COVID-19 TEFAP/FDPIR DISASTER HOUSEHOLD DISTRIBUTION WEEKLY REPORT FNS292A OMB Control Number (0584-0654) |
Weekly Distribution Date Range Sun - Sat |
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Region | State | Program | Entire State, County, City or Tribe |
Number of Agencies | Start Date | End Date | Individals | WBSCM Material ID | USDA FOODS Description | Total Cases | Total Units |
WRO | CA | TEFAP | Example | 3 | 1,000 | 110403 | K BEANS GREAT NORTHERN DRY PKG-12/2 LB | 2 | |||
SWRO | UT | FDPIR | Example | 1 | 300 | 100050 | MILK 1% MILKFAT UHT 1500 BOX-12/32 FL OZ | 12 | |||
This information is being collected by Food and Nutrition Service to act as a job aid to assist State Distributing Agencies, Indian Tribal Organizations and FNS Regional Offices to keep track of food distirbution for the duration of the DHD response to be able to successfully complete a FNS-292A claim. This is a mandatory collection and FNS will use the information to validate participation and monitor program funding. This collection does not request any personally identifiable information under the Privacy Act of 1974. 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 0584-0654. The time required to complete this information collection is estimated to average 01.00 hours 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. 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 Service, Office of Policy Support, 1320 Braddock Place, 5th Floor, Alexandria, VA 22306 ATTN: PRA (0584-0654). Do not return the completed form to this address. |
TEFAP WEEKLY DHD REPORT | |||
Instructions: Open the template and rename the file with the following naming convention: TEFAP/FDPIR DHD State beginning & ending dates ex: TEFAP DHD PA 3-29-20 to 4-4-20 (Sunday-Saturday) Beginning on Row 3: A3: Select Region from dropdown menu. B3: Select State/Territory from dropdown menu. C3: Select Program D, E, F, G 3: Add required info. F3: Enter the date distribution began (Weekly Report Week Sun-Sat) G3: Enter Saturday's date H3: Enter individuals served in that date range I3: From drop down menu select the USDA Foods material codes distributed. Verify that you selected the correct USDA Food material code, ex: 100223, Pear Can 24/300 K3: Add number of cases distributed per material (TEFAP ONLY) L3: Add number of units distributed by material (FDPIR ONLY) |
TEFAP |
FDPIR |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |