Information Collection

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

IC 3036 under ICR 202511-0584-001 · OMB 0584-0336.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C D-SNAP Request Template.docx	Other-Appendix C: D-SNAP Request Tem
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 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 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 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 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
Appendix H D-SNAP Guidance.pdf Appendix H D-SNAP Guidance	IC Document

IC Title:

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:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix C: D-SNAP Request Template	Yes	Yes	Fillable Fileable
Other-Appendix F D-SNAP Daily Report Template	Yes	Yes	Fillable Fileable
Other-Appendix G D-SNAP Post Disaster Review Report Template	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 %

table that charts list of burden
	Approved	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

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D D-SNAP Example Press Release		11/20/2025
Appendix E D-SNAP Sample Application		11/20/2025
Appendix H D-SNAP Guidance		11/20/2025

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

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