FNS 583 (Proposed U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVIC

OMB APPROVED NO. 0584-0594
Expiration Date: XX-XX-XXXX

U.S. DEPARTMENT OF AGRICULTURE
FOOD AND NUTRITION SERVICE
SNAP EMPLOYMENT AND TRAINING
(E&T) PROGRAM ACTIVITY REPORT

QUARTER COVERED
1 - First
3 - Third
2 - Second
4 - Fourth
FEDERAL FISCAL YEAR

STATE NAME
STATE CODE

Public reporting burden for this collection of information is estimated to average 32 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden estimate or any other aspect of Food and Nutrition Services, Office of Policy Support, Alexandria, VA 22302 (0584-0594). Do not return the
completed form to this address.

COMPLETE ON FIRST QUARTER REPORT
1. Number of work registrants receiving SNAP on October 1 of the new fiscal year:

COMPLETE EACH QUARTER
MONTH 1

MONTH 2

MONTH 3

QUARTERLY
TOTAL

FISCAL YEAR
TO DATE

2. Number of new work registrants
3. Number of ABAWD applicants and recipients
subject to time limits participating in
qualifying components.
4. Number of all other applicants and recipients
(including ABAWDs involved in non-qualifying
activities) participating in components
5. Number of ABAWD case months used under
the State agency's discretionary exemption
allowance

COMPLETE ON FOURTH QUARTER REPORT FOR ENTIRE FISCAL YEAR
6. Number of individuals provided with case management services (Note: optional for State agency to report)
CASE MANAGEMENT SERVICES

NUMBER PROVIDED WITH CASE MANAGEMENT SERVICES

ABAWD

NON-ABAWD

TOTAL

TOTAL CASE MANAGEMENT SERVICES

7. Number of individuals who participated in each component (list components and attach separate sheet if necessary)
COMPONENTS

NUMBER WHO PARTICIPATED IN EACH COMPONENT

ABAWD

NON-ABAWD

TOTAL

TOTAL COMPONENT PARTICIPATION
EMPLOYMENT AND TRAINING PROGRAM PARTICIPATION

NUMBER WHO PARTICIPATED IN THE E&T PROGRAM

ABAWD
8. Number of individuals who participated in the E&T Program during the fiscal year

NON-ABAWD

TOTAL

COMPLETE ON FOURTH QUARTER REPORT FOR MANDATORY E&T PROGRAMS ONLY
NUMBER OF SNAP APPLICANTS AND RECIPIENTS
9. Number of individuals required to participate in E&T
10. Of those required to participate the number who began participation in an E&T program
11. Of those required to participate the number of individuals who began participation in an E&T
component
12. Number of mandatory E&T participants who were determined ineligible for failure to comply
with E&T requirements

I CERTIFY THAT THIS REPORT IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE
SIGNATURE

TITLE

FORM FNS-583 (1-18) Previous Editions Obsolete

DATE

SBU

TELEPHONE

Electronic Form Version Designed in Adobe 10.0 Version

No further monies or other benefits may be paid out under this program unless this report is completed and filed as required by 7 CFR 273.7

SNAP EMPLOYMENT AND TRAINING (E&T) PROGRAM ACTIVITY REPORT (FNS-583)
GENERAL INSTRUCTIONS

This report covers SNAP E&T program activities during the report period. Each State agency must submit a
consolidated State level report to the Food and Nutrition Service (FNS). The State agency shall submit its data
for this report electronically via the Food Programs Reporting System (FPRS) no later than the 45th day
following the end of the report period. For the 2nd, 3rd and 4th quarters, add the quarterly total to the total from
the previous quarter(s) and list cumulative total under "FISCAL YEAR TO DATE". State agencies must retain
records of the data and methods used to report for audit purposes.
NOTE: Items 3 and 4 below require a monthly count of component participation. An individual who
participates each month must be counted 12 times during the fiscal year. In Item 7(component
participation), that same individual should be counted once for each component in which he/she
participated. For example, an ABAWD participated the entire fiscal year - 6 months in a workfare
component and 6 months in an educational – vocational training program. That ABAWD must be counted
once each month in Item 3 (monthly participation). At the end of the fiscal year the same ABAWD must be
counted twice in Item 7 (component participation) - once in the workfare component and once in the
educational – vocational training component. However,in Item 8 (individual participation) count the individual
only once for the fiscal year.
ITEM 1(Work Registrants on Oct. 1) - Record the total number of work registrants in the State on October 1 of
the new fiscal year. This is an unduplicated count of work registrants and is reported only in the 1st quarter of
the fiscal year. Do not count these registrants again during the fiscal year.
ITEM 2 (Monthly New Work Registrants) - Record the number of individuals registered for work each month,
beginning with October. This is an unduplicated count. Exclude work registrants that were counted in Item 1.
Count individuals as work registrants only once during the fiscal year.
ITEM 3 (Monthly count of ABAWD applicants/recipients subject to time limits participating in qualifying
components) - Record the number of able-bodied adults without dependents (ABAWDs), both applicants and
recipients, subject to the 3-month SNAP benefits time limit that participated in qualifying SNAP E&T
activities each month of the report period. Qualifying E&T activities include education, training, work experience,
or workfare components that fulfill the ABAWD work requirement, in accordance with section 6(o)(2) of the
Food and Nutrition Act. Count each ABAWD only once per month. This is an unduplicated count in the month.
For example, an ABAWD may participate in two qualifying activities in one month and would only be counted
once in the month.
ITEM 4 (Monthly component participation) - Record the number of all other applicants and recipients who
participated in an E&T activity each month of the report period. This would include ABAWDs not subject to time limits,
as well as ABAWDs subject to the 3 mo. time limits who participated in non-qualifying activities. Count each
participant once per month. Participants included in Item 3 should not be included again in Item 4 within the
same month. This is an unduplicated count within the month.
ITEM 5 (Discretionary Exemption Usage) - Record the number of ABAWD case months used each month of
the report period under the State agency's discretionary exemption allowance, in accordance with section 6(o)(6)
of the Food and Nutrition Act. One exemption covers one ABAWD for one month of benefits. Count each
exemption once per month.
ITEM 6 (Case Management Services Participation, optional) – On the 4th quarter report, State agencies may
use this section to report on case management services provided during the fiscal year. If States choose to report
on case management services, State agencies should list the case management services provided during the
fiscal year and record the number of ABAWDs and Non-ABAWDs who received each type of case management
services. Case management services can include intake orientations, comprehensive intake assessments,
individualized service plans, progress monitoring, service coordination or other. If other is used a description of
the service should be entered that aligns with the case management services included in the State’s E&T State
Plan. If a State agency does not track case management by specific activities, such as intake orientations, they
may use the category “CMS – General”. States should only count participants as receiving case management
services once in a fiscal year.
ITEM 7 (Component Participation) - On the 4th quarter report, list the E&T components offered during the fiscal
year and record the number of ABAWDs and non-ABAWDs who participated in each. Count each participant
in each component only once.However, participants may be reported across multiple components. For example,
a participant in supervised job search and in workfare would be counted under each component. A list of the
components with acronyms as reflected in the Food Program Reporting System (FRPS) is shown below.
State agencies should be aware that if “Other” is used FPRS will require that a description be provided that
aligns with the component in the State’s E&T State Plan. NOTE: Participants should be counted as an
ABAWD under Item 7 even if they are covered by a waiver or exemption.

FNS-583
Acronym
SJS
JST
JR
SET
WF
EPB
EPC
EPEL
EPIE
EPWRT
EPO
WA
WBLA
WBLA-SUB
WBLI
WBLI-SUB
WBLOJT
WBLOJT-SUB
WBLPA
WBLPA- SUB
WBLTJ
WBLTJ - SUB
WBLO
WBLO - SUB

Description
Supervised Job Search
Job Search Training
Job Retention Services
Self-Employment Training
Workfare through E&T
Educational Program, Basic Education and/or Foundational Skills Instruction (includes High School
Equivalency programs)
Educational Program, Career and/or Technical Education Programs or Other Vocational Training
Educational Program, English Language Acquisition
Educational Program, Integrated Education and Training or Bridge Programs
Educational Program, Work Readiness Training
Educational Program – Other. (State must provide description)
Work Activity
Work-based learning, Apprenticeships
Work-based learning, Apprenticeships, Subsidized by E&T
Work-based learning, Internship
Work-based learning, Internship, Subsidized by E&T
Work-based learning, On-the-job Training
Work-based learning, On-the-job Training, Subsidized by E&T
Work-based learning, Pre-apprenticeship
Work-based learning, Pre-apprenticeship Subsidized by E&T
Work based learning, Transitional Jobs
Work based learning, Transitional Jobs, Subsidized by E&T
Work-based learning- Other (State must provide description)
Work-based learning- Other, Subsidized by E&T, (State must provide description)

ITEM 8 (Individual Participation) - On the 4th quarter report, record the number of ABAWDs and nonABAWDs who participated in the E&T Program during the fiscal year. This is an unduplicated count of
participants. Count each individual onlyonce in the fiscal year. Participant’s status is based on their initial
status for the fiscal year. For example, an individual was an ABAWD when they began participating in
November and in February their status changed to a Non-ABAWD. That individual would only be
counted once as an ABAWD. NOTE: Participants should be counted as an ABAWD under Item 8 even if
they are covered by a waiver or exemption.
Note: Item 9 to 12 are only reported on the 4th quarter report by State agencies operating a mandatory
E&T program.
ITEM 9 – On the 4th quarter report, record the number of SNAP applicants and recipients who were required to
participate in E&T by the State agency during the fiscal year. Count each individual each time they were
required to participate for a certification cycle. For example, an individual may be required to participate in E&T
when they are certified for benefits in November. That individual may lose eligibility in February, re-apply in
June when they are again required to participate in E&T. That individual would be counted twice – once for
November and once for June. Additionally, if an individual is required to participate in E&T at certification in
October, and is again required to participate at recertification in April, that individual would be counted twice –
once for October and again in April.
ITEM 10 – Of the individuals reported on item 9, record the number of SNAP applicants and recipients who
began participation in an E&T program. An E&T participant begins to participate in an E&T program when the
participant commences at least one part of an E&T program, including an orientation, assessment, case
management or a component. Count each individual every time they begin to participate in E&T for every
certification cycle. For example, if an individual is required to participate in E&T in November and attends an
orientation that month, but later loses eligibility and applies for SNAP in June when they are again required to
participate in E&T and attends a second orientation in June, that individual would be counted twice – once in
November and again in June. Additionally, if an individual is required to participate in E&T at certification in
October when they attend an orientation, and is again required to participate at recertification in April when they
attend a second orientation, that individual would be counted twice – once for October and again in April.
ITEM 11 – Of the individuals reported on item 9, record the number of SNAP applicants and recipients who
began participation in an E&T component. An E&T participant begins to participate in an E&T component
when the participant commences the first activity in the E&T component. Count each individual every time they
begin to participate in an E&T component for every certification cycle. For example, if an individual is required

to participate in E&T in November and starts a component that month, but later loses eligibility and applies for
SNAP in June when they are again required to participate in E&T and participates in a component in June, that
individual would be counted twice – once in November and again in June. Additionally, if an individual is
required to participate in E&T at certification in October when they start a component, and is again required to
participate at recertification in April when they attend a component, that individual would be counted twice –
once for October and again in April.
ITEM 12 – Record the number of mandatory E&T participants who were determined ineligible for SNAP due to
noncompliance with mandatory E&T requirements. Count each individual every time they are found
ineligible for failure to comply with E&T requirements. For example, an individual may be required to
participate in E&T when they are certified for benefits in November. That individual may lose eligibility for
failure to comply in February, but re-apply in June when they are again required to participate in E&T, and
again are found ineligible for failure to comply. That individual would be counted twice – once for November
and once for June.