SNAP Forms: Applications, Periodic Reporting, Notices

OMB 0584-0064

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.

The latest form for SNAP Forms: Applications, Periodic Reporting, Notices expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
0584-0064 S Statement - Part A_2.29.24 ROCIS final-.docx Supporting Statement A
OMB 0584-0064 Appendix B - 7 CFR Parts 271, 272, and 273_2023.12.21.pdf Supplementary Document
OMB 0584-0064 Appendix D - Food Programs Reporting System (FPRS) Form Images_20200828.pdf Supplementary Document
OMB 0584-0064 Appendix F - Burden Narrative_2023.12.20.docx Supplementary Document
OMB 0584-0064 Appendix E - Burden Table_2023.12.22.xlsx Supplementary Document
OMB 0584-0064 Appendix A - Food and Nutrition Act of 2008_2023.12.21.pdf Supplementary Document
53 State: Applications, Periodic Reporting, Notices
2724 Local Agency Recordkeeping
Household/Individual: Application & Periodic Reporting

All Historical Document Collections

202402-0584-001 Approved with change	Revision of a currently approved collection	2024-02-29
202002-0584-001	Revision of a currently approved collection	2020-10-30
201611-0584-003 Approved with change	Revision of a currently approved collection	2017-01-09
201511-0584-006 Approved without change	Revision of a currently approved collection	2016-02-03
201303-0584-003 Approved without change	Extension without change of a currently approved collection	2013-03-27
201302-0584-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-02-21
201009-0584-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-09-30
200811-0584-001 Approved without change	Revision of a currently approved collection	2010-02-25
200709-0584-004 Approved without change	Revision of a currently approved collection	2007-09-27
200405-0584-002 Approved without change	Revision of a currently approved collection	2004-05-13
200211-0584-001 Approved with change	Revision of a currently approved collection	2002-11-13
200105-0584-002 Approved without change	Revision of a currently approved collection	2001-05-17
200010-0584-001 Approved without change	Extension without change of a currently approved collection	2000-10-06
200008-0584-003 Approved without change	Reinstatement without change of a previously approved collection	2000-08-31
199908-0584-001 Withdrawn	Revision of a currently approved collection	1999-08-30
199708-0584-002 Approved without change	Reinstatement with change of a previously approved collection	1997-08-07
199502-0584-001 Approved without change	Revision of a currently approved collection	1995-02-01
199112-0584-002 Approved without change	Reinstatement with change of a previously approved collection	1991-12-17
198909-0584-004 Approved without change	Revision of a currently approved collection	1989-09-18
198710-0584-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-10-15
198608-0584-011 Approved without change	Revision of a currently approved collection	1986-08-27
198509-0584-005 Approved without change	Revision of a currently approved collection	1985-09-17
198501-0584-001 Approved without change	Reinstatement with change of a previously approved collection	1985-01-14
198407-0584-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-07-12
198305-0584-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-05-31
198208-0584-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-08-31
198206-0584-003 Approved without change	Revision of a currently approved collection	1982-06-22
198205-0584-001 Approved without change	Revision of a currently approved collection	1982-05-05
198203-0584-001 Approved without change	Revision of a currently approved collection	1982-03-03
198110-0584-006 Approved without change	Revision of a currently approved collection	1981-10-23
198011-0584-003 Approved without change	New collection (Request for a new OMB Control Number)	1980-11-26
198006-0584-002 Approved without change	Revision of a currently approved collection	1980-06-26
197909-0584-001 Approved without change	Revision of a currently approved collection	1979-09-28
197903-0584-001 Approved without change	Revision of a currently approved collection	1979-03-26
197811-0584-001 Approved without change	Revision of a currently approved collection	1978-11-29
197809-0584-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-09-06
197808-0584-003 Approved without change	New collection (Request for a new OMB Control Number)	1978-08-18

OMB Details

State: Applications, Periodic Reporting, Notices

Federal Enterprise Architecture: Income Security - Food and Nutrition Assistance