Information Collection

Food Distribution Forms (State and Local Government)

IC 43552 under ICR 201005-0584-001 · OMB 0584-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0293 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-7 DESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DELIVERY OF Food Distribution Forms (State and Local Government)	Form
Form FNS-52 FOOD REQUISITION Food Distribution Forms (State and Local Government)	Form
Form FNS-53 USDA MULTI-FOOD REQUISITION Food Distribution Forms (State and Local Government)	Form
Form FNS-57 REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED Food Distribution Forms (State and Local Government)	Form
Form FNS-152 MONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS Food Distribution Forms (State and Local Government)	Form
Form FNS-153 MONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRAM AND QUARTERLY ADMINISTRATIVE FINANCIAL STATUS REPORT Food Distribution Forms (State and Local Government)	Form
Form FNS-155 INVENTORY MANAGEMENT REGISTER Food Distribution Forms (State and Local Government)	Form
Form FNS-667 REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS Food Distribution Forms (State and Local Government)	Form
Form SF 425 Financial Status Reports- ARRA FDPIR Food Distribution Forms (State and Local Government)	Form
FNS-7 DESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DE FNS-7.pdf	Form
FNS-52 FOOD REQUISITION FNS-52.pdf	Form
FNS-53 USDA MULTI-FOOD REQUISITION FNS-53.pdf	Form
FNS-57 REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED FNS-57.pdf	Form
FNS-152 MONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS FNS-152.pdf	Form
FNS-153 MONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRA FNS-153.pdf	Form
FNS-155 INVENTORY MANAGEMENT REGISTER FNS-155.pdf	Form
FNS-667 REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) FNS-667.pdf	Form
SF 425 Financial Status Reports- ARRA FDPIR SF-425 for 0293 ARRA 5-19-09.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Food Distribution Forms (State and Local Government)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-7	Yes	Yes	Fillable Printable
Form	FNS-52	Yes	Yes	Fillable Printable
Form	FNS-53	Yes	Yes	Fillable Fileable
Form	FNS-57	Yes	Yes	Fillable Printable
Form	FNS-152	Yes	Yes	Fillable Printable
Form	FNS-153	Yes	Yes	Fillable Printable
Form	FNS-155	Yes	Yes	Fillable Printable
Form	FNS-667	Yes	Yes	Fillable Printable
Form	SF 425	Yes	Yes	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: 330

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	187,169	187,169
Annual IC Time Burden (Hours)	30,825	30,825
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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