Food Programs Reporting System (FPRS)

Forms and Documents

Document Name	Status
Form FNS-874 (formerly FNS-874 (formerly FNS-742a) Form and Instruction	New
Form FNS-742 FNS-742 Form	New
Form FNS-828 FNS-828 Form	Modified
Form FNS 683a Worksheet FNS 683a OMB# 0541 Form and Instruction	Unchanged
Form FNS 778 & 778a Worksheet FNS 778 AND 778A OMB# 0584-NEW Form and Instruction	Unchanged
Form FNS 648 Worksheet FNS 648 OMB# 0431 Form and Instruction	Unchanged
Form FNS 798/798A Worksheet FNS 798 and 798A OMB# 0045 Form and Instruction	Unchanged
Form FNS 759 Worksheet FNS 759 OMB# 0542 Form and Instruction	Unchanged
Form FNS 583 Worksheet FNS 583 OMB# 0339 Form and Instruction	Unchanged
Form FNS 292A Worksheet FNS 292A and 292B OMB# 0037 Form and Instruction	Unchanged
Form FNS 366 A Worksheet FNS 366A and 366B OMB# 0083 Form and Instruction	Modified
Form FNS 209 Screenshot Worksheet FNS 209 OMB# 0069 Form and Instruction	Unchanged
Form FNS 777 Worksheet FNS 777 OMB# 0067 Form and Instruction	Unchanged
Form FNS 152 Worksheet FNS 152, 153 & 667 OMB# 0293 Form and Instruction	Unchanged
Form FNS 44 Worksheet FNS 44 OMB# 0055 Form and Instruction	Unchanged
Form FNS 191 Worksheet FNS 101 AND 191 OMB# 0025 Form and Instruction	Unchanged
Form FNS 388a Worksheet FNS 388 and 388A OMB# 0081 Form and Instruction	Unchanged
Form FNS 683 B Worksheet FNS 683 B OMB# 0594 Form and Instruction	Unchanged
Form SF 425 OMB# 0348-0061 SF 425 Form and Instruction	Unchanged
Form FNS 46 Worksheet FNS 46 OMB# 0080 Form and Instruction	Unchanged
Form FNS 418 Worksheet FNS 418 OMB# 0280 Form and Instruction	Unchanged
Form FNS 13 Worksheet FNS 13 OMB#0075 Form and Instruction	Unchanged
Form FNS 10 Worksheet FNS 10 OMB# 0002 Form and Instruction	Unchanged
ICR Change Request - Merge FNS-742 and FNS-874 from 0584-0026 to 0584-0594.pdf Justification for No Material/Nonsubstantive Change	2015-12-28
FNS-828 Merge from 0006 to 0594.pdf Justification for No Material/Nonsubstantive Change	2015-12-14
683B change justification memo-OCIO.pdf Justification for No Material/Nonsubstantive Change	2015-05-04
FINAL Justification for Approval of form 683 and 203.dox.docx Justification for No Material/Nonsubstantive Change	2014-09-26
042514 FPRS Supplementary Memo.pdf Supplementary Document	2014-06-09
FPRS Forms Purpose 10-30-13.xlsx Supplementary Document	2014-04-16
031814 FPRS Part B.docx Supporting Statement B	2014-03-19
FPRS PIA 2007.pdf Supplementary Document	2012-11-19
Final 032414 FPRS Burden Chart.xlsx Supplementary Document	2014-04-16
FPRS SS-OMB 3rd Round Recommendations 04-16-14.docx Supporting Statement A	2014-04-21

IC Document Collections

IC ID	Document Title	Status
219419	FNS-874 (formerly FNS-742a) Form and Instruction	New
219418	FNS-742 Form	New
219236	FNS-828 Form	Modified
204872	Worksheet FNS 683a OMB# 0541 Form and Instruction	Unchanged
204774	Worksheet FNS 778 AND 778A OMB# 0584-NEW Form and Instruction	Unchanged
204753	Worksheet FNS 648 OMB# 0431 Form and Instruction	Unchanged
204751	Worksheet FNS 798 and 798A OMB# 0045 Form and Instruction	Unchanged
204673	Worksheet FNS 759 OMB# 0542 Form and Instruction	Unchanged
204669	Worksheet FNS 583 OMB# 0339 Form and Instruction	Unchanged
204666	Worksheet FNS 292A and 292B OMB# 0037 Form and Instruction	Unchanged
204662	Worksheet FNS 366A and 366B OMB# 0083 Form and Instruction	Modified
204659	Worksheet FNS 209 OMB# 0069 Form and Instruction	Unchanged
204658	Worksheet FNS 777 OMB# 0067 Form and Instruction	Unchanged
204625	Worksheet FNS 152, 153 & 667 OMB# 0293 Form and Instruction	Unchanged
204622	Worksheet FNS 44 OMB# 0055 Form and Instruction	Unchanged
204621	Worksheet FNS 101 AND 191 OMB# 0025 Form and Instruction	Unchanged
204620	Worksheet FNS 388 and 388A OMB# 0081 Form and Instruction	Unchanged
204618	Worksheet FNS 683 B OMB# 0594 Form and Instruction	Unchanged
204616	OMB# 0348-0061 SF 425 Form and Instruction	Unchanged
203841	Worksheet FNS 46 OMB# 0080 Form and Instruction	Unchanged
203832	Worksheet FNS 418 OMB# 0280 Form and Instruction	Unchanged
203831	Worksheet FNS 13 OMB#0075 Form and Instruction	Unchanged
203829	Worksheet FNS 10 OMB# 0002 Form and Instruction	Unchanged

ICR Details

OMB Control No: 0584-0594	ICR Reference No: 201512-0584-008
Status: Historical Active	Previous ICR Reference No: 201512-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No: 742 & 742a merge
Title: Food Programs Reporting System (FPRS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/11/2016
	Date Received in OIRA: 01/08/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	06/30/2017	06/30/2017
Responses	46,216	0	23,846
Time Burden (Hours)	103,627	0	87,381
Cost Burden (Dollars)	0	0	0

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Abstract: Food Programs Reporting System (FPRS)facilitates data gathering for the reporting of data for the Special Supplemental Nutrition Program (SNAP) and the Special Nutrition Programs. FPRS is the primary collection point for program performance statistics and financial data from State agencies (SA), Indian Tribal Organizations (ITO), and USA Territories participating in the nutrition assistance programs.

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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:
	78 FR 20612	04/05/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 125	06/28/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 23

IC Title	Form No.	Form Name
Worksheet FNS 46 OMB# 0080	FNS 46	Issuance Reconciliation Report
Worksheet FNS 759 OMB# 0542	FNS 759	Supplemental Nutrition Assistance Program Education (SNAP-Ed) EARS Reporting Form
Worksheet FNS 13 OMB#0075	FNS 13	Annual Report of State Revenue Matching
Worksheet FNS 10 OMB# 0002	FNS 10	Report of School Program Operations
Worksheet FNS 777 OMB# 0067	FNS 777	Financial Status Report
Worksheet FNS 209 OMB# 0069	FNS 209 Screenshot	Status of Claims Against Households
Worksheet FNS 366A and 366B OMB# 0083	FNS 366 A, FNS 366 B	Program and Budget Summary Statement: Budget Projection ,   Program and Budget Summary Statement: Program Activity Statement
Worksheet FNS 418 OMB# 0280	FNS 418	Summer Food Service Program for Children
Worksheet FNS 292A and 292B OMB# 0037	FNS 292A, FNS 292B	Disaster Relief (Commidities Distrubution) Report of Commodity Distrubution for DR ,   Disaster Relief SNAP Benefit Issuance
Worksheet FNS 778 AND 778A OMB# 0584-NEW	FNS 778 & 778a	Federal Financial Report (SNAP OPERATIONS)
OMB# 0348-0061 SF 425	SF 425	Federal Financial Report
Worksheet FNS 683 B OMB# 0594	FNS 683 B	WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT
Worksheet FNS 388 and 388A OMB# 0081	FNS 388a, FNS 388	SNAP Project Area Data Format ,   State Issuance and Participation Estimates
Worksheet FNS 101 AND 191 OMB# 0025	FNS 191, FNS 101	CSFP Racial/Ethnic Group Participation ,   Participation in Food Programs-By Race
Worksheet FNS 44 OMB# 0055	FNS 44	Report of Child and Adult Care Food Program
Worksheet FNS 583 OMB# 0339	FNS 583	SNAP Employment and Training Program Activity Report
Worksheet FNS 683a OMB# 0541	FNS 683a	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Worksheet FNS 798 and 798A OMB# 0045	FNS 798/798A	WIC Financial Management and Participation Report
Worksheet FNS 648 OMB# 0431	FNS 648	WIC Local Agency Directory
Worksheet FNS 152, 153 & 667 OMB# 0293	FNS 153, FNS 667, FNS 152	Monthly Distribution of Donated Food to Family Units ,   Monthly Report of the CSFP and Quarterly Administrative Financial Status Report ,   Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs
FNS-828	FNS-828	FNS-828
FNS-742	FNS-742, FNS-742	School Food Authority (SFA) Verification Collection Report - FPRS Submission ,   FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template
FNS-874 (formerly FNS-742a)	FNS-874 (formerly FNS-742a), FNS-874 (formerly FNS-742a)	Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report

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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	46,216	23,846	0	22,370	0	0
Annual Time Burden (Hours)	103,627	87,381	0	16,246	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Increase is attributed to merging forms FNS 742 and FNS 742a (re-numbered to FNS 874) and the associated burden/responses from 0584-0026 into this collection package.

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Annual Cost to Federal Government: $2,334,991

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 01/08/2016

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