Worksheet FNS 152, 153 & 667 OMB# 0293

Food Programs Reporting System (FPRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Document Name Document Type
Form FNS 152 (screensho Worksheet FNS 152, 153 & 667 OMB# 0293 Form and Instruction
FNS-153.pdf fprs.fns.usda.gov Instruction
FNS-153.pdf fprs.fns.usda.gov Instruction
FNS 667.pdf fprs.fns.usda.gov Instruction
FNS 667.pdf fprs.fns.usda.gov Instruction
FNS 152 (screensho Monthly Distribution of Donated Food to Family Units FNS-152.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 152 (screensho Monthly Distribution of Donated Food to Family Units FNS-152.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 153 (screensho Monthly Report of the CSFP and Quarterly Administrative FNS-153.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 153 (screensho Monthly Report of the CSFP and Quarterly Administrative FNS-153.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 667 (screensho Report of The Emergency Food Assistance Programs (TEFAP) FNS-667.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction
FNS 667 (screensho Report of The Emergency Food Assistance Programs (TEFAP) FNS-667.docx fprs.fns.usda.gov/Home/Reminder.aspx Form and Instruction

Information Collection (IC) Details

IC Title:	Worksheet FNS 152, 153 & 667 OMB# 0293	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 250.17 7 CFR 251.10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 152 (screenshot 1)	Monthly Distribution of Donated Food to Family Units	FNS-152.docx	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 153 (screenshot 1)	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	FNS-153.docx	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 667 (screenshot)	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	FNS-667.docx	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-153.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS 667.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 115	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,286	672	2,614
Annual IC Time Burden (Hours)	12,070	2,386	9,684
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.