FNS 698, pg. 2 Profile of Integrity Practices and Procedures (PIPP)

FNS 698: PIPP - Continued
FNS-698 - OMB Form Number: 0584-0401
SECTION 2: Pre- and Post-Payment Edit Systems
FI = Food Instrument
1 The State uses pre-edit (before payment) or post-edit (after payment) screens for:
Check all that apply

All food instruments

Pre-Edit

Post-Edit

Not-applicable

Sampled food instruments

Pre-Edit

Post-Edit

Not-applicable

Other (specify below)

Pre-Edit

Post-Edit

Not-applicable

Other:
Enter Data

Percent of sampled food instruments:

Enter Data

%

2 The State Agency screens food instruments through a pre-edit (before payment) or

a post-edit (after payment) process to detect the following:
Check all that apply
FI = Food Instruments

No WIC agency validation stamp

Pre-Edit

Post-Edit

Does not screen

No vendor stamp

Pre-Edit

Post-Edit

Does not screen

Illegible vendor stamp

Pre-Edit

Post-Edit

Does not screen

Invalid vendor stamp

Pre-Edit

Post-Edit

Does not screen

Counterfeit vendor stamp

Pre-Edit

Post-Edit

Does not screen

Invalid vendor number

Pre-Edit

Post-Edit

Does not screen

Canceled vendor number

Pre-Edit

Post-Edit

Does not screen

Vendor number not on file

Pre-Edit

Post-Edit

Does not screen

Post date (cashed before 1st date of use)

Pre-Edit

Post-Edit

Does not screen

Stale date (cashed after end use date)

Pre-Edit

Post-Edit

Does not screen

Altered date

Pre-Edit

Post-Edit

Does not screen

Altered signature

Pre-Edit

Post-Edit

Does not screen

No signature/counter signatures

Pre-Edit

Post-Edit

Does not screen

Mismatch signature

Pre-Edit

Post-Edit

Does not screen

Excessive dollar amount (fill in amount below)

Pre-Edit

Post-Edit

Does not screen

Altered dollar amount

Pre-Edit

Post-Edit

Does not screen

Dollar amount in pencil

Pre-Edit

Post-Edit

Does not screen

Illegible dollar amount

Pre-Edit

Post-Edit

Does not screen

No dollar amount

Pre-Edit

Post-Edit

Does not screen

No participant name

Pre-Edit

Post-Edit

Does not screen

Food Instrument submitted late for payment

Pre-Edit

Post-Edit

Does not screen

Excessive dollar amount:
Leave blank if state does not screen

Enter Data

%

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless
it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0401. The time
required for completing this collection is estimated to take 10 minutes per response, including the time for
Reviewing instructions, searching existing data sources, gathering the data needed, and completing and reviewing the
information collection.

Page 2