Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Breastfeeding Data by Local Agency Unchanged 89 1 0 Other-BFDLA WORKSHEET
FINANCIAL STATUS REPORT - America Samoa and PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant Unchanged 8 64 0 Other-SF-425_778AS
FINANCIAL STATUS REPORT - CNMI and PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant Unchanged 8 20 0 Other-SF425(FNS778) CNMI NAP
FINANCIAL STATUS REPORT - PR - SF-425 (FNS-778) (PR) Unchanged 4 320 0 Other-SF 425 - 778PR
FNS 46 PR Issuance Reconciliation Report (delineated from prior approval) Unchanged 12 48 0 Other-FNS 46 PR Worksheet
FNS 640 Unchanged 56 280 0 Form and Instruction FNS 640
Instruction
Instruction
FNS-742 Unchanged 18398 9199 0 Form FNS-742
Instruction
FNS-828 Unchanged 56 560 0 Instruction
Other-FNS 828 Worksheet
FNS-834 Unchanged 106 53 0 Instruction
Other-FNS 834 worksheet
FNS-874 Unchanged 56 280 0 Instruction
Other-FNS 874 worksheet
OMB# 4040-0014 SF 425 (CN/SNAP/FD/FDPNE/WIC/Pandemic/PAN BUS Unchanged 212 1 0 Other-CN SF 425 used by all Grantees
OMB# 4040-0014 SF 425 (CN/SNAP/FD/FDPNE/WIC/Pandemic/PAN SLT Unchanged 6050 22351 0 Form and Instruction SF 425 (screenshot page 1)
Instruction
Form and Instruction SF 425 (screenshot page 2)
Form and Instruction SF 425 Screenshots (remarks section)
Other-CN Administrative Review & Training
PAN SNAP TERR RELIEF - SF-425 (FNS-778) (PR FFCRA/CARES) Unchanged 4 320 0 Other-SF 425 (778 PR)
PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant Unchanged 4 320 0 Other-PAN SNAP TERR RELIEF /SF-425 (FNS-778) (PR)
PR Disaster Relief Grant (SF-425 (FNS-778) (PR 2018/2019) Unchanged 1 80 0 Other-SF 425 (778)PR
QTR-SFA-CERT Unchanged 228 1140 0 Other-QTR-SFA-CERT
SNAP Federal Financial Report - SF-425(778a) Unchanged 28 28 0 Other-SF-425 (FNS 778A)
Worksheet 366B OMB# 0083 Unchanged 212 3180 0 Form and Instruction FNS 366 B
Instruction
Instruction
Form FNS 366B Form Changes due to AE 68
Worksheet FNS 366A OMB# 0083 (PR/PR 2018-19/PR FFCRA-CARES) Unchanged 268 3978 0 Form and Instruction FNS 366 A (Screenshot)
Instruction
Form and Instruction FNS 366A (page 1)
Form and Instruction FNS 366 A
Form and Instruction FNS 366 A
Worksheet FNS 10 OMB# 0002 Unchanged 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 Unchanged 2856 5714 0 Instruction
Form FNS 101
Worksheet FNS 13 OMB#0075 Unchanged 57 4560 0 Instruction
Other-FNS 13 Screenshot
Worksheet FNS 152, 153 & 667 OMB# 0293 Unchanged 3286 12070 0 Form and Instruction FNS 152 (screenshot 1)
Form and Instruction FNS 153 (screenshot 1)
Form and Instruction FNS 667 (screenshot)
Instruction
Instruction
Worksheet FNS 191 (OMB# 0025) Unchanged 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) Unchanged 216 648 0 Form and Instruction FNS 209 Screenshot
Form and Instruction FNS 209 Screenshot Puerto Rico (PR)
Instruction
Worksheet FNS 292A and 292B OMB# 0037 Unchanged 55 23 0 Form and Instruction FNS 292A (screenshot)
Form and Instruction FNS 292B (screenshot)
Instruction
Instruction
Instruction
Worksheet FNS 388 and 388A OMB# 0081 (AS/CNMI-NAP/PR/PR-NAP) Unchanged 816 5539 0 Form and Instruction FNS 388A
Form and Instruction FNS 388
Instruction
Instruction
Form and Instruction FNS 388 (SNAP-TERR FNS 388 (PR)
Form and Instruction FNS 388 (SNAP-TERR - FNS-388 AS)
Form FNS-388 (PR-NAP)
Worksheet FNS 418 OMB# 0280 Unchanged 530 1126 0 Form and Instruction FNS 418 Worksheet
Other-FNS 418 Worksheet
Worksheet FNS 44 OMB# 0055 Unchanged 672 672 0 Instruction
Other-FNS 44 Screenshots
Worksheet FNS 46 OMB# 0080 Unchanged 648 5184 0 Instruction
Other-FNS 46 Screenshots Issuance Reconciliation Report
Worksheet FNS 583 OMB# 0339 (32 States are impacted by this rule) Unchanged 244 20845 0 Form and Instruction FNS 583 (screenshot)
Instruction
Form and Instruction FNS 583 (Proposed Changes AE68)
Worksheet FNS 648 OMB# 0431 Unchanged 1806 307 0 Form and Instruction FNS 648
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
Instruction
Worksheet FNS 683A OMB# 0541 Unchanged 57 114 0 Form and Instruction FNS 683A
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)
Form and Instruction FNS 759 EARS (screenshot 2)
Form and Instruction FNS 759 EARS (screenshot 3)
Instruction
Worksheet FNS 777 OMB# 0067 Unchanged 348 174 0 Form and Instruction FNS 777
Form and Instruction FNS 777 SAE
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 Unchanged 636 10685 0 Instruction
Other-FNS 778/778A Worksheet
Worksheet FNS 798 and 798A OMB# 0045 Unchanged 1424 4472 0 Instruction
Other-FNS 798/798A Worksheet
Total burden requested under this ICR: 41858 121438 0  
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