Information Collection

State Agency E&T Case Managers, Eligibility Workers and Admin Staff

IC 237553 under ICR 202403-0584-001 · OMB 0584-0653.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 583 State Agency E&T Case Managers, Eligibility Workers and Admin Staff	Form and Instruction
FNS 583 SNAP E&T Report FNS-583 Screenshots 2024.pdf www.fprs.gov	Form and Instruction
FNS 583 SNAP E&T Report FNS-583 Screenshots 2024.pdf www.fprs.gov	Form and Instruction
0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf 0584-0594 FPRS PBS for FNS 583	IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf 0584-0594 FPRS PBS for FNS 583	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(a)(5) 7 CFR 273.7(c)(11) 7 CFR 273.7(c)(18)(i) 7 CFR 273.7(c)(1)

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 583	SNAP E&T Report	FNS-583 Screenshots 2024.pdf	www.fprs.gov	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA/FNS 10 Persons Doing Business with FNS

FR Citation: 65 FR 17251

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,993,762	2,662,508	-4,423,255	5,754,509
Annual IC Time Burden (Hours)	897,931	711,555	-906,905	1,093,281
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0584-0594 FPRS PBS for FNS 583	0584-0594 FPRS PBStatement _ExpDatDisplayed 9-30-2019.pdf	08/27/2019

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