Food Distribution Forms

OMB Control No: 0584-0293	ICR Reference No: 200608-0584-007
Status: Historical Inactive	Previous ICR Reference No: 200606-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Distribution Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/06/2006
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/25/2006
Terms of Clearance: This ICR has been withdrawn, as requested by FNS.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	36 Months From Approved	08/31/2009
Responses	1,642,762	0	1,642,762
Time Burden (Hours)	1,085,814	0	1,085,814
Cost Burden (Dollars)	0	0	0

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Abstract: Changes in the burden hours to reflect the proposed commodity program proposed rule, "Revisions and Clarification in Requirements for the Processing Donated Foods," under 7 CFR 250.

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Authorizing Statute(s): US Code: 7 USC 2013(b) Name of Law: Food Stamp Act of 1977    US Code: 42 USC 1755, 1762a, 1766 Name of Law: National School Lunch Act    US Code: 42 USC 1733 Name of Law: Child Nutrition Act of 1955    US Code: 7 USC 7501 et seq. Name of Law: Emergency Food Assistance Act of 1983    PL: Pub.L. 100 - 237 1-2, 3(a)-(i), 3(k), 7 Name of Law: Commodity Distribution Reform Act & WIC Amendments of 1987    PL: Pub.L. 100 - 435 110-111,130, 220, 502-503, 701 Name of Law: Hunger Prevention Act of 1988    US Code: 7 USC 612 Name of Law: null    PL: Pub.L. 81 - 739 416, 439, 202 Name of Law: Agricultural Act of 1939    PL: Pub.L. 97 - 98 1114(a) Name of Law: Agriculture and food Act of 1981    PL: Pub.L. 89 - 321 1446a-1 Name of Law: Food and Agriculture Act of 1965

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0584-AD76	Proposed rulemaking	71 FR 164	08/24/2006

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 50250	08/24/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 94

IC Title Form No. Form Name 250.67(a)(2)(ii) - Correctional Institutions - Recordkeeping 251.4(g) - Availability and Control of Commodities 251.9(e) & 251.10(d)(1) - Report of State Administratvie Cost Matching Requirements FNS-667 Report of the Emergency Food Assistance Program (TEFAP) Administrative Costs 253.5(h) & 254.3(a) - Records and Reports: ITO Applications - Recordkeeping 253.5(h) & 254.3(a) - Reports and Records: Commodity Inventories - Recordkeeping 250.12(e) & 250.14(d) - Storage facility agreements 250.19(b) - Maintain management evaluation & review records - Recordkeeping 253.5(h) & 254.3(a) - Records and Reports: Household Applications - Recordkeeping 250.15(a) - Distribution charges 250.13(k) & 250.17(d) - Commodity Acceptability Reports FNS-663 Food Distribution Commodity Acceptability Progress (CAP) Report 250.12(b) - Distributing Agency Agreement with Recipient Agencies - Recordkeeping 253.5(h) & 254.3(a) - Records and Reports: Disposal of Out of Condition Commodities - Recordkeeping 240.6 - Funds for States that have phased out facilities - Recordkeeping 251.10(e) - Monitoring eligible recipient agencies 253.5(j) & 254.3(a) - Investigations and Complaints - Recordkeeping 250.55 - RA recordkeeping and reviews of Food Service Management Companies - Recordkeeping 247.29(a) & (b)(2)(iii) - Receipt, disposal, and inventory of donated foods FNS-153 Monthly Report of the Commodity Supplemental Food Program and Quarterly Administrative Financial Status Report 247.30(d)(3) - Records of participant claims - Recordkeeping 250.13(f) - Report of Shipment Received, Over, Short and/or Damaged FNS-57 Report of Shipment Recieved, Over, Short and/or Damaged 251.2(c)(2) & 251.5(a) - State Agency-Eligible Recipient Agency Agreement - Recordkeeping 247.23(b) - State provisions of administrative funds 247.26 - Closeout procedures 251.4(g) - Documentation of transfer of Section 32 Commoditites - Recordkeeping 251.4(h) - Inter-Agency Agreements - Recordkeeping 251.10(a)(1) - Receipt, disposal, and inventory of commodities - Recordkeeping 250.54 - Contract provisions between RAs and Food Service Management Companies 250.69(a) & 250.70(a) - Emergency organization feeding application to state for disasters and situations of distress 250.69(g) - State written request for replacement 250.15(f)(4) - Excess funds justification 250.17(a) - Commodity Inventory Report FNS-155 Inventory Management Register 250.17(e) - Other Reporting - Food Requisition Form FNS-52 Food Requisition 250.17(e) - Other Reporting - State Option Contract Program 250.13(a)(1)(v) - Distributing agency documentation for the transfer of donated food 240.5 - Case in lieu of donated foods for commodity schools - Recordkeeping 240.4 - Cash in Lieu of Donated Foods for Nonresidential Child Care Institutions - Recordkeeping 247.31(c) - Audit responses 250.22 - Distributing agency complaint records - Recordkeeping 250.30(c)(4) - Recordkeeping requirements for all processors - Recordkeeping 251.4(j) - Inter-Agency Agreements 247.8 & 247.16(a) - Applications/Recertifications 250.18(c) - Audits for DAs/RAs/Processors 250.37(c) & 250.30(m) - Monthly Processor's Performance Reports 250.41(a) - Reporting number of needy persons served by charitable institutions 250.43(a) & 250.44(a) - EFO Application to State in disasters and situations of distress 250.64(f) - Records and reports in the Pacific Islands - Recordkeeping 247.22 - Record of use of funds - Recordkeeping 253.5(h) & 254.3(a) - Records and Reports: Financial Status Reports - Recordkeeping 253.8(b) & 254.3(a) - Commodity Inventories FNS-152 Monthly Distribution of Donated Foods to Famil Units 253.8(f) & 254.3(a) - Damaged, or Out of Condition Commodities FNS-57 Report of Shipment Received Over, Short, and/or Damaged 251.4(l)(5) - Claims and adjustments - Recordkeeping 251.4(a)(2) - Funds paid to eligible recipient agencies for storage and distribution - Recordkeeping 251.10(a)(3) - Eligibility determination and collection of participating household information - Recordkeeping 253.5(a) & 254.3(a) - Plans of Operation 253.7 & 254.3(a) - Certification of Household to Participate 253.3(c) - Prime Vendor Pilot 247.28(b) - Records of receipt, disposal & inventory of donated food - Recordkeeping 250.14(a)(4)(iv) - Cost comparison of existing warehouse system with commercial system 250.14(a)(2) - Noncommercial Warehouse Evaluation 247.4(a)(2), (b), (c) - State/Local Agreements 247.6(a-c) - State Plan 250.12(f) & 250.30(c) - Processing Agreements with Distributing Agencies/Recipient Agencies - Recordkeeping 251.2(c)(1) - Federal-State Agreement - Recordkeeping 250.12(e) & 250.14(d) - Storage Facility Agreements - Recordkeeping 250.13(a)(6) - Destination Data for Delivery of Donated Foods FNS-7 Destination Data for Delivery of Donated Foods 250.12(b) - Distributing agancy agreements with recipient agencies 253.5(i) & 254.3(a) - Monitoring and review of program operations - Recordkeeping 250.13(a)(5) - Distributing Agency Documentation of Method Used to Determine Commodity Value - Recordkeeping 250.58 - Ordering donated foods and thier provisions to School Food Authorities FNS-52 Food Requisition 250.19(b) - Distributing Agency's Management Evaluation System 250.17(e) - Other Reporting - Multi-Commodity Food Requisition FNS-53 Multi-Food Requisition 250.14(e) - Physical inventory records - Recordkeeping 253.5(h) & 254.3(a) - Records and Reports: Plans of Operation - Recordkeeping 253.5(h) & 254.3(a) - Records and Reports: Damaged or Out of Condition Commoditites - Recordkeeping 247.7(a) - Applications of Local Agencies 253.5(h) & 254.3(a) - Records and Reports: Reporting Changes - Recordkeeping 247.29(a) - Records of Fair Hearing Proceedings - Recordkeeping 250.18(b) - Processor CPA Audits - Recordkeeping 250.69(a) & 250.70(a) - Records for Disaster Organizations maintain applications - Recordkeeping 250.12(f) & 250.30(b) - Processing Agreements with FNS/Distributing Agencies/Recipient Agencies 247.19(a) - Agreement to prevent dual participation 250.14(e) - Distributing agency's physical inventory report 250.14(f) - Recipient agency excessive inventories 250.22 - Reporting irregularities found through complaints 250.36(b) - End product sales and crediting value of donated foods 250.14(c) - Storage facility review - Recordkeeping 250.15(f) - Segregation of Operating Funds - Recordkeeping 247.6(d) - State Plan Amendments 247.34 - Management Reviews 250.16, 250.30, 250.37(e) & (f) - Maintenance of records/types of processing agreements/records of processor performance - Recordkeeping 251.6(b) - State Agency Distribution Plan 251.4(l) - Commodity Losses and Claims 250.13(i) - Notification of Suspected Embezzlement, Misuse, Theft, etc. 253.7(h) & 254.3(a) - Fair Hearings - Recordkeeping 253.11(b) & 254.3(a) - Managment of Administrative Funds

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: The change in burden with this submission is a total of 18,694 hours (1,595 is attributed to Program change and 17,099 is associated with adjustments due to errors in calculations in previous submissions). Because all burden was migrated under one single IC, the total burden is shown as program/adjustment change instead of only the actual hours affected by this submission.

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Annual Cost to Federal Government: $320,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Dawn Wolfgang 703 305-2811 [email protected]

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 08/25/2006

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