Information Collection Request

Food Distribution Programs

ICR 201409-0584-002 · OMB 0584-0293 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FNS-667 REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS Form Modified Repair queued
Form FNS-155 INVENTORY MANAGEMENT REGISTER Form Modified Available
Form FNS-153 MONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRAM AND QUARTERLY ADMINISTRATIVE FINANCIAL STATUS REPORT Form Modified Available
Form FNS-152 MONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS Form Modified Available
Form FNS-57 REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED Form Modified Available
Form FNS-53 USDA MULTI-FOOD REQUISITION Form Modified Available
Form FNS-52 FOOD REQUISITION Form Modified Available
Form FNS-7 DESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DELIVERY OF Form Modified Available
Form FNS-667 REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS Form and Instruction Modified Available
Form FNS-57 REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED Form and Instruction Modified Available
Attachment 1 - 0584-0293 Burden Narrative 092914.docx Supplementary Document Uploaded 2014-09-29 Available
FDD Part 250 Rule - Burden Table 092914.xlsx Supplementary Document Uploaded 2014-09-29 Available
Supporting Statement ICB - Part 250 Distribution and Control Rule 0912914.docx Supporting Statement A Uploaded 2014-09-29 Repair queued
06 WBSCM Screenshot - Complaints Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available
05 WBSCM Screenshot - Recall Survey Response Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available
04 WBSCM Screenshot - Shipment Receipt Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available
03 WBSCM Screenshot - Consolidated Requisition Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available
02 WBSCM Screenshot - Multi-Food Order Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available
01 WBSCM Screenshot - Domestic Direct Ship Order Form (08-15-13).docx Supplementary Document Uploaded 2013-08-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43552 Food Distribution Forms (State and Local Government) Form ModifiedREPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS
43552 Food Distribution Forms (State and Local Government) Form ModifiedINVENTORY MANAGEMENT REGISTER
43552 Food Distribution Forms (State and Local Government) Form ModifiedMONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRAM AND QUARTERLY ADMINISTRATIVE FINANCIAL STATUS REPORT
43552 Food Distribution Forms (State and Local Government) Form ModifiedMONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS
43552 Food Distribution Forms (State and Local Government) Form ModifiedREPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED
43552 Food Distribution Forms (State and Local Government) Form ModifiedUSDA MULTI-FOOD REQUISITION
43552 Food Distribution Forms (State and Local Government) Form ModifiedFOOD REQUISITION
43552 Food Distribution Forms (State and Local Government) Form ModifiedDESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DELIVERY OF
191243 Individuals/Households Modified
191242 Business Form and Instruction ModifiedREPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS
191242 Business Form and Instruction ModifiedREPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 11/30/2016
1,658,139 0 1,658,139
1,081,072 0 1,081,072
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Business FNS-667, FNS-57 ,  
Food Distribution Forms (State and Local Government) FNS-53, FNS-57, FNS-153, FNS-155, FNS-667, FNS-7, FNS-152, FNS-52 ,   ,   ,   ,   ,   ,   ,  
Individuals/Households



Reginfo record details
  No