This form is used to report Racial/Ethnic Group Participation in the Commodity Supplemental Food Program as outlined in FNS Instruction 113-1.
Policy Memoranda FD-063, Household Eligibility Determinations for Disaster or Emergency Evacuees Residing with a Host Family (dated Dec. 4, 2006), and FD-072, FDPIR Households Displaced During a Disaster (dated Feb. 19, 2008), are cancelled.
Form FNS-101: Participation in Food Programs - by Race
Form FNS-667 is used by state agencies to report use of TEFAP administrative funds.
Form FNS-57 is used by consignees to report overages and shortages in a shipment and commodities damaged in transit.
FNS Form AD-1049 is the USDA Certification Regarding Drug-Free Work Place Requirements (GRANTS) Alternative I - For Grantees Other than Individuals
State agencies apply for reimbursement using Form FSA-21, submitted to the appropriate FNS regional office for approval.