| Affected Public |
Current OMB Control Number |
Worksheet Number |
Title of Worksheet |
Estimated No. of Respondents |
Description of Respondents |
Purpose of Form/Abstract |
|
Child Nutrition Program |
| State, Local and Tribal Agencies |
0584-0002 |
FNS-10 |
Report of School Program Operations |
57.0 |
State Agencies |
FNS-10 is used to collect data on school program operations from State agencies on a monthly basis. |
| 0584-0075 |
FNS-13 |
Annual Report of State Revenue Matching |
57.0 |
State Agencies |
FNS-13 is used to collect data to ensure State agency compliance with the matching requirements of the National School Lunch Program. |
| 0584-0280 |
FNS-418 |
Summer Food Service Program for Children |
52.0 |
State Agencies |
FNS-418 is used to establish eligibility for the Summer Food Program and insure that the program is administered according to statutory and USDA implementing regulations. |
| 0584-0055 |
FNS-44 |
Report of Child and Adult Care Food Program |
55.0 |
State Agencies |
FNS-44 is used to establish Child and Adult Care Food Program eligibility and insure that the program is administered according to statutory and USDA implementing regulations |
| 0584-0067 |
FNS-777(SAE) |
NSLP, SBP, SMP, CACFP and Food Distribution Program (FDP) |
87.0 |
State Agencies (local schools, school districts and child and adult care institutions) |
FNS-777 will be used to provide each State agency (SA) with funds for its state administrative expenses in providing oversight and technical assistance. |
| 0348-0061 |
SF-425 |
NSLP |
57.0 |
State Agencies |
SF-425 is used to to report financial data for new and continuation grants that were awarded and to monitor the financial status of the grantee and to assess grantee compliance with the fiscal requirements. |
| 0348-0061 |
SF-425 |
SBP |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
SMP |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CACFP |
55.0 |
State Agencies |
| 0348-0061 |
SF-425 |
SFSP |
53.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN Team Nutrition |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN - Administrative Review & Training (I) |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN - Administrative Review & Training (II) |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN - Summer Food Service Program Pilot Programs |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN - Direct Certification & Verfication |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN - CACFP Child Care Wellness Grants |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN Direct Certification and Improvement |
57.0 |
State Agencies |
| 0348-0061 |
SF-425 |
CN National School Lunch Program Equipment Grants |
57.0 |
State Agencies |
| Business for-not-for-profit |
0348-0061 |
SF-425 |
CN National Food Service Management Institute (FSMI) |
1.0 |
Business for-not-for-profit |
| 0348-0061 |
SF-425 |
CN FSMI Produce Safety University Support |
1.0 |
| 0348-0061 |
SF-425 |
CN FSMI Food Safety |
1.0 |
| 0348-0061 |
SF-425 |
CN FSMI General Education |
1.0 |
| 0348-0061 |
SF-425 |
CN Community Gardens Pilot Program |
150.0 |
| 0348-0061 |
SF-425 |
CN Hunger-Free Community Grants |
150.0 |
|
|
|
PROGRAM SUBTOTALS |
207.0 |
|
|
|
Special Nutrition Assistance Program |
|
0584-0025 |
FNS-101 |
Participation in Food Programs-By Race |
2,719.0 |
State Agencies (SNAP & FDPIR & CSFP local agencies ) |
FNS-101 is used to track and monitor racial/ethnic data for program evaluation and compliance with the Civil Rights Act.
|
|
0584-0069 |
FNS-209 |
Status of Claims Against Households |
53.0 |
State Agencies |
FNS-209 is used to establish, collect and manage overpayments against households and to determine program compliance |
|
0584-0083 |
FNS-366A |
Program and Budget Summary Statement: Budget Projection |
53.0 |
State Agencies |
The FNS-366A is used by State agencies to request Federal funding of State administrative costs to operate the SNAP. |
|
0584-0083 |
FNS-366B |
Program and Budget Summary Statement: Program Activity Statement |
53.0 |
State Agencies |
The FNS-366B is used to report Program activity. The data is used for monitoring |
|
0584-0081 |
FNS-388 |
State Issuance and Participation Estimates |
53.0 |
State Agencies |
FNS-388 is used to monitor program actual participation data by State agencies to assure that they remain within their allotment. |
|
0584-0081 |
FNS-388A |
Project Area Issuance and Participation |
53.0 |
State Agencies |
FNS-388 A is used to capture participation data by program for non-assistance (NA) and public assistance (PA) rates by State agencies to assure that they remain within their allotment; to validate the Annual SNAP Household Characteristic Survey; to validate the Annual SNAP Household Characteristic Survey; to compare against the reconciliation points’ FNS-46. |
|
0584-0542 |
FNS-759 |
Supplemental Nutrition Assistance Program Education (SNAP-Ed) EARS Reporting Form |
52.0 |
State Agencies |
FNS-759 is used to collect descriptive information from State agencies on nutrition education activities funded by theSNAP |
|
0584-NEW |
FNS-778 |
SNAP |
53.0 |
State Agencies (SNAP local agencies |
FNS-778 will be used to collect administrative costs in total and by functional category; to monitor the actual cost of each function against budgeted amounts approved; to ensure that the Federal rate of reimbursement are appropriate & State agency has met its matching requirement. FNS also uses the data to look at both total costs and cost per case. |
|
0584-NEW |
FNS-778a |
SNAP |
7.0 |
State Agencies |
FNS 778-A will be used to requests the program cash-out benefits; FNS will use the reported data to monitor the actual benefit cost & participation trends. To determine total costs and cost per case. The actual cost data (along with participation trends) to helps estimate, budget, and set funding levels for these costs for the upcoming fiscal year. |
|
0584-0339 |
FNS-583 |
Food Stamp Employment and Training Program Activity Report |
53.0 |
State Agencies |
FNS 583 is used to report E&T activities conducted by State agencies. Data reported on the FNS-583 are used in program planning and management.
|
|
0584-0080 |
FNS-46 |
Issuance Reconciliation Report |
54.0 |
State Agencies |
FNS-46 is used to monitor, review, and account for benefit issuance.
|
|
0584-0037 |
FNS-292A&B |
Disaster Relief |
110.0 |
State agencies |
FNS-292 A & B, both are used to monitors distribution of Food Stamp benefits and USDA commodities by State education and welfare agencies following disasters.
|
|
0348-0061 |
SF-425 |
SNAP Outreach |
53.0 |
State Agencies |
SF-425 is used to to report financial data for new and continuation grants that were awarded and to monitor the financial status of the grantee and to assess grantee compliance with the fiscal requirements. |
|
0348-0061 |
SF-425 |
SNAP Health and Census Pilot |
53.0 |
|
0348-0061 |
SF-425 |
SNAP Participation |
53.0 |
|
0348-0061 |
SF-425 |
SNAP Increasing Participation Among Elderly |
53.0 |
|
0348-0061 |
SF-425 |
SNAP Healthy Incentives |
53.0 |
|
|
|
PROGRAM SUBTOTALS |
2,829.0 |
|
|
|
|
Food Distribution Program |
|
0584-0293 |
FNS-667 |
Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs |
55.0 |
State Agency |
FNS-667 is used to identify funds obligated and disbursed to cover administrative costs associated with the program at the State, Local and Tribal levels. |
|
0584-0293 |
FNS-152 |
Monthly Distribution of Donated Food to Family Units |
111.0 |
State Agencies |
FNS-152 is used to track commodity inventories at storage facilities & to report monthly participation of households. |
|
0584-0293 |
FNS-153 |
Monthly Report of the CSFP and Quarterly Administrative Financial Status Report |
42.0 |
State Agencies |
FNS 153 is used to detail the receipt, disposal, and inventory of donated foods and records participation for each category of persons receiving benefits. |
|
0348-0061 |
SF-425 |
CSFP |
42.0 |
State Agencies |
SF-425 is used to to report financial data for new and continuation grants that were awarded and to monitor the financial status of the grantee and to assess grantee compliance with the fiscal requirements. |
|
0584-0025 |
FNS-191 |
CSFP Racial/Ethnic Group Participation |
192.0 |
State Agencies (SNAP & FDPIR & CSFP local agencies ) |
FNS-191 is used to track and monitor racial/ethnic data for program evaluation and compliance with the Civil Rights Act.
|
|
0584-0025 |
FNS-101 |
Participation in Food Programs-By Race |
111.0 |
State Agencies (SNAP & FDPIR & CSFP local agencies ) |
FNS-101 is used to track and monitor racial/ethnic data for program evaluation and compliance with the Civil Rights Act.
|
|
0348-0061 |
SF-425 |
FDPNE |
111.0 |
State Agencies (SNAP & FDPIR & CSFP local agencies ) |
SF-425 is used to to report financial data for new and continuation grants that were awarded and to monitor the financial status of the grantee and to assess grantee compliance with the fiscal requirements. |
|
0348-0061 |
SF-425 |
FDPIR-NET |
111.0 |
|
0348-0061 |
SF-425 |
FDPIR |
111.0 |
|
0348-0061 |
SF-425 |
TEFAP - Infrastructure |
150.0 |
|
|
|
PROGRAM SUBTOTALS |
192.0 |
|
|
|
Special Supplemental Food Program for Women, Infants and Children (WIC) |
|
0584-0447 |
FNS-683 |
WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report |
46.0 |
State Agencies |
FNS-683 is used to report financial and recipient data. FNS will use this data for funding and program management decisions |
|
0584-0447 |
FNS-203 |
WIC Farmers' Market Nutrition Program Report |
46.0 |
State Agencies |
FNS-203 is used to report the number and type of recipients served by both Federal and non-Federal benefits. |
|
0584-0541 |
FNS-683A |
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report |
49.0 |
State Agencies |
FNS-683A is used to o reconcile and close out grants & to determine eligibility, monitor program administration. |
|
0584-0431 |
FNS-648 |
WIC Local Agency Directory |
1,864.0 |
State Agencies (Local WIC Agencies) |
FNS-648 is used to report changes (additions and deletions) of local agencies operating the WIC Program, and local agency address changes.
|
|
0584-0045 |
FNS-798 |
WIC Financial Management and Participation Report |
90.0 |
State Agencies (Local WIC Agencies) |
FNS-798 is used to eport monthly financial participation data and closeout WIC grants as required |
|
0584-0045 |
FNS-798A |
Addendum to WIC Financial Management and Participation Report - NSA Expenditures |
90.0 |
|
0348-0061 |
SF-425 |
WIC Breastfeeding Peer Counseling |
90.0 |
SF-425 is used to to report financial data for new and continuation grants that were awarded and to monitor the financial status of the grantee and to assess grantee compliance with the fiscal requirements. |
|
0348-0061 |
SF-425 |
WIC General Infrastructure |
90.0 |
|
0348-0061 |
SF-425 |
WIC General Infrastructure State Agency Model |
90.0 |
|
0348-0061 |
SF-425 |
WIC State Agency Model |
90.0 |
|
0348-0061 |
SF-425 |
WIC State to State Technical Assistance |
90.0 |
|
0348-0061 |
SF-425 |
WIC Technology State Agency Model |
90.0 |
|
0348-0061 |
SF-425 |
WIC Special Project Full Grant |
90.0 |
|
0348-0061 |
SF-425 |
WIC Special Project Concept Grant |
90.0 |
|
0348-0061 |
SF-425 |
WIC Breastfeeding Performance Bonus |
90.0 |
|
0348-0061 |
SF-425 |
WIC Electronic Benefits Transfer |
90.0 |
|
0348-0061 |
SF-425 |
ARRA WIC Electronic Benefits Transfer |
90.0 |
|
0348-0061 |
SF-425 |
ARRA WIC State Agency Model |
90.0 |
|
0348-0061 |
SF-425 |
ARRA WIC Technology State Agency Model |
90.0 |
|
|
|
PROGRAM SUBTOTALS |
1,864.0 |
|
|
Grants Management |
|
0348-0061 |
SF-425 |
Food Safety - Center of Excellence |
3.0 |
State Agencies |
|
|
|
PROGRAM SUBTOTALS |
3.0 |
|
|
|
|
|
|
|
|
|
|
|
5,095.0 |
|
|