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

Food Programs Reporting System (FPRS)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

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:

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

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 %

	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

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.