Revised Excel Spreadsheet

Copy of Attachment 5 Burden Chart CN and WIC changes 07-25-2023---159pm.xlsx

Food Programs Reporting System (FPRS)

Revised Excel Spreadsheet

OMB: 0584-0594

Document [xlsx]

Download: xlsx | pdf

Overview

FPRS FNS FORMS AKA WORKSHEETS
SF 425 Estimates
FNS 778-778A formerly SF 269
0081 FNS 388 and 388A
0083fns366A-B-9-2019
0293 FNS 152, 153 & 667
0025 FNS 101 AND 191
0045 FNS 798 and 798A
0447 FNS 203 & 683A
Historical OMB Control Numbers

Sheet 1: FPRS FNS FORMS AKA WORKSHEETS

Food and Nutrition Service Data Collection Information (by Program)
Annual Burden Hours
Affected Public	Current OMB Control Number	Worksheet Number	Title of Worksheet	Estimated No. of Respondents1	Frequency of Response per Respondent2	Total Annual Response	Estimated Hrs per Response3	Annual Burden Hrs	Previous Submission Total Hours	Differences due to Program Changes	Differences due to Adjustments	Hourly Wage Rate4	Respondent Cost
State, Local and Tribal Agencies			Child Nutrition Program
	0584-0594	FNS-10	Report of School Program Operations	0	12.0	0.0	2.25	0.0				$42.71	$-
	0584-0594	FNS-10	Report of School Program Operations (revised)	57	12.0	684.0	2.50	1,710.0				$42.71	$73,034.10
	0584-0594	FNS-10 SSO	FNS-10 Seamless Summer Option (SSO) Monthly Report (no longer in use)	0	12.0	0.0	2.25	0.0				$42.71	$-
	0584-0594	FNS-10 SSO	FNS-10 Seamless Summer Option (SSO) Monthly Report (revised)	57	12.0	684.0	0.50	342.0				$42.71	$14,606.82
	0584-0594	FNS-13	Annual Report of State Revenue Matching	57	1.0	57.0	8.00	456.0				$42.71	$19,475.76
	0584-0594	FNS-418	Summer Food Service Program for Children	53	5.0	265.0	2.00	530.0				$42.71	$22,636.30
	0584-0594	FNS-418	Summer Food Service Program for Children (revised)	53	5.0	265.0	2.25	596.3				$42.71	$25,465.84
	0584-0594	FNS-44	Report of Child and Adult Care Food Program	56	12.0	672.0	1.00	672.0				$42.71	$28,701.12
	0584-0594	FNS-640	CN Administrative Review Report	56	1.0	56.0	5.00	280.0				$42.71	$11,958.80
	0584-0594	FNS-742	CN School Food Authority (SFA) Verification Collection Report	57	1.0	57.0	0.50	28.5				$42.71	$1,217.24
	0584-0594	FNS-742	CN School Food Authority (SFA) Verification Collection Report (revised)	57	1.0	57.0	0.50	28.5				$42.71	$1,217.24
	0584-0594	FNS-828	CN School Food Authority Paid Lunch Price Report	56	1.0	56.0	10.00	560.0				$42.71	$23,917.60
	0584-0594	FNS-834	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report	106	1.0	106.0	0.50	53.0				$42.71	$2,263.63
	0584-0594	FNS-874	Local Education Agency Second Review of Applications	56	1.0	56.0	5.00	280.0				$42.71	$11,958.80
	0584-0594	QTR-SFA-CERT	Quarterly Report for SFA Certification	57	4.0	228.0	5.00	1,140.0				$42.71	$48,689.40
	0584-0594	FNS-777	CN - NSLP, SBP, SMP, CACFP	57	4.0	228.0	0.50	114.0				$42.71	$4,868.94
	0584-0594	FNS-777(SAE)	CN - NSLP, SBP, SMP, CACFP	87	4.0	348.0	0.50	174.0				$42.71	$7,431.54
	4040-0014	SF-425	CN - NSLP	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF-425	CN - SBP	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF-425	CN - SMP (new zero out)	0	4.0	0.0	1.50	0.0	342.0			$42.71	$-
	4040-0014	SF-425	CN - CACFP	55	4.0	220.0	1.50	330.0				$42.71	$14,094.30
	4040-0014	SF-425	CN - SFSP	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
	4040-0014	SF 425	CN - Team Nutrition	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - School Nutrition Training Grant for Allied Professional Organizations	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Administrative Review & Training (I)	57	2.0	114.0	1.50	171.0				$42.71	$7,303.41
	4040-0014	SF 425	CN - Administrative Review & Training (II)	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Summer Food Service Program Pilot Programs	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Local Wellness Policy Surveillance System Cooperative Agreement	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - USDA Rural Child Poverty Nutrition Center	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Professional Standards for All School Nutrition Employees	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Summer 2011 SFSP Home Delivery and Food Backpacks Demonstration Projects (new zero out)	0	4.0	0.0	1.50	0.0	342.0			$42.71	$-
	4040-0014	SF 425	CN - SFSP, Electronic Benefits Transfer for Children, SNAP	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - SFSP SNAP EBT Pilot Food Funds	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - SFSP, Summer Electronic Benefits Transfer for Childrent, WIC	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - SFSP WIC EBT Pilot Food Funds	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - SFSP WIC EBT Pilot Food Funds v.5	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - SFSP-RDEMO, Rural Summer Meals Demonstration	1	4.0	4.0	1.50	6.0				$42.71	$256.26
	4040-0014	SF 425	CN - Technology Innovation Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Block Funding for Territories	2	4.0	8.0	1.50	12.0				$42.71	$512.52
	4040-0014	SF 425	CN - Team Nutrition E-STAR Program Training Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Team Nutrition Training Grant for Innovative State Training Programs	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Child Nutrition Team Nutrition Non-Competitive Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Direct Certification & Verfication (new zero out)	0	4.0	0.0	1.50	0.0	342.0			$42.71	$-
	4040-0014	SF 425	CN - CACFP AUDIT Reallocated Funds	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - CACFP Child Care Wellness Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - CACFP Meal Service Training Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - CACFP Training Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - CCC - CN Supply Chain Assistance Funding	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF-425	CN - Direct Certification and Improvement	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Conference and Events	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Grantee Gathering	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Implementation	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Shelburne Farms National Institute	1	4.0	4.0	1.50	6.0				$42.71	$256.26
	4040-0014	SF 425	CN - Farm to School Planning - Semi-Annual Report	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Planning - Quarterly Report	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Racial Equity Learning Lab	1	4.0	4.0	1.50	6.0				$42.71	$256.26
	4040-0014	SF 425	CN - Farm to School Regional Institute Grant	7	4.0	28.0	1.50	42.0				$42.71	$1,793.82
	4040-0014	SF 426	CN - Farm to School State Agency Formula Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Support Services	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Team	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Training Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Traning and Curricula	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
	4040-0014	SF 425	CN - Farm to School Turnkey Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	CN - Fresh Fruit and Vegetable Program	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF-425	CN - National School Lunch Program Equipment Grants	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF-425	CN - National School Lunch Program Equipment Grants, Second Round (new zero out)	0	4.0	0.0	1.50	0.0	342.0			$42.71	$-
4040-0014	SF-425	CN - National School Lunch Program Equipment Grant v5	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF-425	CN - Institute for Child Nutrition (ICN)	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	CN - ICN Produce Safety University Support (new zero out)	0	4.0	0.0	1.50	0.0	6.0			$42.71	$-
4040-0014	SF-425	CN - ICN Food Safety	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	CN - ICN General Education	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF 425	CN - ICN - Chef's Move to School	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF 425	CN - ICN - Professional Standards (new zero out)	0	4.0	0.0	1.50	0.0	6.0			$42.71	$-
4040-0014	SF 425	CN - ICN - School Nutrition Strategies, Training, Action Plans, Resources	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF 425	CN - ICN - Culinary Institute of Child Nutrition	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	CN - Community Gardens Pilot Program	0	4.0	0.0	1.50	0.0				$42.71	$-
4040-0014	SF 425	CN - Healthy Hunger-Free Kids Act Administrative Funds	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	CN - Demonstration Projects to end Childhood Hunger - HHFKA of 2010	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF-425	CN - Hunger-Free Community Grants (new zero out)	0	4.0	0.0	1.50	0.0	900.0			$42.71	$-
4040-0014	SF 425	PAN - CN - CACFP Emergency Operating Costs	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	PAN - CN - NSLP Coronavirus Local-level Costs	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	PAN - CN - NSLP Seamless Summer Option Families First Coronavirus Response Act	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	PAN - CN - CN PEBT Administration Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	PAN-CN-ARPA-F2S-FG – CN F2S State Agency Formula Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	PAN-CN-ARPA-NSLP Equipment Grant	57	4.0	228.0	1.50	342.0				$42.71	$14,606.82
4040-0014	SF 425	CN - OPS - EA Equitable Access in Child Nutiriton	1	4.0	4.0	1.50	6.0				$42.71	$256.26
		PROGRAM SUBTOTALS	3,728		14,929.0		23,629.3	2,280.0				$1,009,205.27
		Supplemental Nutrition Assistance Program
0584-0594	FNS-101	Participation in Food Programs-By Race	2,719	1.0	2,719.0	2.00	5,438.0				$42.71	$232,256.98
0584-0594	FNS-101 (CNMI)	PARTICIPATION IN FOOD PROGRAMS - BY ETHNICITY	3	1.0	3.0	2.50	7.5				$42.71	$320.33
0584-0594	FNS-209	Status of Claims Against Households	53	4.0	212.0	3.00	636.0				$42.71	$27,163.56
0584-0594	FNS-209 (PR)	PR Status of Claims Against Households	1	4.0	4.0	3.00	12.0				$42.71	$512.52
0584-0594	FNS-366A	Program and Budget Summary Statement: Budget Projection	53	1.0	53.0	13.00	689.0				$42.71	$29,427.19
0584-0594	FNS-366A (PR)	PR Program and Budget Summary Statement: Budget Projection	1	1.0	1.0	3.00	3.0				$42.71	$128.13
0584-0594	FNS-366A (PR 2018-2019)	PR Disaster Relief Program and Budget Summary Statement: Budget Projection	1	1.0	1.0	4.00	4.0				$42.71	$170.84
0584-0594	FNS-366B	Program and Budget Summary Statement: Program Activity Statement	53	4.0	212.0	15.00	3,180.0				$42.71	$135,817.80
0584-0594	FNS-388	State Issuance and Participation Estimates	53	12.0	636.0	5.60	3,561.6				$42.71	$152,115.94
0584-0594	FNS-388 (AS)	State Issuance and Participation Estimates	1	12.0	12.0	8.00	96.0				$42.71	$4,100.16
0584-0594	FNS-388 (CNMI-NAP)	State Issuance and Participation Estimates	1	12.0	12.0	2.50	30.0				$42.71	$1,281.30
0584-0594	FNS-388 (PR)	State Issuance and Participation Estimates	1	12.0	12.0	6.00	72.0				$42.71	$3,075.12
0584-0594	FNS-388 (PR-NAP)	PR-NAP ISSUANCE AND PARTICIPATION ESTIMATES	1	12.0	12.0	6.00	72.0				$42.71	$3,075.12
0584-0594	FNS-388A	Project Area Issuance and Participation	53	2.0	106.0	14.83	1,572.0				$42.71	$67,139.27
0584-0594	FNS-388A (CNMI-NAP)	CNMI SNAP Project Area Data Format	3	2.0	6.0	2.50	15.0				$42.71	$640.65
0584-0594	FNS-388A (PR)	Puerto Rico SNAP Project Area Data Format	10	2.0	20.0	6.00	120.0				$42.71	$5,125.20
0584-0594	FNS-759	Supplemental Nutrition Assistance Program Education (SNAP-Ed) EARS Reporting Form	52	1.0	52.0	54.00	2,808.0				$42.71	$119,929.68
0584-0594		SNAP Federal Financial Report	53	4.0	212.0	16.80	3,561.6				$42.71	$152,115.94
0584-0594	SF-425(778a)	SNAP Federal Financial Report	7	4.0	28.0	1.00	28.0				$42.71	$1,195.88
0584-0594	SF-425 (FNS-778) (AS)	FINANCIAL STATUS REPORT - America Samoa	1	4.0	4.0	8.00	32.0				$42.71	$1,366.72
0584-0594	SF-425 (FNS-778) (CNMI-NAP)	FINANCIAL STATUS REPORT - CNMI	1	4.0	4.0	2.50	10.0				$42.71	$427.10
0584-0594	SF-425 (FNS-778) (PR)	FINANCIAL STATUS REPORT - PR	1	4.0	4.0	80.00	320.0				$42.71	$13,667.20
0584-0594	SF-425 (FNS-778) (PR 2018/2019)	PR Disaster Relief Grant	1	1.0	1.0	80.00	80.0				$42.71	$3,416.80
0584-0594	FNS-583(currently approved burden)	Food Stamp Employment and Training Program Activity Report	53	4.0	212.0	98.00	20,776.0				$42.71	$887,342.96
0584-0594	FNS-583 Additional data request - mandatory reporting		17	1.0	17.0	4.00	68.0				$42.71	$2,904.28
0584-0594	FNS-583 Optional reporting of case management		15	1.0	15.0	0.08	1.3				$42.71	$53.49
0584-0594	Grand Total for FNS-5835	*Note: There are only 53 State agencies, FNS is not counting duplicative State agencies who conduct additional activities, we are only counting the activities/responses and the burden times associated with these activities.	53	4.603773585	244.0	85.43	20,845.3				$42.71	$890,300.73
0584-0594	FNS-46	Issuance Reconciliation Report	54	12.0	648.0	8.00	5,184.0				$42.71	$221,408.64
0584-0594	FNS-46 (PR)	Issuance Reconciliation Report	1	12.0	12.0	4.00	48.0				$42.71	$2,050.08
0584-0594	FNS-292A&B	Disaster Relief	110	0.5	55.0	0.42	23.1				$42.71	$986.60
4040-0014	SF-425	SNAP Assessment of Alternatives to Face-to-Face Interviews	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Attorney General Prosecution Pilot	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP American Public Human Services Association	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP CAP	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP CNMI - Enhanced Nutrition Assistance Program	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP Employment & Training Data and Technical Assistance	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Education Toolkit	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP Employment and Training 2014 Farm Bill Pilots	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Farmer's Market Equipment (new zero out)	0	4.0	0.0	1.50	0.0	318.0			$42.71	$-
4040-0014	SF-425	SNAP Farmer's Market Equipment Semiannual	27	2.0	54.0	1.50	81.0				$42.71	$3,459.51
4040-0014	SF-425	SNAP Fraud Framework Implementation Grant	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Farmer's Market Support Grant	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Healthy Body, Healthy Spirit Pilot Program	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Healthy Incentives Pilot	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Integrity Education Grant	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Increasing SNAP Participation Among Medicare Beneficiaries	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP National Accuracy Clearinghouse (NAC) Pilot Project	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Outreach	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Participation	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Process and Technology Improvement	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Recipient Integrity Information Technology Grant	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Recipient Trafficking Prevention Grants	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
0584-0594	SF-425 (FNS-778) (AS)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant	1	4.0	4.0	8.00	32.0				$42.71	$1,366.72
0584-0594	SF-425 (FNS-778) (CNMI-NAP)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant	1	4.0	4.0	2.50	10.0				$42.71	$427.10
0584-0594	SF-425 (FNS-778) (PR)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant	1	4.0	4.0	80.00	320.0				$42.71	$13,667.20
0584-0594	SF-425 (FNS-778/FNS-778A)	PAN-SNAP-ARPA-SAE SNAP American Rescue Plant Act Grant	53	4.0	212.0	16.80	3,561.6				$42.71	$152,115.94
0584-0594	SF-425 (FNS-778/FNS-778A)	PAN-SNAP-CRRSAA-State Administrative Expenses (100% Reimbursement)	53	4.0	212.0	16.80	3,561.6				$42.71	$152,115.94
0584-0594	FNS-366A	PAN SNAP PEBT Administration Grant (note: this form was created, but then FNS decided it was no longer needed/required)	0	0.0	0.0	0.00	0.0				$42.71	$-
0584-0594	SF-425 (FNS-778/FNS-778A)	PAN SNAP PEBT Administration Grant	53	4.0	212.0	16.80	3,561.6				$42.71	$152,115.94
4040-0014	SF-425	SNAP-CFPG (Community Food Program Grants)	3	4.0	12.0	1.50	18.0				$42.71	$768.78
4040-0014	SF-425	SNAP E&T National Partnership Grant	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP-Ed-Electronic Reporting System	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Evaluation of Automated Income Data Sources for Income Verification	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Healthy Fluid Milk Incentives Grant	3	4.0	12.0	1.50	18.0				$42.71	$768.78
4040-0014	SF-425	SNAP-Longitudinal Data Project	53	4.0	212.0	1.50	318.0				$42.71	$13,581.78
4040-0014	SF-425	SNAP Online Purchasing Participation Assistance for Farmers and Farmers’ Markets	5	4.0	20.0	1.50	30.0				$42.71	$1,281.30
4040-0014	SF-425	SNAP PR Nutrition Assistance Program Tech Study	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP-Thrifty Food Plan Data	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	SNAP-EBT-SEMTAC Modernization Technical Assistance Center	1	4.0	4.0	1.50	6.0				$42.71	$256.26
		PROGRAM SUBTOTALS	4,556		10,091.0		65,731.8					2,807,406.57
		Food Distribution Program
0584-0594	FNS-667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55	5.0	275.0	3.50	962.5				$42.71	$41,108.38
0584-0594	FNS-152	Monthly Distribution of Donated Food to Family Units	115	12.0	1,380.0	2.50	3,450.0				$42.71	$147,349.50
0584-0594	FNS-153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	58	12.0	696.0	6.30	4,384.8				$42.71	$187,274.81
4040-0014	SF-425	CSFP	58	1.0	58.0	1.50	87.0				$42.71	$3,715.77
0584-0594	FNS-191	CSFP Racial/Ethnic Group Participation	252	1.0	252.0	2.00	504.0				$42.71	$21,525.84
4040-0014	SF-425	Pandemic-ARPA American Rescue Plan Act Caseload Administrative Grant	58	2.0	116.0	1.50	174.0				$42.71	$7,431.54
4040-0014	SF-425	Pandemic-CRRSAA Supplemental Administrative Grants	58	2.0	116.0	1.50	174.0				$42.71	$7,431.54
0584-0594	FNS-101	Participation in Food Programs-By Race	134	1.0	134.0	2.00	268.0				$42.71	$11,446.28
4040-0014	SF-425	FDPNE	115	4.0	460.0	1.50	690.0				$42.71	$29,469.90
4040-0014	SF-425	FDPIR-NET (new zero out)	0	0.0	0.0	1.50	0.0	172.5			$42.71	$-
4040-0014	SF-425	FDPIR-NET (2 year)	115	1.0	115.0	1.50	172.5				$42.71	$7,367.48
4040-0014	SF-425	FDPIR	115	4.0	460.0	1.50	690.0				$42.71	$29,469.90
4040-0014	SF-425	FDPIR-INF Infrastructure (new zero out)	0	0.0	0.0	1.50	0.0	690.0	0.0		$42.71	$-
4040-0014	SF-425	FDPIR-Nutr. Paraprofessional Training Proj.	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	Pandemic-FDPIR Improvement and Equipment Grants	115	4.0	460.0	1.50	690.0				$42.71	$29,469.90
4040-0014	SF-425	Pandemic-FDPIR CARES Act-SUP Supplemental Administrative Grants	115	4.0	460.0	1.50	690.0				$42.71	$29,469.90
0584-0594	FNS-667	TEFAP-SUP (new zero out)	0	5.0	0.0	3.50	0.0				$42.71	$-
4040-0014	SF-425	TEFAP - Infrastructure (new zero out)	0	4.0	0.0	1.50	0.0				$42.71	$-
4040-0014	SF-425	Food Distribution-Trade Mitigation Admin Funds	55	4.0	220.0	1.50	330.0				$42.71	$14,094.30
4040-0014	SF-425	TEFAP-F2F-BANK Farm to Food Bank Projects	55	2.0	110.0	1.50	165.0				$42.71	$7,047.15
4040-0014	SF-425	Pandemic-TEFAP ARPA Reach and Resiliency Grants	55	4.0	220.0	1.50	330.0				$42.71	$14,094.30
0584-0594	FNS-667	Pandemic-TEFAP Build Back Better	55	5.0	275.0	3.50	962.5				$42.71	$41,108.38
0584-0594	FNS-667	Pandemic-TEFAP CARES Act The Emergency Food Assistance Program	55	4.0	220.0	3.50	770.0				$42.71	$32,886.70
0584-0594	FNS-667	Pandemic-CRRSAA TEFAP Coronavirus Supplemental Administrative Grants	55	4.0	220.0	3.50	770.0				$42.71	$32,886.70
0584-0594	FNS-667	Pandemic-Family First Act The Emergency Food Assistance Program	55	4.0	220.0	3.50	770.0				$42.71	$32,886.70
		PROGRAM SUBTOTALS	1,749		6,471.0		17,040.3	862.5				$727,791.21
		Special Supplemental Food Program for Women, Infants and Children (WIC)
0584-0594	FNS-683B	WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report	51	1.0	51.0	3.50	178.5				$42.71	$7,623.74
0584-0594	FNS-683A	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report	57	1.0	57.0	2.00	114.0				$42.71	$4,868.94
0584-0594	FNS-648	WIC Local Agency Directory	1,806	1.0	1,806.0	0.17	307.0				$42.71	$13,112.82
0584-0594	FNS-798	WIC Financial Management and Participation Report	89	15.0	1,335.0	3.24	4,321.0				$42.71	$184,549.68
0584-0594	FNS-798A	Addendum to WIC Financial Management and Participation Report - NSA Expenditures	89	1.0	89.0	1.70	151.3				$42.71	$6,462.02
4040-0014	SF-425	WIC Breastfeeding Peer Counseling	89	1.0	89.0	1.50	133.5				$42.71	$5,701.79
4040-0014	SF-425	WIC Breastfeeding Loving Support Campaign	1	4.0	4.0	1.50	6.0				$42.71	$256.26
0584-0594	BFDLA	WIC Breastfeeding Data by Local Agency	89	1.0	89.0	1.00	89.0				$42.71	$3,801.19
4040-0014	SF-425	WIC General Infrastructure	89	1.0	89.0	1.50	133.5				$42.71	$5,701.79
4040-0014	SF-425	WIC General Infrastructure 2-year	89	1.0	89.0	1.50	133.5				$42.71	$5,701.79
4040-0014	SF-425	WIC General Infrastructure State Agency Model	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC State Agency Model	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Technology State Agency Model	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Special Project Full Grant (new zero out)	0	4.0	0.0	1.50	0.0	540.0	0.0		$42.71	$-
4040-0014	SF-425	WIC Breastfeeding Performance Bonus (2 Year)	15	1.0	15.0	1.50	22.5				$42.71	$960.98
4040-0014	SF-425	WIC Electronic Benefits Transfer	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Electronic Benefit Transfer Implementation	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Electronic Benefit Transfer Planning	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Infrastructure Electronic Benefit Transfer	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Infrastructure Management Information System	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC General Infrastructure State Agency Model	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Management Information System Implementation	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Management Information System Planning	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Nutrition Education Innovations	5	4.0	20.0	1.50	30.0				$42.71	$1,281.30
4040-0014	SF-425	WIC Periconceptual Nutrition Research	5	4.0	20.0	1.50	30.0				$42.71	$1,281.30
4040-0014	SF-425	WIC Participant Research Information Laboratory for Enhancing WIC Services	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	WIC Relief Equipment Grant	2	4.0	8.0	1.50	12.0				$42.71	$512.52
4040-0014	SF-425	WIC Relief Infrastructure Grant	2	4.0	8.0	1.50	12.0				$42.71	$512.52
4040-0014	SF-425	WIC Technology Administrative Oversight	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	WIC Technology Management Information System	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Technology State Agency Model	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Technical Standardization Projects	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	WIC Special Project Innovation Grant	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	WIC Telehealth Innovation Special Project Innovations Project	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	WIC University of Minnesota	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	Pandemic WIC ARPA CVV/B Increase	89	1.0	89.0	1.50	133.5				$42.71	$5,701.79
4040-0014	SF-425	Pandemic WIC ARPA FMNP Benefit Delivery Modernization	51	4.0	204.0	1.50	306.0				$42.71	$13,069.26
4040-0014	SF-425	Pandemic WIC ARPA Community Innovation and Outreach Cooperative Agreement	1	4.0	4.0	1.50	6.0				$42.71	$256.26
4040-0014	SF-425	Pandemic WIC ARPA Technology for a Better WIC Experience: Communications, Data, and Metrics Grant	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	Pandemic WIC ARPA Shopping Experience Improvement	89	4.0	356.0	1.50	534.0				$42.71	$22,807.14
4040-0014	SF-425	Pandemic SFMNP ARPA (will be added 12/30/2023)	57	1.0	57.0	1.50	85.5				$42.71	$3,651.71
4040-0014	SF-425	Pandemic WIC ARPA Modernization (will replace 4 above, will be added 9/30/2023))	89	4.0	356.0
4040-0014	SF-425	Pandemic WIC ARPA EBT Universal Interface Conversion (will be added 6/30/2023	10	4.0	40.0	1.50	60.0				$42.71	$2,562.60
4040-0014	SF-425	Pandemic WIC ARPA EBT Offline to Online Implementation (will be added 6/30/2023)	30	4.0	120.0	1.50	180.0				$42.71	$7,687.80
		PROGRAM SUBTOTALS	4,234		10,355.0		15,018.8	540.0	0.0		$0.00	$641,453.57
		Grants Management
	4040-0014	SF-425	Food Safety - Center of Excellence	3	4.0	12.0	1.50	18.0				$42.71	$768.78
	4040-0014	SF-425	Food Safety - Research	3	4.0	12.0	1.50	18.0				$42.71	$768.78
			PROGRAM SUBTOTALS	3		12.0		18.0					$768.78

			TOTAL	14,270		41,858		121,438	3,682.5				$5,186,625.39	$6,898,211.77
														$1,711,586.38
Reviewers Note: Methodology used to calculate annual burden hours is as folllows: Estimated No. of Respondents1 x Frequency of Response per Respondent2 x Estimated Hrs per Response3. 4The hourly wage rate is an average of the hourly mean wage for Bureau of Labor Statistics occupational codes 11-9039 Education Administrators, 11-9051 Food Service Managers, 11-9111 Medical an Health Services Managers, and 11-9151 Social and Community Service Managers. 5 Grand Total for FNS-583 (row 109) is included in total burden. Rows 106-108 are not included but remain for descriptive context. 6 Forms highlighted yellow are new forms added to FPRS since the last renewal. 7 Forms highlighted blue are forms that have not yet been added to FPRS but are scheduled to be added.

Sheet 2: SF 425 Estimates

0348-0061	SF-425	NSLP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	SBP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	SMP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CACFP	55.0	4.0	220.0	1.5	330.0
0348-0061	SF-425	SFSP	53.0	4.0	212.0	1.5	318.0
0348-0061	SF 425	CN Team Nutrition	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Administrative Review & Training (I)	57.0	2.0	114.0	1.5	171.0
0348-0061	SF 425	CN - Administrative Review & Training (II)	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Summer Food Service Program Pilot Programs	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Direct Certification & Verfication	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - CACFP Child Care Wellness Grants	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN Direct Certification and Improvement	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN National School Lunch Program Equipment Grants	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN National Food Service Management Institute (FSMI)	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI Produce Safety University Support	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI Food Safety	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI General Education	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN Community Gardens Pilot Program	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	CN Hunger-Free Community Grants	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	SNAP Outreach	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Health and Census Pilot	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Participation	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Increasing Participation Among Elderly	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Healthy Incentives	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	CSFP	42.0	1.0	42.0	1.5	63.0
0348-0061	SF-425	FDPNE	111.0	4.0	444.0	1.5	666.0
0348-0061	SF-425	FDPIR-NET	111.0	1.0	111.0	1.5	166.5
0348-0061	SF-425	FDPIR	111.0	4.0	444.0	1.5	666.0
0348-0061	SF-425	ARRA FDPIR	111.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	TEFAP - Infrastructure	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	WIC Breastfeeding Peer Counseling	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC General Infrastructure	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC General Infrastructure State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC State to State Technical Assistance	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC Technology State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Special Project Full Grant	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Special Project Concept Grant	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Breastfeeding Performance Bonus	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC Electronic Benefits Transfer	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	ARRA WIC Electronic Benefits Transfer	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	ARRA WIC State Agency Model	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	ARRA WIC Technology State Agency Model	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	Food Safety - Center of Excellence	3.0	4.0	12.0	1.5	18.0
			150.0		9,275.0		13,912.5

Sheet 3: FNS 778-778A formerly SF 269

0348-0039	SF-269(778)	SNAP	53.0	4.0	212.0	16.8	3,561.6
0348-0039	SF-269A(778a)	SNAP	7.0	4.0	28.0	1.0	28.0
			53		240.0		3,589.6

Sheet 4: 0081 FNS 388 and 388A

0584-0081	FNS-388	State Issuance and Participation Estimates	53.0	12.0	636.0	5.6	3,561.6	$24.25
0584-0081	FNS-388A	Project Area Issuance and Participation	53.0	2.0	106.0	14.8	1,572.0	$24.25
			53		742.0	20.4	5,133.6

Sheet 5: 0083fns366A-B-9-2019

0584-0083	FNS-366A	Program and Budget Summary Statement: Budget Projection	53.0	1.0	53.0	13.0	689.0
0584-0083	FNS-366B	Program and Budget Summary Statement: Program Activity Statement	53.0	4.0	212.0	15.0	3,180.0	per rulemaking make sure to align with 0584-0608
			53	----	265.0	----	3,869.0

Sheet 6: 0293 FNS 152, 153 & 667

0584-0293	FNS-667	Rachelle Ragland Greene: remove, 2 year money ARRA-Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55.0	0.0	0.0	0.0	0.0	removed
			55		0.0		0.0



0584-0293	FNS-667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55.0	5.0	275.0	3.5	962.5
0584-0293	FNS-152	Monthly Distribution of Donated Food to Family Units	Rachelle Ragland Greene: 253.8(b) & 254.3(a), Commodity Inventories. The ITO or State agency, in coordination with the FNS Regional Office, tracks commodity inventories at storage facilities, utilizing Form FNS-152 “ Monthly Distribution of Donated Foods to Family Units.” This form is also used to report monthly participation of households. 97 ITOs and State agencies will report monthly participation on Form FNS-152. Because 97 ITOs and State agencies will report monthly participation 12 times per year,we anticipate 1,164 responses will be made annually. Each response will take about 2.5 hours to complete. The total burden for this activity is 2,910 hours. 111.0	12.0	1,332.0	2.5	3,330.0
0584-0293	FNS-153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	42.0	12.0	504.0	6.3	3,175.2
			111		2,111.0		7,467.7

Sheet 7: 0025 FNS 101 AND 191

0584-0025	FNS-101	Participation in Food Programs-By Race	2,719.0	1.0	2,719.0	2.0	5,438.0
0584-0025	FNS-101	Participation in Food Programs-By Race	111.0	1.0	111.0	1.9	210.9
0584-0025	FNS-191	CSFP Racial/Ethnic Group Participation	192.0	1.0	192.0	2.0	384.0
			2719		3,022.0		6,032.9

Sheet 8: 0045 FNS 798 and 798A

0584-0045	FNS-798	WIC Financial Management and Participation Report	90.0	15.0	1,350.0	3.1	4,185.0
0584-0045	FNS-798A	Addendum to WIC Financial Management and Participation Report - NSA Expenditures	90.0	1.0	90.0	1.7	153.0
			90		1,440.0		4,338.0

Sheet 9: 0447 FNS 203 & 683A

0584-0447	FNS-683a	WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report	46.0	1.0	46.0	3.0	138.0
0584-0447	FNS-203	WIC Farmers' Market Nutrition Program Report	46.0	1.0	46.0	1.0	46.0
			46	2.0	92.0		184.0

Sheet 10: Historical OMB Control Numbers

Food and Nutrition Service Data Collection Information (by Program)
Historical OMB Control Numbers
Affected Public	Current OMB Control Number	Worksheet Number	Title of Worksheet
State, Local and Tribal Agencies	0584-0002	FNS-10	Report of School Program Operations
	0584-0075	FNS-13	Annual Report of State Revenue Matching
	0584-0280	FNS-418	Summer Food Service Program for Children
	0584-0055	FNS-44	Report of Child and Adult Care Food Program
	0584-0006	FNS-640	CN Administrative Review Report
	0584-0026	FNS-742	CN School Food Authority (SFA) Verification Collection Report
	0584-0594	FNS-828	CN School Food Authority Paid Lunch Price Report
	0584-0577	FNS-834	State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report
	0584-0226	FNS-874	Local Education Agency Second Review of Applications
	0584-0567	QTR-SFA-CERT	Quarterly Report for SFA Certification
	0584-0067	FNS-777(SAE)	CN - NSLP, SBP, SMP, CACFP and Food Distribution Program (FDP)
	4040-0014	SF-425	CN - NSLP
	4040-0014	SF-425	CN - SBP
	4040-0014	SF-425	CN - SMP (new zero out)
	4040-0014	SF-425	CN - CACFP
	4040-0014	SF-425	CN - SFSP
	4040-0014	SF 425	CN - Team Nutrition
	4040-0014	SF 425	CN - School Nutrition Training Grant for Allied Professional Organizations
	4040-0014	SF 425	CN - Administrative Review & Training (I)
	4040-0014	SF 425	CN - Administrative Review & Training (II)
	4040-0014	SF 425	CN - Summer Food Service Program Pilot Programs
	4040-0014	SF 425	CN - Local Wellness Policy Surveillance System Cooperative Agreement
	4040-0014	SF 425	CN - USDA Rural Child Poverty Nutrition Center
	4040-0014	SF 425	CN - Professional Standards for All School Nutrition Employees
	4040-0014	SF 425	CN - Summer 2011 SFSP Home Delivery and Food Backpacks Demonstration Projects (new zero out)
	4040-0014	SF 425	CN - SFSP, Electronic Benefits Transfer for Children, SNAP
	4040-0014	SF 425	CN - SFSP SNAP EBT Pilot Food Funds
	4040-0014	SF 425	CN - SFSP, Summer Electronic Benefits Transfer for Childrent, WIC
	4040-0014	SF 425	CN - SFSP WIC EBT Pilot Food Funds
		SF 425	CN - SFSP WIC EBT Pilot Food Funds v.5
	4040-0014	SF 425	CN - SFSP-RDEMO, Rural Summer Meals Demonstration
	4040-0014	SF 425	CN - Technology Innovation Grants
	4040-0014	SF 425	CN - Block Funding for Territories
	4040-0014	SF 425	CN - Team Nutrition E-STAR Program Training Grant
	4040-0014	SF 425	CN - Team Nutrition Training Grant for Innovative State Training Programs
		SF 425	CN - Child Nutrition Team Nutrition Non-Competitive Grants
	4040-0014	SF 425	CN - Direct Certification & Verfication (new zero out)
	4040-0014	SF 425	CN - CACFP AUDIT Reallocated Funds
	4040-0014	SF 425	CN - CACFP Child Care Wellness Grants
	4040-0014	SF 425	CN - CACFP Meal Service Training Grants
	4040-0014	SF 425	CN - CACFP Training Grants
		SF 425	CN - CCC - CN Supply Chain Assistance Funding
	4040-0014	SF-425	CN - Direct Certification and Improvement
	4040-0014	SF 425	CN - Farm to School Conference and Events
		SF 425	CN - Farm to School Grantee Gathering
	4040-0014	SF 425	CN - Farm to School Implementation
	4040-0014	SF 425	CN - Farm to School Planning - Semi-Annual Report
	4040-0014	SF 425	CN - Farm to School Planning - Quarterly Report
		SF 425	CN - Farm to School Racial Equity Learning Lab
		SF 425	CN - Farm to School Regional Institute Grant
		SF 426	CN - Farm to School State Agency Formula Grant
	4040-0014	SF 425	CN - Farm to School Support Services
	4040-0014	SF 425	CN - Farm to School Team
	4040-0014	SF 425	CN - Farm to School Training Grant
	4040-0014	SF 425	CN - Farm to School Traning and Curricula
		SF 425	CN - Farm to School Turnkey Grant
	4040-0014	SF 425	CN - Fresh Fruit and Vegetable Program
	4040-0014	SF-425	CN - National School Lunch Program Equipment Grants
		SF-425	CN - National School Lunch Program Equipment Grant v5
	4040-0014	SF-425	CN - Institute for Child Nutrition (ICN)
	4040-0014	SF-425	CN - ICN Produce Safety University Support (new zero out)
	4040-0014	SF-425	CN - ICN Food Safety
	4040-0014	SF-425	CN - ICN General Education
	4040-0014	SF 425	CN - ICN - Chef's Move to School
4040-0014	SF 425	CN - ICN - Professional Standards (new zero out)
4040-0014	SF 425	CN - ICN - School Nutrition Strategies, Training, Action Plans, Resources
	SF 425	CN - ICN - Culinary Institute of Child Nutrition
4040-0014	SF-425	CN - Community Gardens Pilot Program
4040-0014	SF 425	CN - Healthy Hunger-Free Kids Act Administrative Funds
4040-0014	SF 425	CN - Demonstration Projects to end Childhood Hunger - HHFKA of 2010
4040-0014	SF-425	CN - Hunger-Free Community Grants (new zero out)
	SF 425	PAN - CN - CACFP Emergency Operating Costs
	SF 425	PAN - CN - NSLP Coronavirus Local-level Costs
	SF 425	PAN - CN - NSLP Seamless Summer Option Families First Coronavirus Response Act
	SF 425	PAN - CN - CN PEBT Administration Grant
	SF 425	CN - School Breakfast Program Special Grants
		PROGRAM SUBTOTALS
		Supplemental Nutrition Assistance Program
0584-0025	FNS-101	Participation in Food Programs-By Race
0584-0025	FNS-101 (CNMI)	PARTICIPATION IN FOOD PROGRAMS - BY ETHNICITY
0584-0069	FNS-209	Status of Claims Against Households
0584-0069	FNS-209 (PR)	PR Status of Claims Against Households
0584-0083	FNS-366A	Program and Budget Summary Statement: Budget Projection
0584-0083	FNS-366A (PR)	PR Program and Budget Summary Statement: Budget Projection
0584-0083	FNS-366A (PR 2018-2019)	PR Disaster Relief Program and Budget Summary Statement: Budget Projection
0584-0083	FNS-366B	Program and Budget Summary Statement: Program Activity Statement
0584-0081	FNS-388	State Issuance and Participation Estimates
0584-0081	FNS-388 (AS)	State Issuance and Participation Estimates
0584-0081	FNS-388 (CNMI-NAP)	State Issuance and Participation Estimates
0584-0081	FNS-388 (PR)	State Issuance and Participation Estimates
0584-0081	FNS-388 (PR-NAP)	PR-NAP ISSUANCE AND PARTICIPATION ESTIMATES
0584-0081	FNS-388A	Project Area Issuance and Participation
0584-0081	FNS-388A (CNMI-NAP)	CNMI SNAP Project Area Data Format
0584-0081	FNS-388A (PR)	Puerto Rico SNAP Project Area Data Format
0584-0542	FNS-759	Supplemental Nutrition Assistance Program Education (SNAP-Ed) EARS Reporting Form
0348-0039	SF-425(778)	SNAP Federal Financial Report
0348-0039	SF-425(778a)	SNAP Federal Financial Report
0348-0039	SF-425 (FNS-778) (AS)	FINANCIAL STATUS REPORT - America Samoa
0348-0039	SF-425 (FNS-778) (CNMI-NAP)	FINANCIAL STATUS REPORT - CNMI
0348-0039	SF-425 (FNS-778) (PR)	FINANCIAL STATUS REPORT - PR
0348-0039	SF-425 (FNS-778) (PR 2018/2019)	PR Disaster Relief Grant
0584-0339	FNS-583(currently approved burden)	Food Stamp Employment and Training Program Activity Report
0584-0339	FNS-583 Additional data request - mandatory reporting
0584-0339	FNS-583 Optional reporting of case management
0584-0339	Grand Total for FNS-5835	*Note: There are only 53 State agencies, FNS is not counting duplicative State agencies who conduct additional activities, we are only counting the activities/responses and the burden times associated with these activities.
0584-0080	FNS-46	Issuance Reconciliation Report
0584-0080	FNS-46 (PR)	Issuance Reconciliation Report
0584-0037	FNS-292A&B	Disaster Relief
4040-0014	SF-425	SNAP Assessment of Alternatives to Face-to-Face Interviews
4040-0014	SF-425	SNAP Attorney General Prosecution Pilot
4040-0014	SF-425	SNAP American Public Human Services Association
4040-0014	SF-425	SNAP CAP
4040-0014	SF-425	SNAP CNMI - Enhanced Nutrition Assistance Program
4040-0014	SF-425	SNAP Employment & Training Data and Technical Assistance
4040-0014	SF-425	SNAP Education Toolkit
4040-0014	SF-425	SNAP Employment and Training 2014 Farm Bill Pilots
4040-0014	SF-425	SNAP Farmer's Market Equipment
4040-0014	SF-425	SNAP Fraud Framework Implementation Grant
4040-0014	SF-425	SNAP Farmer's Market Support Grant
4040-0014	SF-425	SNAP Healthy Body, Healthy Spirit Pilot Program
4040-0014	SF-425	SNAP Healthy Incentives Pilot
4040-0014	SF-425	SNAP Integrity Education Grant
4040-0014	SF-425	SNAP Increasing SNAP Participation Among Medicare Beneficiaries
4040-0014	SF-425	SNAP National Accuracy Clearinghouse (NAC) Pilot Project
4040-0014	SF-425	SNAP Outreach
4040-0014	SF-425	SNAP Participation
4040-0014	SF-425	SNAP Process and Technology Improvement
4040-0014	SF-425	SNAP Recipient Integrity Information Technology Grant
4040-0014	SF-425	SNAP Recipient Trafficking Prevention Grants
	SF-425 (FNS-778) (AS)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant
	SF-425 (FNS-778) (CNMI-NAP)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant
	SF-425 (FNS-778) (PR)	PAN-NAP ARPA Territories - SNAP American Rescue Plan Act Grant
	SF-425 (FNS-778/FNS-778A)	PAN-SNAP-ARPA-SAE SNAP American Rescue Plant Act Grant
	SF-425 (FNS-778/FNS-778A)	PAN-SNAP-CRRSAA-State Administrative Expenses (100% Reimbursement)
0584-0083	FNS-366A	PAN SNAP PEBT Administration Grant (note: this form was created, but then FNS decided it was no longer needed/required)
	SF-425 (FNS-778/FNS-778A)	PAN SNAP PEBT Administration Grant
0584-0083	FNS-366A (PR FFCRA/CARES)	PAN SNAP TERR RELIEF
	SF-425 (FNS-778) (PR FFCRA/CARES)	PAN SNAP TERR RELIEF
	SF-425	SNAP-CFPG (Community Food Program Grants)
	SF-425	SNAP E&T National Partnership Grant
	SF-425	SNAP Electronic Benefit Transfer (EBT) Modernization Technical Assistance Center (SEMTAC)
	SF-425	SNAP-Ed-Electronic Reporting System
	SF-425	SNAP Evaluation of Automated Income Data Sources for Income Verification
	SF-425	SNAP Healthy Fluid Milk Incentives Grant
	SF-425	SNAP-Longitudinal Data Project
	SF-425	SNAP Online Purchasing Participation Assistance for Farmers and Farmers’ Markets
	SF-425	SNAP PR Nutrition Assistance Program Tech Study
	SF-425	SNAP-Thrifty Food Plan Data


		PROGRAM SUBTOTALS
		Food Distribution Program
0584-0293	FNS-667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs
0584-0293	FNS-152	Monthly Distribution of Donated Food to Family Units
0584-0293	FNS-153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report
4040-0014	SF-425	CSFP
0584-0025	FNS-191	CSFP Racial/Ethnic Group Participation
4040-0014	SF-425	Pandemic-ARPA American Rescue Plan Act Caseload Administrative Grant
4040-0014	SF-425	Pandemic-CRRSAA Supplemental Administrative Grants
0584-0025	FNS-101	Participation in Food Programs-By Race
4040-0014	SF-425	FDPNE
4040-0014	SF-425	FDPIR-NET (new zero out)
4040-0014	SF-425	FDPIR-NET (2 year)
4040-0014	SF-425	FDPIR
4040-0014	SF-425	FDPIR-INF Infrastructure (new zero out)
4040-0014	SF-425	Pandemic-FDPIR Improvement and Equipment Grants
4040-0014	SF-425	Pandemic-FDPIR CARES Act-SUP Supplemental Administrative Grants
0584-0293	FNS-667	TEFAP-SUP (new zero out)
4040-0014	SF-425	TEFAP - Infrastructure (new zero out)
4040-0014	SF-425	Food Distribution-Trade Mitigation Admin Funds
4040-0014	SF-425	TEFAP-F2F-BANK Farm to Food Bank Projects
4040-0014	SF-425	Pandemic-TEFAP ARPA Reach and Resiliency Grants
0584-0293	FNS-667	Pandemic-TEFAP Build Back Better
0584-0293	FNS-667	Pandemic-TEFAP CARES Act The Emergency Food Assistance Program
0584-0293	FNS-667	Pandemic-CRRSAA TEFAP Coronavirus Supplemental Administrative Grants
0584-0293	FNS-667	Pandemic-Family First Act The Emergency Food Assistance Program
		PROGRAM SUBTOTALS
		Special Supplemental Food Program for Women, Infants and Children (WIC)
0584-0447	FNS-683B	WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report
0584-0541	FNS-683A	Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
0584-0431	FNS-648	WIC Local Agency Directory
0584-0045	FNS-798	WIC Financial Management and Participation Report
0584-0045	FNS-798A	Addendum to WIC Financial Management and Participation Report - NSA Expenditures
4040-0014	SF-425	WIC Breastfeeding Peer Counseling
4040-0014	SF-425	WIC Breastfeeding Loving Support Campaign
	BFDLA	WIC Breastfeeding Data by Local Agency
4040-0014	SF-425	WIC General Infrastructure
4040-0014	SF-425	WIC General Infrastructure 2-year
4040-0014	SF-425	WIC General Infrastructure State Agency Model
4040-0014	SF-425	WIC State Agency Model
4040-0014	SF-425	WIC State to State Technical Assistance (zeroed out last renewal, can remove)
4040-0014	SF-425	WIC Technology State Agency Model
4040-0014	SF-425	WIC Special Project Full Grant (new zero out)
4040-0014	SF-425	WIC Special Project Concept Grant (zeroed out last renewal, can remove)
4040-0014	SF-425	WIC Special Project Mini Grant (zeroed out last renewal, can remove)
4040-0014	SF-425	WIC Breastfeeding Performance Bonus (only used in FY2010, can remove)
4040-0014	SF-425	WIC Breastfeeding Performance Bonus (2 Year)
4040-0014	SF-425	WIC Electronic Benefits Transfer
4040-0014	SF-425	WIC Electronic Benefit Transfer Implementation
4040-0014	SF-425	WIC Electronic Benefit Transfer Planning
4040-0014	SF-425	WIC Infrastructure Electronic Benefit Transfer
4040-0014	SF-425	WIC Infrastructure Management Information System
4040-0014	SF-425	WIC General Infrastructure State Agency Model
4040-0014	SF-425	WIC Management Information System Implementation
4040-0014	SF-425	WIC Management Information System Planning
4040-0014	SF-425	WIC Nutrition Education Innovations
4040-0014	SF-425	WIC Periconceptual Nutrition Research
4040-0014	SF-425	WIC Participant Research Information Laboratory for Enhancing WIC Services
4040-0014	SF-425	WIC Relief Equipment Grant
4040-0014	SF-425	WIC Relief Infrastructure Grant
4040-0014	SF-425	WIC Technology Administrative Oversight
4040-0014	SF-425	WIC Technology Management Information System
4040-0014	SF-425	WIC Technology State Agency Model
4040-0014	SF-425	WIC Technical Standardization Projects
4040-0014	SF-425	WIC University of Minnesota
4040-0014	SF-425	ARRA WIC Electronic Benefits Transfer (zeroed out last renewal, can remove)
4040-0014	SF-425	ARRA WIC State Agency Model (zeroed out last renewal, can remove)
4040-0014	SF-425	ARRA WIC Technology State Agency Model (zeroed out last renewal, can remove)
4040-0014	SF-425	Pandemic WIC ARPA CVV/B Increase
4040-0014	SF-425	Pandemic WIC ARPA FMNP Benefit Delivery Modernization
4040-0014	SF-425	Pandemic WIC ARPA Community Innovation and Outreach Cooperative Agreement
4040-0014	SF-425	Pandemc WIC ARPA Technology for a Better WIC Experience: Communications, Data, and Metrics Grant
4040-0014	SF-425	Pandemic WIC ARPA Shopping Experience Improvement
4040-0014	SF-425	Pandemic SFMNP ARPA Food as Medicine

		PROGRAM SUBTOTALS
		Grants Management
	4040-0014	SF-425	Food Safety - Center of Excellence
			PROGRAM SUBTOTALS

			TOTAL

Reviewers Note: Methodology used to calculate annual burden hours is as folllows: Estimated No. of Respondents1 x Frequency of Response per Respondent2 x Estimated Hrs per Response3. 4The hourly wage rate is an average of the hourly mean wage for Bureau of Labor Statistics occupational codes 11-9039 Education Administrators, 11-9051 Food Service Managers, 11-9111 Medical an Health Services Managers, and 11-9151 Social and Community Service Managers. 5 Grand Total for FNS-583 (row 109) is included in total burden. Rows 106-108 are not included but remain for descriptive context.

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