Information Collection

Federal Commissaries

IC 227090 under ICR 202402-0584-004 · OMB 0584-0008.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-252-E (Screens Federal Commissaries	Form and Instruction
FNS-252-E (Screens SNAP Retail Store Application (electronic) Appendix B_3 FNS-252-E (Screenshots) updated.pdf www.fns.usda.gov/snap/retailer/application-status.	Form and Instruction
FNS-252-E (Screens SNAP Retail Store Application (electronic) Appendix B_3 FNS-252-E (Screenshots) updated.pdf www.fns.usda.gov/snap/retailer/application-status.	Form and Instruction
FNS-252-R (paper) SNAP Reauthorization Application for Stores Appendix B_6 FNS-252-R (paper) updated.pdf	Form and Instruction
FNS-252-R (paper) SNAP Reauthorization Application for Stores Appendix B_6 FNS-252-R (paper) updated.pdf	Form and Instruction

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:

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-252-E (Screenshots) updated	SNAP Retail Store Application (electronic)	Appendix B_3 FNS-252-E (Screenshots) updated.pdf	https://www.fns.usda.gov/snap/retailer/application-status.	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-252-R (paper) updated	SNAP Reauthorization Application for Stores	Appendix B_6 FNS-252-R (paper) updated.pdf		No		Paper Only

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: 53

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	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

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.