Food Distribution Programs (0584-AE05)

Forms and Documents

Document Name	Status
Form FNS-7 Food Distribution Forms (State and Local Government) Form	Modified
Form FNS-663 Business Form and Instruction	Unchanged
Attachment 2 - FDPIR income deductions 080613.xlsx Supplementary Document	2013-08-08
Attachment 1 - 0584-0293 Burden Narrative 080613.docx Supplementary Document	2013-08-08
Supporting Statement ICB 0584-0293 - FDPIR Income Eligibility Rule 082613.docx Supporting Statement A	2013-08-26
06 WBSCM Screenshot - Complaints Form (08-15-13).docx Supplementary Document	2013-08-19
05 WBSCM Screenshot - Recall Survey Response Form (08-15-13).docx Supplementary Document	2013-08-19
04 WBSCM Screenshot - Shipment Receipt Form (08-15-13).docx Supplementary Document	2013-08-19
03 WBSCM Screenshot - Consolidated Requisition Form (08-15-13).docx Supplementary Document	2013-08-19
02 WBSCM Screenshot - Multi-Food Order Form (08-15-13).docx Supplementary Document	2013-08-19
01 WBSCM Screenshot - Domestic Direct Ship Order Form (08-15-13).docx Supplementary Document	2013-08-19

IC Document Collections

IC ID	Document Title	Status
43552	Food Distribution Forms (State and Local Government) Form	Modified
191243	Individuals/Households - Elderly & WIC	Modified
191242	Business Form and Instruction	Unchanged

ICR Details

OMB Control No: 0584-0293	ICR Reference No: 201305-0584-006
Status: Historical Active	Previous ICR Reference No: 201005-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Distribution Programs (0584-AE05)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/26/2013
	Date Received in OIRA: 08/27/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	12/31/2014
Responses	1,658,139	0	1,655,721
Time Burden (Hours)	1,081,072	0	1,079,173
Cost Burden (Dollars)	0	0	0

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Abstract: To assist American farmers and needy people by purchasing commodities and delivering them to State agencies that, in turn, distribute them to organizations for use in providing food assistance to those in need.

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Authorizing Statute(s): US Code: 42 USC 1755, 1762a & 1776 Name of Law: National School Lunch Act
   US Code: 7 USC 2013 Name of Law: Food Stamp Act 1977
   US Code: 42 USC Section 4 (1733) Name of Law: Child Nutrition Act 1966
   US Code: 7 USC 7501 Name of Law: The Emergency Food Assistance Act 1983
   PL: Pub.L. 111 - 5 101 Name of Law: American Recovery and Reinvestment Act of 2009
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0584-AE05	Final or interim final rulemaking	78 FR 166	08/27/2013

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 1642	01/11/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Business	FNS-663	FOOD DISTRIBUTION COMMODITY ACCEPTABILITY PROGRESS (CAP) REPORT
Food Distribution Forms (State and Local Government)	FNS-155, FNS-53, FNS-57, FNS-153, FNS-667, SF 425, FNS-7, FNS-152, FNS-52	DESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DELIVERY OF ,   FOOD REQUISITION ,   USDA MULTI-FOOD REQUISITION ,   REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED ,   MONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS ,   MONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRAM AND QUARTERLY ADMINISTRATIVE FINANCIAL STATUS REPORT ,   INVENTORY MANAGEMENT REGISTER ,   REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS ,   Financial Status Reports- ARRA FDPIR
Individuals/Households - Elderly & WIC

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,658,139	1,655,721	0	2,418	0	0
Annual Time Burden (Hours)	1,081,072	1,079,173	0	1,899	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved collection. The revision in burden hours reflect an estimated increase in participation and changes to verification and household reporting requirements as the result of the implementation of the final rule: Food Distribution Program on Indian Reservations: Income Deductions and Resource Eligibility. The net increase in burden hours, due to program changes, is 1,899.

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Annual Cost to Federal Government: $5,595,427

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/27/2013

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