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Federal forms, ICRs, and supporting documents

Information Collection

SNAP, WIC, FMNP, and CN COVID-19 Waivers, Evaluation, and Reporting Data - State Agencies and WIC Local Government (SLT)

IC 241637 under ICR 202010-0584-011 · OMB 0584-0654.

Documents and Forms
Document Name
Document Type
Other-Appendix Q. SNAP Weekly Operat
Other-Appendix R. SNAP Continuing Re
Other-Appendix S. WIC Waiver Request
Other-Appendix T. WIC State Agency W
Other-Appendix U. WIC MIS Data Pull
Other-Appendix V. WIC MIS Data Pull
Other-Appendix W. WIC Local Agency W
Other-Appendix X. FMNP Waiver Reques
Other-Appendix Y. FMNP State Agency
Other-Appendix Z. CN reporting data
Other-Appendix P. SNAP waiver reques
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SNAP, WIC, FMNP, and CN COVID-19 Waivers, Evaluation, and Reporting Data - State Agencies and WIC Local Government (SLT)
 
No Modified
 
Voluntary
 

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

Income Security Food and Nutrition Assistance

 

2,066 0
   
State, Local, and Tribal Governments
 
   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

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.