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

FNS Information Collection Needs due to COVID-19

OMB: 0584-0654

IC ID: 241637

⚠️ Notice: This information collection may be referencing outdated material.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

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:

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 %

	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

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.