FDD Distribution Costs to District for USDA Foods

OMB Control No: 0584-0524

Expiration Date: 6/30/2016

Distribution Fees associated with USDA Foods

1. Region

2. State

3. What type of Storage Facility do you have?

• State contracted commercial warehouse

• District Co-op contracted commercial warehouse

• Direct ship to district warehouse

• State-Run

• Food Bank

• Other _____________________________

1. Number of Distribution facilities

   • Broken into how many regions?

2. Distribution Service

   • Delivery

     • Frequency/Schedule

       1. Weekly

       2. Monthly

          1. How many months

          2. Month range

   • Pick up

3. Distribution Fees

   • Transportation Fees

   • SAE funds

• Subsidy to reduce fee

• Direct payment of fees

• Other State funds used

1. Fee Basis

   • Units for Charges

• Per case

• Per pound

• Per cwt

• Other

• Fees by region

  • Region spaces to report?

1. Additional Charges?

2. Contracted guaranteed minimum cases per warehouse for SY

3. Fuel market clause

4. Minimum drop quantity for delivery

5. Dwell Days

   • Included in initial fee

6. Storage Fees charged for dwell days included in initial fee

   • Units for Charges

7. Admin Fees

8. Admin Fee Basis

   • Direct Ship Fees (fees charged to direct ship districts)

   • Processor Fees

   • DoD Fresh ‘state’ service fee

   • Units for charges

9. Programs

   • NSLP

   • CACFP

   • SFSP

   • TEFAP

   • FDPIR

   • NSIP

   • CSFP

10. Number of RA’s

11. Communication Methods of NOA (how contact RA’s)

12. Approximate time between DF arrival and RA notification

    • Immediate

    • A week

    • A month

    • RA’s can track inbound food in real time

    • Other

13. Billing Source to RA

14. Roll down WBSCM to RA

15. State Ordering System

16. Contact Information

    • Name

    • Title

    • Agency Name

    • Dept

    • Address 1

    • Address 2

    • City

    • State

    • Zip

    • Email

    • Telephone

    • Fax

17. Comments

18. Special circumstances unique for your systems

These questions will be in the comment section for explanation of special circumstances:

• Warehousing and Distribution Systems

• General Description __________________________________________________

• Warehousing and Distribution Costs

• General Description__________________________________________________

• Warehousing

• Warehouse Operating Hours __________________________________________

• Pallet Exchange _____________________________________________________

• Frequency of Distribution to RA’s and Pick Up by RA’s ______________________

• Specifics of State or State Contracted Warehouse Delivery to RA’s_____________

• DA Assessment Fees to RA

  • Fees Charged ________________________________________________________

  • All RA’s pay the same fee _______________________________________________

  • Frequency fee is reviewed ______________________________________________

  • Structure of fee _________________________________________________________

  • Basis of fee ____________________________________________________________

  • Breakdown of fee ________________________________________________________

• Additional Costs paid directly to Commercial Entities by RA (Non-DA billed costs) ____________

• Processed and Fresh Product Costs _________________________________________________

• Please provide any additional information ___________________________________________

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524.  The time required to complete this information collection is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.