Federal Commissaries

SNAP - Store Applications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0008 can be found here:

Documents and Forms

Document Name Document Type
Appendix B_1 FNS-252 (English--paper) updated.pdf www.fns.usda.gov/snap. Other-Appendix B_1 FNS-252 (English-
Appendix B_1 FNS-252 (English--paper) updated.pdf www.fns.usda.gov/snap. Other-Appendix B_1 FNS-252 (English-
Appendix B_2 FNS-252 (Spanish - paper).pdf Other-Appendix B_6 FNS-252-R (paper)
Appendix B_2 FNS-252 (Spanish - paper).pdf Other-Appendix B_6 FNS-252-R (paper)

Information Collection (IC) Details

IC Title:	Federal Commissaries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B_1 FNS-252 (English--paper) updated			Appendix B_1 FNS-252 (English--paper) updated.pdf	https://www.fns.usda.gov/snap.	Yes	Yes	Fillable Fileable Signable
Other-Appendix B_6 FNS-252-R (paper) updated			Appendix B_2 FNS-252 (Spanish - paper).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA/FNS-9 Supplemental Nutrition Assistance Program Retailer Information	FR Citation: 75 FR 81205

Number of Respondents: 62	Number of Respondents for Small Entity: 62

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	62	58	4
Annual IC Time Burden (Hours)	16	15	1
Annual IC Cost Burden (Dollars)	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.