Worksheet FNS 152, 153 & 667 OMB# 0293

Food Programs Reporting System (FPRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Document Name Document Type
FNS-152 April 2014.pdf fprs.fns.usda.gov Instruction
FNS-153 April 2014.pdf fprs.fns.usda.gov Instruction
FNS 667 April 2014.pdf fprs.fns.usda.gov Instruction
FNS 152 Monthly Distribution of Donated Food to Family Units FNS-152 Screenshots V2.pdf fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 153 Monthly Report of the CSFP and Quarterly Administrative FNS-153 Screenshots V2.pdf fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 667 Report of The Emergency Food Assistance Programs (TEFAP) FNS-667 Screenshots V2.pdf fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction

Information Collection (IC) Details

IC Title:	Worksheet FNS 152, 153 & 667 OMB# 0293	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 250.17 7 CFR 251.10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FNS-153 April 2014.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	FNS-667 Screenshots V2.pdf	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 152	Monthly Distribution of Donated Food to Family Units	FNS-152 Screenshots V2.pdf	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	FNS-153 Screenshots V2.pdf	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-152 April 2014.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 667 April 2014.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 111	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,111	2,111
Annual IC Time Burden (Hours)	7,468	7,468
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.