Food Distribution Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS-667 Report of TEFAP Administrative Costs	Form and Instruction	Modified	Available
Form FNS-155 Inventory Management Register	Form and Instruction	Modified	Available
Form FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status	Form and Instruction	Modified	Available
Form FNS-152 Monthly Distribution of Donated Food to Family Units	Form	Modified	Available
Form FNS-57 Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot	Form	Modified	Available
Form FNS-53 Requisition for Multi-Food Shipments WBSCM Screen Shot	Form	Modified	Available
Form FNS-52 Food Requisitions WBSCM Screen Shot	Form	Modified	Available
Form FNS-7 Destination Data for Food Deliveries	Form and Instruction	Modified	Available
Form FNS-57 Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot	Form	Modified	Available
Supporting Statement- Food Distribution Programs Final.docx	Supporting Statement A	Uploaded 2019-11-26	Available
Attachment 28 - Food Distribution Renewal Burden Table - Final.xlsx	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 21 - 0584-0293 Burden Narrative Final 11.25.19.docx	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 11-eCFR Part 254.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 10- eCFR Part 253.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 9-eCFR Part 252.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 8-eCFR Part 251.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 7-eCFR Part 250.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 6-eCFR Part 247.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 5-Sections 4(a) and 5 of the Agriculture and Consumer Protection Act of 1973 (coverpage).pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 4- The Emergency Food Assistance Act of 1983 (coverpage).pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 3- Section 4 of the Child Nutrition Act of 1966.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 2- Sections 6, 14, and 17 of the National School Lunch Act.pdf	Supplementary Document	Uploaded 2019-11-26	Available
Attachment 1- Section 4(b) of the Food and Nutrition Act of 2008.pdf	Supplementary Document	Uploaded 2019-11-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43552	Food Distribution Program (State and Local Government)	Form and Instruction	Modified	Report of TEFAP Administrative Costs
43552	Food Distribution Program (State and Local Government)	Form and Instruction	Modified	Inventory Management Register
43552	Food Distribution Program (State and Local Government)	Form and Instruction	Modified	Monthly CSFP Report and Quarterly Administrative Financial Status
43552	Food Distribution Program (State and Local Government)	Form	Modified	Monthly Distribution of Donated Food to Family Units
43552	Food Distribution Program (State and Local Government)	Form	Modified	Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot
43552	Food Distribution Program (State and Local Government)	Form	Modified	Requisition for Multi-Food Shipments WBSCM Screen Shot
43552	Food Distribution Program (State and Local Government)	Form	Modified	Food Requisitions WBSCM Screen Shot
43552	Food Distribution Program (State and Local Government)	Form and Instruction	Modified	Destination Data for Food Deliveries
43552	Food Distribution Program (State and Local Government)	Other-State Plan Amendment Template	Modified
191243	Individuals/Households		Modified
191242	Business	Form	Modified	Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot

ICR Details

OMB Control No: 0584-0293	ICR Reference No: 201911-0584-003
Status: Historical Active	Previous ICR Reference No: 201807-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No: 2019 Renewal
Title: Food Distribution Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/14/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/26/2019
Terms of Clearance: FNS may make changes to its address through a de minimis change.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	3,816,391	0	3,814,782
Time Burden (Hours)	1,161,377	0	1,160,535
Cost Burden (Dollars)	0	0	0

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Abstract: The information reported and the records kept for purposes of review under 7 CFR Parts 240, 247, 250, 251, 253, and 254 are used by State and recipient agencies and FNS regional and headquarters offices for the purpose of administering USDA Food Distribution Programs.

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Authorizing Statute(s): US Code: 7 USC Section 4(b) 2013 (b) Name of Law: Food and Nutrition Act of 2008
   US Code: 42 USC Section 4 (1733) Name of Law: Child Nutrition Act of 1966
   US Code: 7 USC 7501 et. seq. Name of Law: The Emergency Food Assistance Act 1983
   US Code: 7 USC Sections 4a and 5 (612c) note Name of Law: Agriculture and Consumer Protection Act of 1973
   US Code: 42 USC 1755, 1762a & 1776 Name of Law: National School Lunch Act
  

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:
	84 FR 33218	07/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 64820	11/25/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Business	FNS-57	Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot
Food Distribution Program (State and Local Government)	FNS-7, FNS-52, FNS-667 , FNS-53, FNS-57, FNS-152, FNS-153, FNS-155	Destination Data for Food Deliveries ,   Food Requisitions WBSCM Screen Shot ,   Requisition for Multi-Food Shipments WBSCM Screen Shot ,   Report of Shipments Over, Short, and/or Damaged WBSCM Screen Shot ,   Monthly Distribution of Donated Food to Family Units ,   Monthly CSFP Report and Quarterly Administrative Financial Status ,   Inventory Management Register ,   Report of TEFAP Administrative Costs
Individuals/Households

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ICR Summary of Burden

table that charts list 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	3,816,391	3,814,782	0	0	1,609	0
Annual Time Burden (Hours)	1,161,377	1,160,535	0	0	842	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved information collection with 1,160,535 burden hours and 3,814,782 responses. As part of this revision, FNS adjusted the number of respondents for some information requirements and updated the time estimate for a requirement for reporting the destination data for the delivery of donated foods. These revisions increased the burden for this collection by 842 hours and 1,609 responses as a result of adjustments. With this revision, FNS estimates that this collection will have 1,161,377 burden hours and 3,816,391 responses.

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Annual Cost to Federal Government: $5,878,556

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 11/26/2019

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