View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0584-0524
ICR Reference No:
201001-0584-004
Status:
Historical Active
Previous ICR Reference No:
200712-0584-003
Agency/Subagency:
USDA/FNS
Agency Tracking No:
Title:
Generic Clearance to Conduct Formative Research
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/26/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/30/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2013
36 Months From Approved
04/30/2010
Responses
19,000
0
19,000
Time Burden (Hours)
7,008
0
7,008
Cost Burden (Dollars)
0
0
0
Abstract:
Information collection is necessary to obtain formative input on the development of nutrition education materials and related tools for population groups served by the U.S. Department of Agriculture
Authorizing Statute(s):
PL:
Pub.L. 109 - 85 17
Name of Law: Child Nutrition Act of 1966
PL:
Pub.L. 108 - 269 17
Name of Law: Food Stamp Act of 1977
PL:
Pub.L. 107 - 249 202-215
Name of Law: Emergency Food Assistance Act of 1983
PL:
Pub.L. 107 - 293 5
Name of Law: Agriculture and Consumer Protection Act of 1973
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
74 FR 55804
10/29/2009
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 55
03/23/2010
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Consumer Research for Nutrition Education and Promotion Activities
FNS 803, FNS-793, FNS-779, FNS-780, FNS-781, FNS-791, FNS-790, FNS 808, FNS 809, FNS 810, FNS 811, FNS 792, FNS 812, FNS 804, FNS 805, FNS 813, FNS 807
Team Nutrition School Enrollment Form
,
Gold Application for Recognizing Excellence in Nutrition and Physical Activity
,
Bronze/Silver Recognizing Excellence in Nutrition and Physical Activity
,
Hunger Champions Nomination Form
,
Promising Practices Submission Form
,
FNS Core Nutrition Messags Feedback Form
,
Golden Grocer Award Nomination Form
,
User Response Form
,
Healthy Lifestyle User Response
,
Kids User Response
,
Power Partner Commitment
,
Power Panther Request and Agreement
,
Event Feedback (Power Panther)
,
Promote and Support Breastfeeding Feedback
,
Promote Fruits and Vegetables in Your Workplace
,
User Response Card
,
Activity Kit User Response Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
19,000
19,000
0
0
0
0
Annual Time Burden (Hours)
7,008
7,008
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$158,333
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Rachelle Ragland-Greene 703 605-0038 Rachelle.Greene@fns.usda.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
03/30/2010
An official website of the United States government
The .gov means it's official.
The site is secure.
