View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Food Distribution Program (State and Local Government)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 240, 247, 250, 251, 253, 254 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FNS-7
Destination Data for Food Deliveries
Attachment 12- FNS-7 Destination Data for Food Deliveries.pdf
Yes
No
Fillable Printable
Form
FNS-52
Food Requisitions WBSCM Screen Shot
Attachment 13A FNS-52 WBSCM Screenshots.pptx
Yes
Yes
Fillable Fileable
Form
FNS-53
Requisition for Multi-Food Shipments WBSCM Screen Shot
Attachment 13B FNS-53 WBSCM Screenshots.pptx
Yes
Yes
Fillable Fileable
Form
FNS-57
Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot
Attachment 13C FNS-57 WBSCM Screenshots.pptx
Yes
Yes
Fillable Fileable
Form
FNS-152
Monthly Distribution of Donated Food to Family Units
Attachment 14- FNS 152 Monthly Distribution of Donated Foods to Family Units.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS-153
Monthly CSFP Report and Quarterly Administrative Financial Status
Attachment 15- FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS-155
Inventory Management Register
Attachment 16- FNS-155 Inventory Management Register.pdf
Yes
No
Fillable Printable
Form and Instruction
FNS-667
Report of TEFAP Administrative Costs
Attachment 17- FNS-667 Report of TEFAP Administrative Costs.pdf
Yes
No
Fillable Printable
Other-State Plan Amendment Template
Attachment 23 - State Plan Amendment Template for FY 2020 Farm to Food Bank Projects.pdf
Yes
No
Fillable Printable
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:
21,440
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
27 %
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
703,450
0
0
0
0
703,450
Annual IC Time Burden (Hours)
94,318
0
0
225
0
94,093
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 18 - SF-424 Application for Federal Assistance
Attachment 18- SF-424 Application for Federal Assistance.pdf
11/26/2019
Attachment 19 - SF-425 Federal Financial Report
Attachment 19- SF- 425 Federal Financial Report.pdf
11/26/2019
Attachment 20-A FNS-152 Food Programs Reporting System (FPRS) Screen Shot
Attahment 20-A-FNS-152 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-B FNS-153 Food Programs Reporting System (FPRS) Screen Shot
Attahment 20-B FNS-153 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-C FNS-667 Food Program Reporting System (FPRS) Screen Shot
Attahment 20-C FNS-667 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-D FNS-144 Food Program Reporting System (FPRS) Screen Shot
Attahment 20-D-FNS-44 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-E FNS-10 Food Program Reporting System (FPRS) Screen Shot
Attahment 20-E FNS-10 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-F FNS-191 Food Program Reporting System (FPRS) Screen Shot
Attahment 20-F FNS-191 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-G FNS-292 Food Program Reporting System (FPRS) Screen Shot
Attahment 20-G FNS-292 FPRS Screen Shots.pptm
11/26/2019
Attachment 20-H FPRS Welcome Page with OMB Disclosure Statement
Attachment 20-H - FPRS Welcome Page with OMB Disclosure Statement.pdf
11/26/2019
Attachment 22 WBSCM FAQs and Tips
Attachment 22- WBSCM FAQs and Tips.pdf
11/26/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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