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 202112-0584-002 · OMB 0584-0654.

⚠️ Notice: This information collection may be referencing outdated material.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

2022-01-27 - Revision of a currently approved collection

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 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 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 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 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 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 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 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 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 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 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 P. SNAP waiver request and FFCRA Reporting Data Instructions.docx	Other-Appendix P. SNAP waiver reques
Appendix F - SP 15-2018 CACFP 12-2018 SFSP 05-2018 Child Nutrition Program Waiver Request Guidance and Protocol.pdf	Other-Appendix F Child Nutrition Pro
Appendix F - SP 15-2018 CACFP 12-2018 SFSP 05-2018 Child Nutrition Program Waiver Request Guidance and Protocol.pdf	Other-Appendix F Child Nutrition Pro
Appendix G - Waiver Request Templates.pdf	Other-Appendix G Child Nutrition Pro
Appendix G - Waiver Request Templates.pdf	Other-Appendix G Child Nutrition Pro
Appendix H - COVID-19 Statewide Waiver Reporting Tool.pdf	Other-Appendix H COVID-19 Statewide
Appendix H - COVID-19 Statewide Waiver Reporting Tool.pdf	Other-Appendix H COVID-19 Statewide
Appendix I - State Monitoring Plan Reporting Tool.pdf	Other-Appendix I State Monitoring Pl
Appendix I - State Monitoring Plan Reporting Tool.pdf	Other-Appendix I State Monitoring Pl
Appendix S.1 - Informative Email and Technical Assistance to States in Need of a State Monitoring and Oversight Waiver.pdf	Other-Appendix S.1 Technical Assista
Appendix S.1 - Informative Email and Technical Assistance to States in Need of a State Monitoring and Oversight Waiver.pdf	Other-Appendix S.1 Technical Assista
Appendix AA. FNS-10.pdf Appendix AA. FNS-10	IC Document
Appendix AA. FNS-10.pdf Appendix AA. FNS-10	IC Document
Appendix BB. FNS-44.pdf Appendix BB. FNS-44	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 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
Appendix DD. Commodities reporting data FNS 292A.xlsx Appendix DD. Commodities reporting data FNS 292A	IC Document
Appendix K - The Initial Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs.pdf Appendix K Child Nutrition Response #4: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix K - The Initial Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs.pdf Appendix K Child Nutrition Response #4: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix L - Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - EXTENSION 4.pdf Appendix L Child Nutrition Response #36: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix L - Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - EXTENSION 4.pdf Appendix L Child Nutrition Response #36: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix M - Nationwide Waiver to Allow Meal Pattern Flexibility in Child Nutrition Programs - EXTENSION 5.pdf Appendix M Child Nutrition Response #70: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix M - Nationwide Waiver to Allow Meal Pattern Flexibility in Child Nutrition Programs - EXTENSION 5.pdf Appendix M Child Nutrition Response #70: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	IC Document
Appendix N - Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for SY 2021-2022.pdf Appendix N Child Nutrition Response #90: The Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for School Year	IC Document
Appendix N - Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for SY 2021-2022.pdf Appendix N Child Nutrition Response #90: The Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for School Year	IC Document
Appendix O - Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for SY 2021-2022.pdf Appendix O Child Nutrition Response #91: The Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult	IC Document
Appendix O - Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for SY 2021-2022.pdf Appendix O Child Nutrition Response #91: The Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult	IC Document
Appendix P.1 - Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children.pdf Appendix P.1 Child Nutrition Response #5: COVID-19 Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Childre	IC Document
Appendix P.1 - Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children.pdf Appendix P.1 Child Nutrition Response #5: COVID-19 Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Childre	IC Document
Appendix Q.1 - CNP Response 18 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf Appendix Q.1 Child Nutrition Response #18: The Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the Na	IC Document
Appendix Q.1 - CNP Response 18 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf Appendix Q.1 Child Nutrition Response #18: The Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the Na	IC Document
Appendix R.1 - CNP Response 98 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf Appendix R.1 Child Nutrition Response #98: Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the Nation	IC Document
Appendix R.1 - CNP Response 98 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf Appendix R.1 Child Nutrition Response #98: Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the Nation	IC Document

Information Collection (IC) Details

View Information Collection (IC)

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix Q. SNAP Weekly Operational Update	Appendix Q. SNAP Weekly Operational Update.xlsx	Yes	Yes	Fillable Fileable
Other-Appendix R. SNAP Continuing Resolution Options Form	Appendix R. SNAP Continuing Resolution Options Form.pdf	Yes	Yes	Fillable Printable
Other-Appendix S. WIC Waiver Request Form	Appendix S. WIC Waiver Request Form.pdf	Yes	Yes	Fillable Printable
Other-Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots	Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots.docx	Yes	Yes	Fillable Printable
Other-Appendix U. WIC MIS Data Pull Instructions 10.27	Appendix U. WIC MIS Data Pull Instructions 10.27.docx	No		Printable Only
Other-Appendix V. WIC MIS Data Pull Form	Appendix V. WIC MIS Data Pull Form.xlsx	Yes	Yes	Fillable Fileable
Other-Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27	Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27.docx	Yes	Yes	Fillable Printable
Other-Appendix X. FMNP Waiver Request Form	Appendix X. FMNP Waiver Request Form.pdf	Yes	Yes	Fillable Fileable Signable
Other-Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form	Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form.docx	Yes	Yes	Fillable Fileable
Other-Appendix Z. CN reporting data instructions	Appendix Z. CN reporting data instructions.pdf	No		Printable Only
Other-Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions	Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions.docx	No		Printable Only
Other-Appendix F Child Nutrition Program Waiver Request Guidance and Protocol - Revised	Appendix F - SP 15-2018 CACFP 12-2018 SFSP 05-2018 Child Nutrition Program Waiver Request Guidance and Protocol.pdf	No		Paper Only
Other-Appendix G Child Nutrition Program State Waiver Request Template	Appendix G - Waiver Request Templates.pdf	No		Paper Only
Other-Appendix H COVID-19 Statewide Waiver Reporting Tool	Appendix H - COVID-19 Statewide Waiver Reporting Tool.pdf	Yes	Yes	Fillable Fileable
Other-Appendix I State Monitoring Plan Reporting Tool	Appendix I - State Monitoring Plan Reporting Tool.pdf	Yes	No	Fillable Printable
Other-Appendix S.1 Technical Assistance Email Subject Line: State Oversight Waivers and Plan	Appendix S.1 - Informative Email and Technical Assistance to States in Need of a State Monitoring and Oversight Waiver.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32,484

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	206,486	193,034	13,452
Annual IC Time Burden (Hours)	133,026	113,136	19,890
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix AA. FNS-10	Appendix AA. FNS-10.pdf	10/28/2020
Appendix BB. FNS-44	Appendix BB. FNS-44.pdf	10/28/2020
Appendix CC. FNS-418	Appendix CC. FNS-418.pdf	10/28/2020
Appendix DD. Commodities reporting data FNS 292A	Appendix DD. Commodities reporting data FNS 292A.xlsx	10/28/2020
Appendix K Child Nutrition Response #4: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs	Appendix K - The Initial Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs.pdf	12/16/2021
Appendix L Child Nutrition Response #36: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - Extension 4	Appendix L - Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - EXTENSION 4.pdf	12/16/2021
Appendix M Child Nutrition Response #70: The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - Extension 5	Appendix M - Nationwide Waiver to Allow Meal Pattern Flexibility in Child Nutrition Programs - EXTENSION 5.pdf	12/16/2021
Appendix N Child Nutrition Response #90: The Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for School Year 2021-2022	Appendix N - Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for SY 2021-2022.pdf	12/16/2021
Appendix O Child Nutrition Response #91: The Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for School Year 2021-2022	Appendix O - Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for SY 2021-2022.pdf	12/16/2021
Appendix P.1 Child Nutrition Response #5: COVID-19 Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children	Appendix P.1 - Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children.pdf	12/16/2021
Appendix Q.1 Child Nutrition Response #18: The Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast Programs	Appendix Q.1 - CNP Response 18 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf	12/16/2021
Appendix R.1 Child Nutrition Response #98: Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast Programs	Appendix R.1 - CNP Response 98 - Nationwide Waiver of Local School Wellness Policy Triennial Assessments.pdf	12/16/2021

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