Information Collection

Worksheet FNS 778 AND 778A OMB# 0584-0594 PAN-SNAP-ARPA-SAE SNAP American Rescue Plant Act Grant/PAN-SNAP-CRRSAA-State Administrative Expenses (100% Reimbursement)/PAN SNAP PEBT Administration Grant

IC 204774 under ICR 202303-0584-001 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

2024-05-16 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FNS 778-778a.pdf fprs.fns.usda.gov	Instruction
FNS 778-778a.pdf fprs.fns.usda.gov	Instruction
SF-425_778_778A.docx fprs.usda.fns.gov	Other-FNS 778/778A Worksheet
SF-425_778_778A.docx fprs.usda.fns.gov	Other-FNS 778/778A Worksheet

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Worksheet FNS 778 AND 778A OMB# 0584-0594 PAN-SNAP-ARPA-SAE SNAP American Rescue Plant Act Grant/PAN-SNAP-CRRSAA-State Administrative Expenses (100% Reimbursement)/PAN SNAP PEBT Administration Grant

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FNS 778-778a.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-FNS 778/778A Worksheet			SF-425_778_778A.docx	https://fprs.usda.fns.gov	Yes	Yes	Fillable Fileable Signable

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: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	636	383	253
Annual IC Time Burden (Hours)	10,685	6,653	4,032
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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