OMB control number
Request for Administrative Review
OMB 0584-0520 ยท USDA/FNS.
OMB 0584-0520
Retailers submit a letter to request an Administrative Review of a Food Stamp Program determination concerning a retail food store's participation in the program.
The latest form for Request for Administrative Review expires 2021-09-30 and is listed under ICR 201806-0584-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Attachment A Legal Authority.pdf | Supplementary Document |
 Supporting Statement - July 3 2018.docx | Supporting Statement A |
 Request for Administrative Review Business & Farms |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201806-0584-002 | Extension without change of a currently approved collection | 2018-07-31 | Approved without change | |
| 201503-0584-001 | Revision of a currently approved collection | 2015-07-27 | Approved without change | |
| 201201-0584-019 | Revision of a currently approved collection | 2012-08-13 | Approved without change | |
| 200905-0584-004 | Revision of a currently approved collection | 2009-07-21 | Approved without change | |
| 200604-0584-001 | Revision of a currently approved collection | 2006-04-20 | Approved without change | |
| 200301-0584-003 | New collection (Request for a new OMB Control Number) | 2003-01-23 | Approved with change |