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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
SNAP, WIC, FMNP, and CN COVID-19 Waivers, Evaluation, and Reporting Data - State Agencies and WIC Local Government (SLT)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix Q. SNAP Weekly Operational Update
Appendix Q. SNAP Weekly Operational Update.xlsx
Yes
Yes
Fillable Fileable
Other-Appendix R. SNAP Continuing Resolution Options Form
Appendix R. SNAP Continuing Resolution Options Form.pdf
Yes
Yes
Fillable Printable
Other-Appendix S. WIC Waiver Request Form
Appendix S. WIC Waiver Request Form.pdf
Yes
Yes
Fillable Printable
Other-Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots
Appendix T. WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots.docx
Yes
Yes
Fillable Printable
Other-Appendix U. WIC MIS Data Pull Instructions 10.27
Appendix U. WIC MIS Data Pull Instructions 10.27.docx
No
Printable Only
Other-Appendix V. WIC MIS Data Pull Form
Appendix V. WIC MIS Data Pull Form.xlsx
Yes
Yes
Fillable Fileable
Other-Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27
Appendix W. WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27.docx
Yes
Yes
Fillable Printable
Other-Appendix X. FMNP Waiver Request Form
Appendix X. FMNP Waiver Request Form.pdf
Yes
Yes
Fillable Fileable Signable
Other-Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form
Appendix Y. FMNP State Agency Wiaver FFCRA Reporting Data Online form.docx
Yes
Yes
Fillable Fileable
Other-Appendix Z. CN reporting data instructions
Appendix Z. CN reporting data instructions.pdf
No
Printable Only
Other-Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions
Appendix P. SNAP waiver request and FFCRA Reporting Data Instructions.docx
No
Printable Only
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:
2,066
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
46 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,452
7,458
0
0
0
5,994
Annual IC Time Burden (Hours)
19,890
12,894
0
0
0
6,996
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix AA. FNS-10
Appendix AA. FNS-10.pdf
10/28/2020
Appendix BB. FNS-44
Appendix BB. FNS-44.pdf
10/28/2020
Appendix CC. FNS-418
Appendix CC. FNS-418.pdf
10/28/2020
Appendix DD. Commodities reporting data FNS 292A
Appendix DD. Commodities reporting data FNS 292A.xlsx
10/28/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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