View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
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 I- SNAP Waiver Request & Reporting Data Instructions
Appendix I- SNAP Waiver Request & Reporting Data Instructions.pdf
Yes
No
Printable Only
Other-Appendix J SNAP Weekly Operational Update (003)
Appendix J SNAP Weekly Operational Update (003).xlsx
Yes
Yes
Fillable Fileable
Other-Appendix K WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10 27
Appendix K WIC State Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10 27.docx
Yes
Yes
Fillable Fileable Signable
Other-Appendix L WIC MIS Data Pull Instructions 10.27
Appendix L WIC MIS Data Pull Instructions 10.27.docx
Yes
No
Printable Only
Other-Appendix M WIC MIS Data Pull Form
Appendix M WIC MIS Data Pull Form.xlsx
Yes
Yes
Fillable Fileable
Other-Appendix N. FMNP State Agency Wiaver FFCRA Reporting Data Online form
Appendix N. FMNP State Agency Wiaver FFCRA Reporting Data Online form.docx
Yes
Yes
Fillable Fileable
Other-Appendix O - Child Nutrition Program Waiver Request Guidance and reporting template
Appendix O - Child Nutrition Program Waiver Request Guidance and reporting template.pdf
Yes
Yes
Fillable Fileable
Other-Appendix Q WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27
Appendix Q WIC Local Agency Waiver FFCRA Reporting Data Online Form - Screenshots 10.27.docx
Yes
Yes
Fillable Fileable
Other-Attachment to Appendix I of ICR EXAMPLE of Telephonic Signature Terms Conditions
Attachment to Appendix I of ICR EXAMPLE of Telephonic Signature Terms Conditions.pdf
Yes
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:
30,418
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
193,034
0
179,582
0
0
13,452
Annual IC Time Burden (Hours)
113,136
0
93,246
0
0
19,890
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix P Commodities reporting data FNS 292A
Appendix P Commodities reporting data FNS 292A.xlsx
01/21/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.