D - Invitation to Comment on Revised FNS-339 Form Burden Estimates.docx Supplementary Document	2022-03-29
Appendix D - Invitation to Comment on Revised FNS-339 Form Burden Estimates.docx Supplementary Document	2022-03-29
Appendix B - Burden Narrative 2.17.22.docx Supplementary Document	2022-03-29
Appendix B - Burden Narrative 2.17.22.docx Supplementary Document	2022-03-29

IC Document Collections

IC ID	Document Title	Status
43553	WIC Federal and State Agreement FNS 339 Form and Instruction	Modified
43553	WIC Federal and State Agreement FNS 339 Form and Instruction	Modified

ICR Details

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