SNAP Forms: Applications, Periodic Reporting, Notices

Forms and Documents

Document	Type	Status	Availability
Non-substantive change (0584-0064) - National SNAP Integrity Check System (6-11-25 230 PM).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-11	Repair queued
OMB 0584-0064 Appendix E - Burden Table_updated 6.11.25 revised.xlsx	Supplementary Document	Uploaded 2025-06-11	Available
0584-0064_AHF Public Comment_FNS Response_2024.05.31.docx	Supplementary Document	Uploaded 2024-05-31	Repair queued
0584-0064 S Statement - Part A_5.30.24 clean.docx	Supporting Statement A	Uploaded 2024-05-31	Available
OMB 0584-0064 Appendix B - 7 CFR Parts 271, 272, and 273_2023.12.21.pdf	Supplementary Document	Uploaded 2024-02-06	Available
OMB 0584-0064 Appendix D - Food Programs Reporting System (FPRS) Form Images_20200828.pdf	Supplementary Document	Uploaded 2024-02-06	Repair queued
OMB 0584-0064 Appendix F - Burden Narrative_2023.12.20.docx	Supplementary Document	Uploaded 2024-02-06	Repair queued
OMB 0584-0064 Appendix E - Burden Table_2023.12.22.xlsx	Supplementary Document	Uploaded 2024-02-06	Repair queued
OMB 0584-0064 Appendix A - Food and Nutrition Act of 2008_2023.12.21.pdf	Supplementary Document	Uploaded 2024-02-06	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
2960	53 State: Applications, Periodic Reporting, Notices		Modified
275701	Third Party Processors		New
182154	2724 Local Agency Recordkeeping		Unchanged
182153	Household/Individual: Application & Periodic Reporting		Unchanged

ICR Details

OMB Control No: 0584-0064	ICR Reference No: 202506-0584-001
Status: Active	Previous ICR Reference No: 202402-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No: Non-substantive change SNAP Household Data
Title: SNAP Forms: Applications, Periodic Reporting, Notices
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/11/2025
	Date Received in OIRA: 06/11/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	06/30/2027	06/30/2027
Responses	601,430,663	0	1,058,325,968
Time Burden (Hours)	82,578,335	0	142,800,634
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected is used to determine eligibility and participation in the Supplemental Nutrition Assistance Program (SNAP). Certifications and periodic reporting are to verify current eligibility.

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Authorizing Statute(s): PL: Pub.L. 110 - 246 Subtitle A Name of Law: Food, Conservation and Energy Act of 2008
   US Code: 7 USC 2011, et. seq. Name of Law: Food and Nutrition Act of 2008
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 62527	09/12/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 13679	02/26/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
2724 Local Agency Recordkeeping
53 State: Applications, Periodic Reporting, Notices
Household/Individual: Application & Periodic Reporting
Third Party Processors

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	601,430,663	1,058,325,968	0	-456,895,305	0	0
Annual Time Burden (Hours)	82,578,335	142,800,634	0	-60,222,299	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: For SNAP-participating households, most of these data elements are kept as records by State SNAP agencies and EBT processors those entities in support of their operations. No additional data collection or recordkeeping is sought through this change request. Rather, the change is limited to reporting these data elements to USDA.

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Annual Cost to Federal Government: $963,729,813

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/11/2025

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