Information Collection Request
Federal-State Supplemental Nutrition Programs Agreement (Form FNS-339)
ICR 202306-0584-004 · OMB 0584-0332 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0584-0332 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form FNS-339 WIC Federal and State Agreement FNS 339 |
Form and Instruction | Modified | Available |
| Form FNS-339 WIC Federal and State Agreement FNS 339 |
Form and Instruction | Modified | Repair queued |
 FNS-339 Change Justification Memo-6292023-1.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-06-30 | Available |
| FNS-339 Change Justification Memo-6292023-1.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-06-30 | Repair queued |
| Supporting Statement 4.8.22.docx |
Supporting Statement A | Uploaded 2022-04-12 | Available |
| Supporting Statement 4.8.22.docx |
Supporting Statement A | Uploaded 2022-04-12 | Repair queued |
 Appendix C - FNS-339 Burden Table.xlsx |
Supplementary Document | Uploaded 2022-04-07 | Available |
| Appendix C - FNS-339 Burden Table.xlsx |
Supplementary Document | Uploaded 2022-04-07 | Repair queued |
| Appendix D - Invitation to Comment on Revised FNS-339 Form Burden Estimates.docx |
Supplementary Document | Uploaded 2022-03-29 | Available |
| Appendix D - Invitation to Comment on Revised FNS-339 Form Burden Estimates.docx |
Supplementary Document | Uploaded 2022-03-29 | Repair queued |
| Appendix B - Burden Narrative 2.17.22.docx |
Supplementary Document | Uploaded 2022-03-29 | Available |
| Appendix B - Burden Narrative 2.17.22.docx |
Supplementary Document | Uploaded 2022-03-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Active |
|---|---|
| Agency/Subagency | USDA/FNS |
| OMB Control No | 0584-0332 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202203-0584-006 |
| Date Submitted to OIRA | 2023-07-05 |
| Requested Expiration Date | 1969-12-31 |