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FNS-155
ICR 202410-0584-003 · OMB 0584-0293 · Object 170832900.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | FNS-155 |
| Author | Katie.Treen |
| Last Modified By | Adobe LiveCycle Designer 11.0 |
| File Modified | 2019-11-22 |
| File Created | 2019-11-19 |
| Conversion State | complete |
Extracted Text
Attachment 16- FNS-155 Inventory Management Register OMB FORM APPROVED NO 0584-0293 Expiration Date: 11/30/2019 UNITED STATES DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE INVENTORY MANAGEMENT REGISTER Public reporting burden for this collection of information is estimated to average 2.5 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. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. 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 Services, Office of Research and Analysis (0584-0293), Alexandria, VA 22302. Do not return the completed form to this address. LIST STATE INVENTORY(IES) GREATER THAN 6 MONTHS STATE AGENCY DA CODE MONTH/YEAR COMMODITY & CODE (1) (4) EXCESS INVENTORIES TO REPORT YES QUANTITY (CASES) (2) DISPOSITION/COMMENTS (3) (5) SIGNATURE/TITLE (6) DATE NO FORM FNS-155 (08-18) Previous Editions Obsolete SBU Electronic Form Version Designed in Adobe 11.0 Version PAGE OF INSTRUCTIONS SUBMISSION: Forward the original of this document to the appropriate Food and Nutrition Service (FNS) Regional Office no later than 30 calendar days following the last day of the month being reported. USDA commodities shipped to the States for the Commodity Supplemental Food Program (CSFP) and the Food Distribution Program on Indian Reservations (FDPIR) shall not be included on this form. State Distributing Agencies (DA) receiving CSFP and/or FDPIR commodities should reflect these inventories of the FNS-153 and FNS-152 respectively. REPORT IDENTIFICATION: Enter the State DA name, the DA code, report month, and calendar year if the individual State submission requires more than one page, this data need be provided only on the first page of the submission. PURPOSE The FNS-155 captures by type, commodities physically warehoused in any State-operated or State-contracted storage facility that exceeds a cumulative 6 month inventory. Commodities remaining in these warehouses at the end of the report month shall be counted as State inventory until such commodities are distributed to recipient and/or subdistributing agencies. EXCESS 6-MONTH COMPUTATION: To identify excess inventories, by type of commodity, divide the accumulated State inventory balance at the end of the report month by the average quantity of that commodity distributed to the recipient and/or sub-distributing agencies during a typical month. COLUMN: 1. USDA COMMODITY CODE: Enter the four-digit FNS commodity code, and short title. 2. QUANTITY-CASES: Using the above computation process, by commodity type, enter the cumulative number of cases that exceed a 6-month level. 3. DISPOSITION/COMMENTS: If applicable, for this type of commodity, identify and single warehouse facility storing over a 6 month inventory. Indicate the distribution plan that has been devised to ensure the inventory level is diminished in a timely manner. States may also indicate justifications for instances where more than a six month inventory is needed. 4. NO EXCESS INVENTORIES: Check the appropriate box to indicate whether or not there exists an excess inventory of commodities for the report month. 5. TITLE: Enter the approving official's title and signature. 6. DATE: Enter the date the report is signed.