Information Collection

Food Distribution Program (State and Local Government)

IC 43552 under ICR 202305-0584-002 · OMB 0584-0293.

Documents and Forms

Document Name Document Type
Form FNS-7 Food Distribution Program (State and Local Government) Form
FNS-7 FNS-7 Destination Data for Food Deliveries Appendix M - FNS-7 Destination Data for Food Deliveries.pdf Form
FNS-7 FNS-7 Destination Data for Food Deliveries Appendix M - FNS-7 Destination Data for Food Deliveries.pdf Form
FNS 152 FNS 152 Monthly Distribution of Donated Foods to Family Appendix N - FNS 152 Monthly Distribution of Donated Foods to Family Units.pdf Form
FNS 152 FNS 152 Monthly Distribution of Donated Foods to Family Appendix N - FNS 152 Monthly Distribution of Donated Foods to Family Units.pdf Form
FNS-153 FNS-153 Monthly CSFP Report and Quarterly Administrative Appendix O - FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status.pdf Form
FNS-153 FNS-153 Monthly CSFP Report and Quarterly Administrative Appendix O - FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status.pdf Form
FNS-155 Inventory FNS-155 Inventory Management Register Appendix P - FNS-155 Inventory Management Register.pdf Form
FNS-155 Inventory FNS-155 Inventory Management Register Appendix P - FNS-155 Inventory Management Register.pdf Form
FNS-667 Appendix Q - FNS-667 Report of TEFAP Administrative Cost Appendix Q - FNS-667 Report of TEFAP Administrative Costs.pdf Form
FNS-667 Appendix Q - FNS-667 Report of TEFAP Administrative Cost Appendix Q - FNS-667 Report of TEFAP Administrative Costs.pdf Form
Appendix U - WBSCM Screenshots.pptx Appendix U - WBSCM Screenshots IC Document
Appendix U - WBSCM Screenshots.pptx Appendix U - WBSCM Screenshots IC Document
Appendix V - FPRS Screenshots.pptm Appendix V - FPRS Screenshots IC Document
Appendix V - FPRS Screenshots.pptm Appendix V - FPRS Screenshots IC Document
Appendix W(1) - 1.0 - WBSCM Portal Settings & Navigation.pdf Appendix W(1) - 1.0 - WBSCM Portal Settings & Navigation IC Document
Appendix W(1) - 1.0 - WBSCM Portal Settings & Navigation.pdf Appendix W(1) - 1.0 - WBSCM Portal Settings & Navigation IC Document
Appendix W(2) - 2.0 - WBSCM User Access & Security.pdf Appendix W(2) - 2.0 - WBSCM User Access & Security IC Document
Appendix W(2) - 2.0 - WBSCM User Access & Security.pdf Appendix W(2) - 2.0 - WBSCM User Access & Security IC Document
Appendix W(4) - 4.0 - WBSCM Entitlement Management.pdf Appendix W(4) - 4.0 - WBSCM Entitlement Management IC Document
Appendix W(4) - 4.0 - WBSCM Entitlement Management.pdf Appendix W(4) - 4.0 - WBSCM Entitlement Management IC Document
Appendix W(5) - 5.0 - WBSCM Catalog Maintenance.pdf Appendix W(5) - 5.0 - WBSCM Catalog Maintenance IC Document
Appendix W(5) - 5.0 - WBSCM Catalog Maintenance.pdf Appendix W(5) - 5.0 - WBSCM Catalog Maintenance IC Document
Appendix W(6) - 6.0 - WBSCM Ordering.pdf Appendix W(6) - 6.0 - WBSCM Ordering IC Document
Appendix W(6) - 6.0 - WBSCM Ordering.pdf Appendix W(6) - 6.0 - WBSCM Ordering IC Document
Appendix W(7) - 7.0 - WBSCM Receipting.pdf Appendix W(7) - 7.0 - WBSCM Receipting IC Document
Appendix W(7) - 7.0 - WBSCM Receipting.pdf Appendix W(7) - 7.0 - WBSCM Receipting IC Document
Appendix W(8) - 8.0 - WBSCM Complaints.pdf Appendix W(8) - 8.0 - WBSCM Complaints IC Document
Appendix W(8) - 8.0 - WBSCM Complaints.pdf Appendix W(8) - 8.0 - WBSCM Complaints IC Document
Appendix W(9) - 9.0 - WBSCM Recalls.pdf Appendix W(9) - 9.0 - WBSCM Recalls IC Document
Appendix W(9) - 9.0 - WBSCM Recalls.pdf Appendix W(9) - 9.0 - WBSCM Recalls IC Document
Appendix W(10) - 10.0 - Other WBSCM Reports.pdf Appendix W(10) - 10.0 - Other WBSCM Reports IC Document
Appendix W(10) - 10.0 - Other WBSCM Reports.pdf Appendix W(10) - 10.0 - Other WBSCM Reports IC Document
Appendix R - SF-424 Application for Federal Assistance.pdf Appendix R - SF-424 Application for Federal Assistance IC Document
Appendix R - SF-424 Application for Federal Assistance.pdf Appendix R - SF-424 Application for Federal Assistance IC Document
Appendix S - SF- 425 Federal Financial Report.pdf Appendix S - SF- 425 Federal Financial Report IC Document
Appendix S - SF- 425 Federal Financial Report.pdf Appendix S - SF- 425 Federal Financial Report IC Document
Appendix W - WBSCM Resources for Customer Organizations.docx Appendix W - WBSCM Resources for Customer Organizations IC Document
Appendix W - WBSCM Resources for Customer Organizations.docx Appendix W - WBSCM Resources for Customer Organizations IC Document
Appendix W(3) - 3.0 - WBSCM Organization Maintenance.pdf Appendix W(3) - 3.0 - WBSCM Organization Maintenance IC Document
Appendix W(3) - 3.0 - WBSCM Organization Maintenance.pdf Appendix W(3) - 3.0 - WBSCM Organization Maintenance IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Food Distribution Program (State and Local Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 240, 247, 250, 251, 253, 254 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-7	FNS-7 Destination Data for Food Deliveries	Appendix M - FNS-7 Destination Data for Food Deliveries.pdf	Yes	Yes	Fillable Printable
Form	FNS 152	FNS 152 Monthly Distribution of Donated Foods to Family Units	Appendix N - FNS 152 Monthly Distribution of Donated Foods to Family Units.pdf	Yes	Yes	Fillable Printable
Form	FNS-153	FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status	Appendix O - FNS-153 Monthly CSFP Report and Quarterly Administrative Financial Status.pdf	Yes	Yes	Fillable Printable
Form	FNS-155 Inventory	FNS-155 Inventory Management Register	Appendix P - FNS-155 Inventory Management Register.pdf	Yes	Yes	Fillable Printable
Form	FNS-667	Appendix Q - FNS-667 Report of TEFAP Administrative Costs	Appendix Q - FNS-667 Report of TEFAP Administrative Costs.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,164	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 27 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	704,413	883	80	703,450
Annual IC Time Burden (Hours)	94,745	355	72	94,318
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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