Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters

Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victims of Disaster

Documents and Forms

Document Name Document Type
Appendix C D-SNAP Request Template.docx Other-Appendix C: D-SNAP Request Tem
Appendix F D-SNAP Daily Report Template.xlsx Other-Appendix F D-SNAP Daily Report
Appendix G D-SNAP Post Disaster Review Report Template.docx Other-Appendix G D-SNAP Post Disaste
Appendix D D-SNAP Example Press Release.pdf Appendix D D-SNAP Example Press Release IC Document
Appendix E D-SNAP Sample Application.pdf Appendix E D-SNAP Sample Application IC Document
Appendix H D-SNAP Guidance.pdf Appendix H D-SNAP Guidance IC Document

Information Collection (IC) Details

IC Title:	Supplemental Nutrition Assistance Program - Supplemental Nutrition Assistance for Victim of Disasters	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 273.9(a) 7 CFR 280 7 CFR 273.10(e), 273.10(f) 7 CFR 273.7, 273.8(e) 7 CFR 273.1(a), 273.2(f),

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C: D-SNAP Request Template	Appendix C D-SNAP Request Template.docx	Yes	Yes	Fillable Fileable
Other-Appendix F D-SNAP Daily Report Template	Appendix F D-SNAP Daily Report Template.xlsx	Yes	Yes	Fillable Fileable
Other-Appendix G D-SNAP Post Disaster Review Report Template	Appendix G D-SNAP Post Disaster Review Report Template.docx	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: USDA/FNS 10 Persons Doing Business with FNS	FR Citation: 65 FR 17251

Number of Respondents: 9	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	270	0	256	14
Annual IC Time Burden (Hours)	888	506	270	112
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix D D-SNAP Example Press Release	Appendix D D-SNAP Example Press Release.pdf	11/20/2025
Appendix E D-SNAP Sample Application	Appendix E D-SNAP Sample Application.pdf	11/20/2025
Appendix H D-SNAP Guidance	Appendix H D-SNAP Guidance.pdf	11/20/2025

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