Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Breastfeeding Data by Local Agency New 89 1 0 Other-BFDLA WORKSHEET
FINANCIAL STATUS REPORT - America Samoa and PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant New 8 64 0 Other-SF-425_778AS
FINANCIAL STATUS REPORT - CNMI and PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant New 8 20 0 Other-SF425(FNS778) CNMI NAP
FINANCIAL STATUS REPORT - PR - SF-425 (FNS-778) (PR) New 4 320 0 Other-SF 425 - 778PR
FNS 46 PR Issuance Reconciliation Report (delineated from prior approval) New 12 48 0 Other-FNS 46 PR Worksheet
FNS 640 Modified 56 280 0 Form and Instruction FNS 640 Administrative Review Report
Instruction
Instruction
FNS-742 Modified 18398 9199 0 Form FNS-742 FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template
Instruction
FNS-828 Modified 56 560 0 Instruction
Other-FNS 828 Worksheet
FNS-834 Modified 106 53 0 Instruction
Other-FNS 834 worksheet
FNS-874 Modified 56 280 0 Instruction
Other-FNS 874 worksheet
OMB# 4040-0014 SF 425 (CN/SNAP/FD/FDPNE/WIC/Pandemic/PAN BUS New 212 1 0 Other-CN SF 425 used by all Grantees
OMB# 4040-0014 SF 425 (CN/SNAP/FD/FDPNE/WIC/Pandemic/PAN SLT Modified 6050 22351 0 Form and Instruction SF 425 (screenshot page 1) Federal Financial Report
Instruction
Form and Instruction SF 425 (screenshot page 2) Federal Financial Report
Form and Instruction SF 425 Screenshots (remarks section) Federal Financial Report
Other-CN Administrative Review & Training
PAN SNAP TERR RELIEF - SF-425 (FNS-778) (PR FFCRA/CARES) New 4 320 0 Other-SF 425 (778 PR)
PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant New 4 320 0 Other-PAN SNAP TERR RELIEF /SF-425 (FNS-778) (PR)
PR Disaster Relief Grant (SF-425 (FNS-778) (PR 2018/2019) New 1 80 0 Other-SF 425 (778)PR
QTR-SFA-CERT New 228 1140 0 Other-QTR-SFA-CERT
SNAP Federal Financial Report - SF-425(778a) New 28 28 0 Other-SF-425 (FNS 778A)
Worksheet 366B OMB# 0083 Modified 212 3180 0 Form and Instruction FNS 366 B Program and Budget Summary Statement
Instruction
Instruction
Form FNS 366B Form Changes due to AE 68 PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM ACTIVITY STATEMENT
Worksheet FNS 366A OMB# 0083 (PR/PR 2018-19/PR FFCRA-CARES) Modified 268 3978 0 Form and Instruction FNS 366 A (Screenshot) Program and Budget Summary Statement: Budget Projection
Instruction
Form and Instruction FNS 366A (page 1) Program and Budget Summary Statement Budget Projection
Form and Instruction FNS 366 A Program and Budget Summary Statement Budget Projection
Form and Instruction FNS 366 A Program and Budget Summary Statement Budget Projection
Worksheet FNS 10 OMB# 0002 Modified 2052 3591 0 Instruction
Other-FNS-10 Form (Non-Congregate) v1 (IMB)
Other-FNS-10 SSO Form (Non-Congregate) v2
Worksheet FNS 101 (3 respondents from CMNI and 2719 and 134 SLT OMB# 0025 Modified 2856 5714 0 Instruction
Form FNS 101 Participation in Food Programs by Race
Worksheet FNS 13 OMB#0075 Modified 57 4560 0 Instruction
Other-FNS 13 Screenshot
Worksheet FNS 152, 153 & 667 OMB# 0293 Modified 3286 12070 0 Form and Instruction FNS 152 (screenshot 1) Monthly Distribution of Donated Food to Family Units
Form and Instruction FNS 153 (screenshot 1) Monthly Report of the CSFP and Quarterly Administrative Financial Status Report
Form and Instruction FNS 667 (screenshot) Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs
Instruction
Instruction
Worksheet FNS 191 (OMB# 0025) New 252 504 0 Instruction
Other-FNS 191 Screenshot CSFP Racial/Ethnic Group Participation
Worksheet FNS 209 & FNS 209 PR OMB# 0069 (53 States plus 1 Puerto Rico = 54 State agencies) Modified 216 648 0 Form and Instruction FNS 209 Screenshot Status of Claims Against Households
Form and Instruction FNS 209 Screenshot Puerto Rico (PR) Status of Claims Against Households
Instruction
Worksheet FNS 292A and 292B OMB# 0037 Modified 55 23 0 Form and Instruction FNS 292A (screenshot) Disaster Relief (Commodities Distrubution) Report of Commodity Distrubution for DR
Form and Instruction FNS 292B (screenshot) Disaster Relief SNAP Benefit Issuance
Instruction
Instruction
Instruction
Worksheet FNS 388 and 388A OMB# 0081 (AS/CNMI-NAP/PR/PR-NAP) Modified 816 5539 0 Form and Instruction FNS 388A SNAP Project Area Data Format
Form and Instruction FNS 388 State Issuance and Participation Estimates
Instruction
Instruction
Form and Instruction FNS 388 (SNAP-TERR FNS 388 (PR) State Issuance and Participation Estimates
Form and Instruction FNS 388 (SNAP-TERR - FNS-388 AS) State Issuance and Participation Estimates
Form FNS-388 (PR-NAP) State Issuance and Participation Estimates
Worksheet FNS 418 OMB# 0280 Modified 530 1126 0 Form and Instruction FNS 418 Worksheet REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
Other-FNS 418 Worksheet
Worksheet FNS 44 OMB# 0055 Modified 672 672 0 Instruction
Other-FNS 44 Screenshots
Worksheet FNS 46 OMB# 0080 Modified 648 5184 0 Instruction
Other-FNS 46 Screenshots Issuance Reconciliation Report
Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule) Modified 244 20845 0 Form and Instruction FNS 583 (screenshot) SNAP Employment and Training Program Activity Report
Instruction
Form and Instruction FNS 583 (Proposed Changes AE68) U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE SNAP EMPLOYMENT AND TRAINING (E&T) PROGRAM ACTIVITY REPORT
Worksheet FNS 648 OMB# 0431 Modified 1806 307 0 Form and Instruction FNS 648 WIC Local Agency Directory
Instruction
Other-Working With WIC Clinics Guidance for FNS 648
Worksheet FNS 683 B OMB# 0594 Modified 51 179 0 Form and Instruction FNS 683 B WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT
Worksheet FNS 683A OMB# 0541 Modified 57 114 0 Form and Instruction FNS 683A Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Instruction
Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017 Unchanged 52 2808 0 Form and Instruction FNS 759 EARS (screenshot 1) SNAP Education & Admin Reporting System (EARS)
Form and Instruction FNS 759 EARS (screenshot 2) SNAP Education & Admin Reporting System (EARS)
Form and Instruction FNS 759 EARS (screenshot 3) SNAP Education & Admin Reporting System (EARS)
Instruction
Worksheet FNS 777 OMB# 0067 Modified 348 174 0 Form and Instruction FNS 777 Financial Status Report
Form and Instruction FNS 777 SAE Financial Status Report
Instruction
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 Modified 636 10685 0 Instruction
Other-FNS 778/778A Worksheet
Worksheet FNS 798 and 798A OMB# 0045 Modified 1424 4472 0 Instruction
Other-FNS 798/798A Worksheet
Total burden requested under this ICR: 41858 121438 0  
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