Federal Financial Report Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 778 Federal Financial Reporting	Form and Instruction	New	Available
Werfel FMR Concerns PDF.pdf	Supplementary Document	Uploaded 2009-10-27	Repair queued
BUR778COSTS.xlsx	Supplementary Document	Uploaded 2009-09-23	Available
SS 10-27-09.doc	Supporting Statement A	Uploaded 2009-10-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190773	Federal Financial Reporting	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 200909-0584-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Federal Financial Report Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 12/03/2009
	Date Received in OIRA: 10/28/2009
Terms of Clearance: Withdrawn pending a decision by OMB regarding FNS' exemption request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: FNS is proposing to have the FNS-778 replace the SF-269 for SNAP and be an exception to the new Federal Financial Report (FFR). As a separate action, FNS is in the process of publishing a final rule that will do a nomenclature change to remove the references to the SF-269 and replace them with references to the FNS-778.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 15240	04/03/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 206	10/27/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Federal Financial Reporting	FNS 778, FNS 778A	Financial Status Report ,   Financial Status Report Addendum

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection with a program change of 4,646 burden hours. The forms FNS-778 and FNS-778A are the proposed replacements for the SF-269 (FS) and SF-269A (FS) respectively for SNAP.

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Annual Cost to Federal Government: $105,873

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/28/2009

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