Skip to main content
Resource | Forms Federal-State Agreement Child Nutrition and Food Distribution Programs

This agreement sets out the requirements for administering the child nutrition programs and the food distribution programs.

07/14/2022
Resource | Forms FNS-152: Monthly Distribution of Donated Foods to Family Units

The ITO/state agency must submit Form FNS-152, Monthly Distribution of Donated Foods to Family Units,  that documents the data obtained in the physical inventory with the perpetual inventory record. Shortages must be reported to the appropriate FNS regional office.

FNS-152
04/09/2020
Resource | Forms FNS-674: User Access Request Form

Form FNS-674 is used to request access to the USDA Food Program Reporting System (FPRS).  

FNS-674
04/09/2020
Resource | Forms FNS-191: Racial/Ethnic Group Participation - CSFP

This form is used to report Racial/Ethnic Group Participation in the Commodity Supplemental Food Program as outlined in FNS Instruction 113-1. 

FNS-191
05/31/2012
Resource | Forms FNS-101: Participation in Food Programs - by Race

Form FNS-101: Participation in Food Programs - by Race 

FNS-101
12/02/2008
Resource | Forms FNS-667: Report of The Emergency Food Assistance Program (TEFAP) Administrative Costs

Form FNS-667 is used by state agencies to report use of TEFAP administrative funds.  

FNS-667
07/01/2008
Resource | Forms FNS-57: Report of Shipment Received Over, Short and/or Damaged

Form FNS-57 is used by consignees to report overages and shortages in a shipment and commodities damaged in transit.

FNS-57
07/01/2008
Resource | Forms AD-1049: USDA Certification Regarding Drug-Free Work Place Requirements Alternative I - For Grantees Other than Individuals

FNS Form AD-1049 is the USDA Certification Regarding Drug-Free Work Place Requirements (GRANTS) Alternative I - For Grantees Other than Individuals

AD-1049
12/04/2003
Resource | Tools and Applications FSA-21: Public Voucher - Commodity Programs

State agencies apply for reimbursement using Form FSA-21, submitted to the appropriate FNS regional office for approval. 

FSA-21
03/11/2003
Page updated: October 14, 2021