FNS 366B Form Chan PROGRAM AND BUDGET SUMMARY STATEMENT PART B - PROGRAM AC

Food Programs Reporting System (FPRS)

ATTACHMENT 8_Proposed 366B Form Changes_20210922.xlsx

OMB: 0584-0594

Document [xlsx]
Download: xlsx | pdf

Overview

Proposed Revision
Existing


Sheet 1: Proposed Revision









OMB APPROVED NO. 0584-0594








Expiration Date: XX/XX/XXXX
U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE 1. STATE

PROGRAM AND BUDGET SUMMARY STATEMENT 2. REPORT PERIOD





PART B - PROGRAM ACTIVITY STATEMENT


TO







MONTH YEAR MONTH YEAR












CERTIFICATIONS (a) APPROVALS (b) DENIALS (c) TOTAL APPROVED AND DENIED APPROVED OVERDUE APPLICATIONS



(d) 1 - 30 DAYS (e) 31 - 60 DAYS (f) 61 - 90 DAYS (g) 91+ DAYS



3. INITIAL APPLICATIONS










4. RECERTIFICATIONS










5. TOTAL










6a. EXPEDITED SERVICE - INITIAL APPLICATIONS










6b. EXPEDITED SERVICE - RECERTIFICATIONS






















FAIR HEARINGS (a) HEARINGS REQUESTED (b) HEARINGS HELD (c) DECISIONS UPHELD (d) DECISIONS REVERSED (e) DECISIONS OVERDUE (f) WITHDRAWN REQUESTS




7. ACTIVITY






















FRAUD INVESTIGATIONS ELIGIBILITY FRAUD TRAFFICKING COMBINED
(a) EVIDENCE FOUND TO REDUCE OR DENY BENEFITS (b) NO EVIDENCE FOUND TO REDUCE OR DENY BENEFITS (c) RESULTED IN REFERRAL FOR ADH OR PROSECUTION (d) AVERAGE # OF DAYS PER CONCLUDED INVESTIGATION (e) OPEN INVESTIGATIONS (f) RESULTED IN REFERRAL FOR ADH OR PROSECUTION (g) RESULTED IN NO REFERRAL FOR ADH OR PROSECUTION (h) AVERAGE # OF DAYS PER CONCLUDED INVESTIGATION (i) OPEN INVESTIGATIONS (j) INVESTIGATOR HOURS

8. CASES / DAYS / HOURS






















ADMINISTRATIVE DISQUALIFICATION HEARINGS ELIGIBILITY FRAUD TRAFFICKING COMBINED
(a) ADH CONCLUDED, INDIVIDUAL DISQUALIFIED (b) WAIVER SIGNED, INDIVIDUAL DISQUALIFIED (c) ADH CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (d) AMOUNT SUBJECT TO CLAIM (e) ADH CONCLUDED, INDIVIDUAL DISQUALIFIED (f) WAIVER SIGNED, INDIVIDUAL DISQUALIFIED (g) ADH CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (h) AMOUNT SUBJECT TO CLAIM REFERRED INDIVIDUALS AWAITING SCHEDULING (k) DECISIONS NOTICES OVERDUE
(i) 91-180 DAYS (j) 181+ DAYS
9. INDIVIDUALS / $ / NOTICES






















PROSECUTIONS ELIGIBILITY FRAUD TRAFFICKING COMBINED

(a) PROSECUTION CONCLUDED, INDIVIDUAL DISQUALIFIED (b) DCA SIGNED, INDIVIDUAL DISQUALIFIED (c) PROSECUTION CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (d) AMOUNT SUBJECT TO CLAIM (e) PROSECUTION CONCLUDED, INDIVIDUAL DISQUALIFIED (f) DCA SIGNED, INDIVIDUAL DISQUALIFIED (g) PROSECUTION CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (h) AMOUNT SUBJECT TO CLAIM (i) AVERAGE # OF DAYS PER CONCLUDED PROSECUTION



10. INDIVIDUALS / $ / DAYS











Sheet 2: Existing









OMB APPROVED NO. 0584-0594








Expiration Date: XX/XX/XXXX
U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE 1. STATE

PROGRAM AND BUDGET SUMMARY STATEMENT 2. REPORT PERIOD





PART B - PROGRAM ACTIVITY STATEMENT


TO







MONTH YEAR MONTH YEAR












CERTIFICATIONS (a) APPROVALS (b) DENIALS (c) TOTAL APPROVED AND DENIED APPROVED OVERDUE APPLICATIONS



(d) 1 - 30 DAYS (e) 31 - 60 DAYS (f) 61 - 90 DAYS (g) 91+ DAYS



3. INITIAL APPLICATIONS










4. RECERTIFICATIONS










5. TOTAL










6. EXPEDITED SERVICE






















FAIR HEARINGS (a) HEARINGS REQUESTED (b) HEARINGS HELD (c) DECISIONS UPHELD (d) DECISIONS REVERSED (e) DECISIONS OVERDUE (f) WITHDRAWN REQUESTS




7. ACTIVITY






















FRAUD INVESTIGATIONS ELIGIBILITY FRAUD TRAFFICKING COMBINED
(a) EVIDENCE FOUND TO REDUCE OR DENY BENEFITS (b) NO EVIDENCE FOUND TO REDUCE OR DENY BENEFITS (c) RESULTED IN REFERRAL FOR ADH OR PROSECUTION (d) AVERAGE # OF DAYS PER CONCLUDED INVESTIGATION (e) OPEN INVESTIGATIONS (f) RESULTED IN REFERRAL FOR ADH OR PROSECUTION (g) RESULTED IN NO REFERRAL FOR ADH OR PROSECUTION (h) AVERAGE # OF DAYS PER CONCLUDED INVESTIGATION (i) OPEN INVESTIGATIONS (j) INVESTIGATOR HOURS

8. CASES / DAYS / HOURS






















ADMINISTRATIVE DISQUALIFICATION HEARINGS ELIGIBILITY FRAUD TRAFFICKING COMBINED
(a) ADH CONCLUDED, INDIVIDUAL DISQUALIFIED (b) WAIVER SIGNED, INDIVIDUAL DISQUALIFIED (c) ADH CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (d) AMOUNT SUBJECT TO CLAIM (e) ADH CONCLUDED, INDIVIDUAL DISQUALIFIED (f) WAIVER SIGNED, INDIVIDUAL DISQUALIFIED (g) ADH CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (h) AMOUNT SUBJECT TO CLAIM REFERRED INDIVIDUALS AWAITING SCHEDULING (k) DECISIONS NOTICES OVERDUE
(i) 91-180 DAYS (j) 181+ DAYS
9. INDIVIDUALS / $ / NOTICES






















PROSECUTIONS ELIGIBILITY FRAUD TRAFFICKING COMBINED

(a) PROSECUTION CONCLUDED, INDIVIDUAL DISQUALIFIED (b) DCA SIGNED, INDIVIDUAL DISQUALIFIED (c) PROSECUTION CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (d) AMOUNT SUBJECT TO CLAIM (e) PROSECUTION CONCLUDED, INDIVIDUAL DISQUALIFIED (f) DCA SIGNED, INDIVIDUAL DISQUALIFIED (g) PROSECUTION CONCLUDED, INDIVIDUAL NOT DISQUALIFIED (h) AMOUNT SUBJECT TO CLAIM (i) AVERAGE # OF DAYS PER CONCLUDED PROSECUTION



10. INDIVIDUALS / $ / DAYS










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