Information Collection

Business

IC 258776 under ICR 202602-0584-005 · OMB 0584-0683.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 925A SNAP Ed Annual Report Form Business	Form and Instruction
Form FNS 925B SNAP Ed Annual Plan Form Business	Form and Instruction
FNS 925A SNAP Ed Annual Report Form Appendix C SNAP-Ed Annual Report Form FNS 925 A.docx	Form and Instruction
FNS 925B SNAP Ed Annual Plan Form Appendix D SNAP-Ed Annual Plan Form FNS 925 B.docx	Form and Instruction

IC Title:

Business

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 272.2

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 925A				Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 925B				Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	431	-141	572
Annual IC Time Burden (Hours)	40,613	-122,632	163,245
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.

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