| 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 |
53.0 |
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 |
56.0 |
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 |
| 0584-0006 |
FNS-640 |
CN Administrative Review Report |
56.0 |
State Agencies |
FNS-640 is used to collect information at the School Food Authority (e.g., school district) and school or site level as part of the Administrative Review process. |
| 0584-0026 |
FNS-742 |
CN School Food Authority (SFA) Verification Collection Report |
56.0 |
State Agencies |
FNS-742 is used to collect information from State agencies for each School Food Authority (e.g., school district) with schools operating the National School Lunch Program (NSLP) and/or the School Breakfast Program (SBP). |
| 0584-0594 |
FNS-828 |
CN School Food Authority Paid Lunch Price Report |
56.0 |
State Agencies |
FNS-828 is used to collect information on States' paid reimbursable lunch prices for publication by the Food and Nutrition Service (FNS). School Food Authorities (e.g., school districts) are required to report the most frequently charged price for elementary, middle/junior high and high school levels to their State agency. |
| 0584-0577 |
FNS-834 |
State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report |
106.0 |
State Agencies |
FNS-834 is used to collect data elements from the State agencies that administer the Supplemental Nutrition Assistance Program (SNAP) and from the State agencies that administer the National School Lunch Program (NSLP). These data elements are needed to compute the Direct Certification Rate with SNAP that is required by the Food, Conservation, and Energy Act of 2008 (Public Law 110-246) and by the Richard B. Russell National School Lunch Act, as amended by the Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) and promulgated by the regulations published on February 22, 2013, the National School Lunch Program: Direct Certification Continuous Improvement Plans required by the Healthy, Hunger-Free Kids Act of 2010, which added a new section 7 CFR 245.12 to NSLP regulations and amended SNAP regulations at 7 CFR 272.5 to allow for this collection. |
| 0584-0226 |
FNS-874 |
Local Education Agency Second Review of Applications |
56.0 |
State Agencies |
FNS-874 is used for the Second Review of Applications after information is collected/analyzed in the first round data collection using the FNS-742. Local educational agencies (LEAs) that demonstrate high levels of, or a high risk for administrative error associated with certification, verification and other administrative processes to conduct an independent review of the initial eligibility determinations for free and reduced price school meal applications for accuracy prior to notifying households of eligibility |
| 0584-0567 |
QTR-SFA-CERT |
Quarterly Report for SFA Certification |
57.0 |
State Agncies |
The "QTR-SFA-CERT" is used to report the number of School Food Authorities that have met the nutritional criteria to be eligible for the additional "performance based" funding per the Healthly Hunger Free Kids Act. |
| 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. |
| 4040-0014 |
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. |
| 4040-0014 |
SF-425 |
SBP |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
SMP |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CACFP |
55.0 |
State Agencies |
| 4040-0014 |
SF-425 |
SFSP |
53.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN Team Nutrition |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN-School NutritionTraining Grant for Allied Professional Organizations |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Administrative Review & Training (I) |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Administrative Review & Training (II) |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Summer Food Service Program Pilot Programs |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Local Wellness Policy Surveillance System Cooperative Agreement |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - USDA Rural Child Poverty Nutrition Center |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Professional Standards for All School Nutrition Employees |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Summer 2011 SFSP Home Delivery and Food Backpacks Demonstration Projects |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - SFSP, Electronic Benefits Transfer for Children, SNAP |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - SFSP SNAP EBT Pilot Food Funds |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - SFSP, Summer Electronic Benefits Transfer for Childrent, WIC |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - SFSP WIC EBT Pilot Food Funds |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - SFSP-RDEMO, Rural Summer Meals Demonstration |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Technology Innovation Grants |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Block Funding for Territories |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Team Nutrition E-STAR Program Training Grant |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Team Nutrition Training Grant for Innovative State Training Programs |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - Direct Certification & Verfication |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - CACFP AUDIT Reallocated Funds |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - CACFP Child Care Wellness Grants |
57.0 |
State Agencies |
| 4040-0014 |
SF-425 |
CN - CACFP Meal Service Training Grants |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - CACFP Training Grants |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Direct Certification and Improvement |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Conference and Events |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Implementation |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Planning - Semi-Annual Report |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Planning - Quarterly Report |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Support Services |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Team |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Training Grant |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Farm to School Traning and Curricula |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Fresh Fruit and Vegetable Program |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - National School Lunch Program Equipment Grants |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Healthy Hunger-Free Kids Act Administrative Funds |
57.0 |
State Agencies |
|
4040-0014 |
SF-425 |
CN - Demonstration Projects to end Childhood Hunger - HHFKA of 2010 |
57.0 |
State Agencies |
| Business for-not-for-profit |
4040-0014 |
SF-425 |
CN National Food Service Management Institute (FSMI) |
1.0 |
Business for-not-for-profit |
| 4040-0014 |
SF-425 |
CN FSMI Produce Safety University Support |
1.0 |
| 4040-0014 |
SF-425 |
CN FSMI Food Safety |
1.0 |
| 4040-0014 |
SF-425 |
CN FSMI General Education |
1.0 |
| 4040-0014 |
SF-425 |
CN - ICN - Chef's Move to School |
1.0 |
| 4040-0014 |
SF-425 |
CN - ICN - Professional Standards |
1.0 |
| 4040-0014 |
SF-425 |
CN - ICN - School Nutrition Strategies, Training, Action Plans, Resources |
1.0 |
|
|
|
|
|
|
|
|
| 4040-0014 |
SF-425 |
CN Community Gardens Pilot Program |
150.0 |
| 4040-0014 |
SF-425 |
CN Hunger-Free Community Grants |
150.0 |
|
|
|
PROGRAM SUBTOTALS |
3,335.0 |
|
|
|
Special Nutrition Assistance Program |
|
0584-0025 |
FNS-101 |
Participation in Food Programs-By Race |
2,722.0 |
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 |
54.0 |
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 |
55.0 |
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 |
57.0 |
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 |
66.0 |
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 |
57.0 |
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 |
55.0 |
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.
|
|
4040-0014 |
SF-425 |
SNAP Assessment of Alternatives to Face-to-Face Interviews |
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. |
|
4040-0014 |
SF-425 |
SNAP Attorney General Prosecution Pilot |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP American Public Human Services Association |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP CAP |
1.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP CNMI - Enhanced Nutrition Assistance Program |
1.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Employment & Training Data and Technical Assistance |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Education Toolkit |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Employment and Training 2014 Farm Bill Pilots |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Farmer's Market Equipment |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Fraud Framework Implementation Grant |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Farmer's Market Support Grant |
53.0 |
State Agencies |
|
4040-0014 |
SF-425 |
SNAP Healthy Body, Healthy Spirit Pilot Program |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Healthy Incentives Pilot |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Integrity Education Grant |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Increasing SNAP Participation Among Medicare Beneficiaries |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP National Accuracy Clearinghouse (NAC) Pilot Project |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Outreach |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Participation |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Process and Technology Improvement |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Recipient Integrity Information Technology Grant |
53.0 |
State agencies |
|
4040-0014 |
SF-425 |
SNAP Recipient Trafficking Prevention Grants |
53.0 |
State agencies |
|
|
|
PROGRAM SUBTOTALS |
4,350.0 |
|
|
|
|
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 |
115.0 |
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 |
57.0 |
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 |
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. |
|
0584-0025 |
FNS-191 |
CSFP Racial/Ethnic Group Participation |
252.0 |
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 |
134.0 |
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.
|
|
4040-0014 |
SF-425 |
FDPNE |
115.0 |
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. |
|
4040-0014 |
SF-425 |
FDPIR-NET |
115.0 |
|
4040-0014 |
SF-425 |
FDPIR |
115.0 |
|
4040-0014 |
SF-425 |
FDPIR-Infrastructure |
115.0 |
|
4040-0014 |
SF-425 |
TEFAP -SUPP |
55.0 |
|
4040-0014 |
SF-425 |
TEFAP - Infrastructure |
150.0 |
|
|
|
PROGRAM SUBTOTALS |
1,335.0 |
|
|
|
Special Supplemental Food Program for Women, Infants and Children (WIC) |
|
0584-0447 |
FNS-683B |
WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report |
49.0 |
State Agencies |
FNS-683 is used to report financial and recipient data. FNS will use this data for funding and program management decisions |
|
0584-0541 |
FNS-683A |
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report |
54.0 |
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 |
1,826.0 |
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 |
|
4040-0014 |
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. |
|
4040-0014 |
SF-425 |
WIC Breastfeeding Loving Support Campaign |
1.0 |
|
|
BFDLA |
WIC Breastfeeding Data by Local Agency |
90.0 |
|
4040-0014 |
SF-425 |
WIC General Infrastructure |
90.0 |
|
4040-0014 |
SF-425 |
WIC General Infrastructure State Agency Model |
90.0 |
|
4040-0014 |
SF-425 |
WIC State Agency Model |
90.0 |
|
4040-0014 |
SF-425 |
WIC Technology State Agency Model |
90.0 |
|
4040-0014 |
SF-425 |
WIC Special Project Full Grant |
1.0 |
|
4040-0014 |
SF-425 |
WIC Breastfeeding Performance Bonus |
15.0 |
|
4040-0014 |
SF-425 |
WIC Breastfeeding Performance Bonus (2 Year) |
15.0 |
|
4040-0014 |
SF-425 |
WIC Electronic Benefits Transfer |
90.0 |
|
4040-0014 |
SF-425 |
WIC Electronic Benefit Transfer Implementation |
90.0 |
|
4040-0014 |
SF-425 |
WIC Electronic Benefit Transfer Planning |
90.0 |
|
4040-0014 |
SF-425 |
WIC Infrastructure Electronic Benefit Transfer |
90.0 |
|
4040-0014 |
SF-425 |
WIC Infrastructure Management Information System |
90.0 |
|
4040-0014 |
SF-425 |
WIC General Infrastructure State Agency Model |
90.0 |
|
4040-0014 |
SF-425 |
WIC Management Information System Implementation |
90.0 |
|
4040-0014 |
SF-425 |
WIC Management Information System Planning |
90.0 |
|
4040-0014 |
SF-425 |
WIC Nutrition Education Innovations |
5.0 |
|
4040-0014 |
SF-425 |
WIC Periconceptual Nutrition Research |
5.0 |
|
4040-0014 |
SF-425 |
WIC Participant Research Information Laboratory for Enhancing WIC Services |
1.0 |
|
4040-0014 |
SF-425 |
WIC Relief Equipment Grant |
2.0 |
|
4040-0014 |
SF-425 |
WIC Relief Infrastructure Grant |
2.0 |
|
4040-0014 |
SF-425 |
WIC Technology Administrative Oversight |
1.0 |
|
4040-0014 |
SF-425 |
WIC Technology Management Information System |
90.0 |
|
4040-0014 |
SF-425 |
WIC Technology State Agency Model |
90.0 |
|
4040-0014 |
SF-425 |
WIC Technical Standardization Projects |
90.0 |
|
4040-0014 |
SF-425 |
WIC University of Minnesota |
1.0 |
|
|
|
PROGRAM SUBTOTALS |
3,688.0 |
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL |
12,708.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|