Food Distribution Forms

OMB Control No: 0584-0293	ICR Reference No: 200911-0584-003
Status: Historical Active	Previous ICR Reference No: 200906-0584-004
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: Approved without change	Conclusion Date: 12/31/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	12/31/2009
Responses	1,655,720	0	1,160,746
Time Burden (Hours)	1,079,172	0	1,073,701
Cost Burden (Dollars)	0	0	0

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Abstract: To assist American farmers and needy people by purchasing commodities and delivering them to State agencies that, in turn, distribute them to organizations for use in providing food assistance to those in need.

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Authorizing Statute(s): US Code: 42 USC 1755, 1762a & 1776 Name of Law: National School Lunch Act    US Code: 7 USC 2013 Name of Law: Food Stamp Act 1977    US Code: 42 USC Section 4 (1733) Name of Law: Child Nutrition Act 1966    US Code: 7 USC 7501 Name of Law: The Emergency Food Assistance Act 1983    PL: Pub.L. 111 - 5 101 Name of Law: American Recovery and Reinvestment Act of 2009

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41108	08/14/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 228	11/30/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title Form No. Form Name Business FNS-663 FOOD DISTRIBUTION COMMODITY ACCEPTABILITY PROGRESS (CAP) REPORT Food Distribution Forms (State and Local Government) SF 425, FNS-7, FNS-152, FNS-52, FNS-53, FNS-57, FNS-153, FNS-155, FNS-667 DESTINATION DATA FOR DELIVERY OF DESTINATION DATA FOR DELIVERY OF ,   FOOD REQUISITION ,   USDA MULTI-FOOD REQUISITION ,   REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED ,   MONTHLY DISTRIBUTION OF DONATED FOODS TO FAMILY UNITS ,   MONTHLY REPORT OF THE COMMODITY SUPPLEMENTAL FOOD PROGRAM AND QUARTERLY ADMINISTRATIVE FINANCIAL STATUS REPORT ,   INVENTORY MANAGEMENT REGISTER ,   REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS ,   Financial Status Reports- ARRA FDPIR Individuals/Households - Elderly & WIC

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,655,720	1,160,746	0	0	494,974	0
Annual Time Burden (Hours)	1,079,172	1,073,701	0	51	5,420	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: No

Burden Reduction Due to:

Short Statement: The revision in burden hours under Section 250 reflects program changes caused as a result of the upcoming implementation of a new Web Based Supply Change Management (WBSCM) system, which will replace older systems and will streamline the procurement, delivery, and management of USDA foods. A net increase of 5,420 hours is due to the implementation of WBSCM. We are also requesting 51 hours due to changes in the certification process created by the final rule Food Distribution Program on Indian Reservations: Resource Limits and Exclusions, and Extended Certification Periods. The current OMB Inventory is 1,073,701 with the increase the total Annual Hours Requested is 1,079,172.

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Annual Cost to Federal Government: $5,579,557

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)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Rachelle Ragland-Greene 703 605-0038 [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: 11/30/2009

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