Information Collection

Federal Commissaries

IC 227090 under ICR 202509-0584-004 · OMB 0584-0008.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 252 E (Screens Federal Commissaries	Form and Instruction
Form FNS 252 E (Screens SNAP Retail Store Application Federal Commissaries	Form and Instruction
Form FNS 252-R (paper) Store Reauthorization Application Federal Commissaries	Form and Instruction
FNS 252 E (Screens SNAP Retail Store Application FNS-252-E screenshots.pdf www.fns.usda.gov/snap/retailer/application-status.	Form and Instruction
FNS 252 E (Screens SNAP Retail Store Application FNS-252-E screenshots.pdf www.fns.usda.gov/snap/retailer/application-status.	Form and Instruction
FNS 252-R (paper) Store Reauthorization Application FNS-252-R-StoreReauthorizationApplication.pdf	Form and Instruction
FNS 252-R (paper) Store Reauthorization Application FNS-252-R-StoreReauthorizationApplication.pdf	Form and Instruction

IC Title:

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)			https://www.fns.usda.gov/snap/retailer/application-status.	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 252-R (paper)				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	Previously Approved
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	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.

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