Information Collection

Resource Sharing Form (Business - Private)

IC 1016 under ICR 202404-0584-005 · OMB 0584-0625.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 889 Resource Sharing Form (Business - Private)	Form and Instruction
FNS 889 SNAP Ed Connection Sharing Form Attachment 1 FNS 889 SNAP-ED CONNECTION RESOURCE SHARING FORM SCREENSHOTS.pdf snaped.fns.usda.gov	Form and Instruction
FNS Form 889 SNAP-Ed Connection Sharing Form App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625 revised FINAL 6.28.24.pdf snaped.fns.usda.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 272.2(2)(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
Form and Instruction	FNS Form 889	SNAP-Ed Connection Sharing Form	App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625 revised FINAL 6.28.24.pdf	https://snaped.fns.usda.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 3

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5	-55	60
Annual IC Time Burden (Hours)	2	-8	10
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.