Information Collection

SNAP, WIC, FMNP, and CN COVID-19 Waivers, Evaluation, and Reporting Data - State Agencies and WIC Local Government (SLT)

IC 241637 under ICR 202010-0584-011 · OMB 0584-0654.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0654 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix Q. SNAP Weekly Operational Update.xlsx	Other-Appendix Q. SNAP Weekly Operat
Appendix R. SNAP Continuing Resolution Options Form.pdf	Other-Appendix R. SNAP Continuing Re
Appendix S. WIC Waiver Request Form.pdf	Other-Appendix S. WIC Waiver Request
Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots.docx	Other-Appendix T. WIC State Agency W
Appendix U. WIC MIS Data Pull Instructions 10.27.docx	Other-Appendix U. WIC MIS Data Pull
Appendix V. WIC MIS Data Pull Form.xlsx	Other-Appendix V. WIC MIS Data Pull
Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27.docx	Other-Appendix W. WIC Local Agency W
Appendix X. FMNP Waiver Request Form.pdf	Other-Appendix X. FMNP Waiver Reques
Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form.docx	Other-Appendix Y. FMNP State Agency
Appendix Z. CN reporting data instructions.pdf	Other-Appendix Z. CN reporting data
Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions.docx	Other-Appendix P. SNAP waiver reques
Appendix AA. FNS-10.pdf Appendix AA. FNS-10	IC Document
Appendix BB. FNS-44.pdf Appendix BB. FNS-44	IC Document
Appendix CC. FNS-418.pdf Appendix CC. FNS-418	IC Document
Appendix DD. Commodities reporting data FNS 292A.xlsx Appendix DD. Commodities reporting data FNS 292A	IC Document

IC Title:

SNAP, WIC, FMNP, and CN COVID-19 Waivers, Evaluation, and Reporting Data - State Agencies and WIC Local Government (SLT)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix Q. SNAP Weekly Operational Update	Yes	Yes	Fillable Fileable
Other-Appendix R. SNAP Continuing Resolution Options Form	Yes	Yes	Fillable Printable
Other-Appendix S. WIC Waiver Request Form	Yes	Yes	Fillable Printable
Other-Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots	Yes	Yes	Fillable Printable
Other-Appendix U. WIC MIS Data Pull Instructions 10.27	No		Printable Only
Other-Appendix V. WIC MIS Data Pull Form	Yes	Yes	Fillable Fileable
Other-Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27	Yes	Yes	Fillable Printable
Other-Appendix X. FMNP Waiver Request Form	Yes	Yes	Fillable Fileable Signable
Other-Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form	Yes	Yes	Fillable Fileable
Other-Appendix Z. CN reporting data instructions	No		Printable Only
Other-Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions	No		Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,066

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 46 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	13,452	7,458	5,994
Annual IC Time Burden (Hours)	19,890	12,894	6,996
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix AA. FNS-10		10/28/2020
Appendix BB. FNS-44		10/28/2020
Appendix CC. FNS-418		10/28/2020
Appendix DD. Commodities reporting data FNS 292A		10/28/2020

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

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