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View ICR - OIRA Conclusion

OMB Control No: 0584-0630	ICR Reference No: 201904-0584-001
Status: Historical Active	Previous ICR Reference No: 201706-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No: Change Request Memo for 2019
Title: Evaluation of the Direct Certification with Medicaid for Free and Reduced-Price (DCM-F/RP) Meals Demonstration
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: 06/17/2019
	Date Received in OIRA: 04/17/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	12/31/2020	12/31/2020
Responses	1,552	0	1,105
Time Burden (Hours)	1,966	0	1,174
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,552	1,105	447
Annual Time Burden (Hours)	1,966	1,174	792
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This information collection is currently approved with 1,174 burden hours and 1,105 responses. FNS wishes to collect the administrative data and cost logs from the state agency staff for the 2018-2019 school year. FNS estimates that this program change will increase the burden for this collection by 792 hours and 447 responses. With this request, the burden for this collection will now be 1,966 burden hours and 1,552 responses.

Annual Cost to Federal Government: $784,632

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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: Christina Sandberg 703 305-2337 christina.sandberg@fns.usda.gov

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