Information Collection

Supplemental Nutrition Assistance Program Employment and Training (E&T) Program

IC 3043 under ICR 202401-0584-004 · OMB 0584-0339.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C - Form FNS 583.pdf FNS 583 Form	IC Document
Attachment C - Form FNS 583.pdf FNS 583 Form	IC Document
Attachment D - FPRS Burden Statement.pdf FPRS Burden Statement Screenshot	IC Document
Attachment D - FPRS Burden Statement.pdf FPRS Burden Statement Screenshot	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.7(c)(9),(10), and (11) 7 CFR 273.7(d)(1)(i)(D)

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

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	Previously Approved
Annual Number of Responses for this IC	248	248
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS 583 Form	Attachment C - Form FNS 583.pdf	01/30/2024
FPRS Burden Statement Screenshot	Attachment D - FPRS Burden Statement.pdf	01/30/2024

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