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Resource | Forms FNS-74: 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.

FNS-74
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-292a: Report of Commodity Distribution for Disaster Relief

FNS Form 292A is to be used to report Commodity Distribution for Disaster Relief. 

FNS-292A
03/20/2020
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 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 | Forms 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