Information Collection Request

SNAP Nutrition Connection Resource Sharing Form 889

ICR 202404-0584-005 · OMB 0584-0625 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form FNS 889 Resource Sharing Form (State, Local & Tribal Government)	Form and Instruction	Modified	Repair queued
Form FNS 889 Resource Sharing Form (Business - Private)	Form and Instruction	Modified	Repair queued
App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625 revised 5-23-24.pdf	Supplementary Document	Uploaded 2024-05-23	Repair queued
App. D - Excel Burden Estimate Table OMB Control Number 0584-0625 5.22.24 - clean.xlsx	Supplementary Document	Uploaded 2024-05-23	Repair queued
SNAP-Ed Connection Resource Sharing Form ICR - Supporting Statement Part A_ 0584-0625 clean 5.22.24 tracked.docx	Supporting Statement A	Uploaded 2024-05-23	Repair queued
App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625.pdf	Supplementary Document	Uploaded 2024-05-08	Missing upstream
App. B - 7 CFR 272.2(d)(2) - Nutrition Education Plan OMB Control Number 0584-0625.pdf	Supplementary Document	Uploaded 2024-05-08	Missing upstream
App. A - Food and Nutrition Act (FNA), Section 28, as amended by the Agriculture Improvement Act of 2018 (7 U.S.C. 2036a) OMB Control Number 0584-062.pdf	Supplementary Document	Uploaded 2024-05-08	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
182694	Resource Sharing Form (State, Local & Tribal Government)	Form and Instruction	Modified
1016	Resource Sharing Form (Business - Private)	Form and Instruction	Modified

Record metadata
Status	Received in OIRA
Agency/Subagency	USDA/FNS
OMB Control No	0584-0625
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202104-0584-002
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31