Supplemental Nutrition Assistance Program: Demonstration Projects

Documents and Forms

Document Name Document Type
Appendix C Simplified CAP Demo Request Template.docx Instruction
Appendix D ESAP Demo Request Template.docx Instruction
Appendix G ESAP Reporting Template (Change Reporting).xlsx Instruction
Appendix H ESAP Reporting Template (Elderly Only - Waive Periodic Report).xlsx Instruction
Appendix I ESAP Reporting Template (Waive Periodic Report) 1.xlsx Instruction
Appendix J SMD Reporting Template.xlsx Instruction
Appendix K Summary of SNAP State Options Report Option Profiles and Example Questions.docx SNAP State Options Report IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplemental Nutrition Assistance Program: Demonstration Projects	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Appendix C Simplified CAP Demo Request Template.docx	Yes	Yes	Fillable Printable
Instruction	Appendix D ESAP Demo Request Template.docx	Yes	Yes	Fillable Printable
Instruction	Appendix G ESAP Reporting Template (Change Reporting).xlsx	Yes	Yes	Fillable Printable
Instruction	Appendix H ESAP Reporting Template (Elderly Only - Waive Periodic Report).xlsx	Yes	Yes	Fillable Printable
Instruction	Appendix I ESAP Reporting Template (Waive Periodic Report) 1.xlsx	Yes	Yes	Fillable Printable
Instruction	Appendix J SMD Reporting Template.xlsx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	145	145
Annual IC Time Burden (Hours)	16,658	16,658
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SNAP State Options Report	Appendix K Summary of SNAP State Options Report Option Profiles and Example Questions.docx	11/05/2024

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