Fns-155 Inventory Management Register

Food Distribution Programs

FNS-155

Food Distribution Forms (State and Local Government)

OMB: 0584-0293

Document [pdf]
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OMB FORM APPROVED NO 0584-0293
Expiration Date: XX/XX/XXXX
UNITED STATES DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE

INVENTORY MANAGEMENT REGISTER

Public reporting burden for this collection of information is estimated to average 15 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. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition
Services, Office of Research and Analysis (0584-0293), Alexandria, VA 22302. Do not return the completed form to this address.
STATE AGENCY

LIST STATE INVENTORY(IES) GREATER THAN 6 MONTHS
DA CODE

MONTH/YEAR

COMMODITY & CODE
(1)

QUANTITY (CASES)
(2)

(4) EXCESS INVENTORIES TO REPORT
YES

FORM FNS-155 (07/08) Previous editions obsolete
Electronic Form Version Designed in Adobe 8.1 Version

DISPOSITION/COMMENTS
(3)

(5) SIGNATURE/TITLE

(6) DATE

NO

SBU

PAGE

OF

INSTRUCTIONS
SUBMISSION: Forward the original of this document to the appropriate Food and Nutrition Service (FNS) Regional
Office no later than 30 calendar days following the last day of the month being reported.
USDA commodities shipped to the States for the Commodity Supplemental Food Program (CSFP) and the Food
Distribution Program on Indian Reservations (FDPIR) shall not be included on this form. State Distributing Agencies
(DA) receiving CSFP and/or FDPIR commodities should reflect these inventories of the FNS-153 and FNS-152
respectively.
REPORT IDENTIFICATION: Enter the State DA name, the DA code, report month, and calendar year if the individual
State submission requires more than one page, this data need be provided only on the first page of the submission.
PURPOSE
The FNS-155 captures by type, commodities physically warehoused in any State-operated or State-contracted storage
facility that exceeds a cumulative 6 month inventory. Commodities remaining in these warehouses at the end of the
report month shall be counted as State inventory until such commodities are distributed to recipient and/or subdistributing agencies.
EXCESS 6-MONTH COMPUTATION: To identify excess inventories, by type of commodity, divide the accumulated
State inventory balance at the end of the report month by the average quantity of that commodity distributed to the
recipient and/or sub-distributing agencies during a typical month.
COLUMN:
1. USDA COMMODITY CODE: Enter the four-digit FNS commodity code, and short title.
2. QUANTITY-CASES: Using the above computation process, by commodity type, enter the cumulative number of
cases that exceed a 6-month level.
3. DISPOSITION/COMMENTS: If applicable, for this type of commodity, identify and single warehouse facility storing
over a 6 month inventory. Indicate the distribution plan that has been devised to ensure the inventory level is
diminished in a timely manner. States may also indicate justifications for instances where more than a six month
inventory is needed.
4. NO EXCESS INVENTORIES: Check the appropriate box to indicate whether or not there exists an excess inventory
of commodities for the report month.
5. TITLE: Enter the approving official's title and signature.
6. DATE: Enter the date the report is signed.


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File Modified2009-10-29
File Created2007-06-25

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