View Information Collection Request (ICR) Package
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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:
201606-0584-004
Status:
Historical Active
Previous ICR Reference No:
201407-0584-002
Agency/Subagency:
USDA/FNS
Agency Tracking No:
Title:
Generic Clearance to Conduct Formative Research
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/16/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/15/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2016
06/30/2016
06/30/2016
Responses
151,700
0
151,700
Time Burden (Hours)
58,405
0
58,405
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. 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
PL:
Pub.L. 108 - 269 17
Name of Law: Food Stamp Act of 1977
PL:
Pub.L. 109 - 85 17
Name of Law: Child Nutrition Act of 1966
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:
77 FR 75110
12/19/2012
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 79
04/24/2013
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
18
IC Title
Form No.
Form Name
Consumer Research for Nutrition Education and Promotion Activities
FNS-854, FNS-781, FNS-790, FNS-791, FNS-792, FNS-793, FNS-807, FNS-808, FNS-811, FNS-816, FNS-817, FNS 779
Team Nutrition School Enrollment Form
,
Hunger Champions Award Nomination Form
,
Promising Practices Submission Form
,
Golden Grocer Award Nomination Form
,
FNS Core Nutrition Message Feedback Form
,
Power Panther Costume Request and Agreement Form Eat Smart. Play Hard
,
Power Panther Costume Event Feedback Form
,
User Response Card
,
Level 1 Event Feedback Form
,
Level 3 Event Feedback Form
,
Attendee Evaluation Form
,
Food and Nutrition Service (FNS) HealthierUS School Challenge Recognizing Excellence in Nutrition and Physical Activity
FDD Distribution Costs to District for USDA Foods
FDD Qualitative Food Survey
HHFKA CACFP Focus Group (Business Provider Group: CCC, FDC & SO)
HHFKA CACFP State Agencies
Middle School Digital Nutrition (SLT)
Middle School Digital Nutrition I/H
NSLP Verification II - Business IC (IC 2 of 2)
NSLP Verification II - SLT IC (IC 1 of 2)
Nutrition Education and Promotion Toolkit for Teens - Focus Group Testing
Perform Research for Loving Support Campaign Update (Phase 1)
Request Approval to Perform Research for Team Nutrition Posters-Phase 2
Team Nutrition Educational Materials for Summer Meals
Team Nutrition Educational Materials for Summer Meals - Individuals/Households (IC 2 of 2)
Team Nutrition Educational Materials for Summer Meals - SLT (IC1 of 2)
Team Nutrition Educational Technology Environmental Scan
Test Modified Communication Protocols to Reduce Household Nonresponse in NSLP/SBP Verification Process - SLT
Yogurt Pilot Survey
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
151,700
151,700
0
0
0
0
Annual Time Burden (Hours)
58,405
58,405
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:
The Agency requests an increase in the currently approved hours from 33,016 to 58,405 and an increase in the number of respondents from 79,000 to 151,700 over the three-year extension. We based the increase in burden hours and respondents on past use and projections of future needs. The Agency believes that the number of hours and respondents requested will be sufficient to meet the needs of data collection events over the next three years.
Annual Cost to Federal Government:
$400,000
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
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:
Lynnette Williams 703 605-4782 lynnette.williams@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:
06/15/2016