View Information Collection Request (ICR) Package
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Burden
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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 ICR - OIRA Conclusion
OMB Control No:
0581-0331
ICR Reference No:
202110-0581-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
USDA/AMS
Agency Tracking No:
Title:
Farm and Food Workers Relief Grant Program
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
11/12/2021
OIRA Conclusion Action:
Approved with change
Conclusion Date:
11/05/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/02/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2022
6 Months From Approved
Responses
924
0
0
Time Burden (Hours)
1,726
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Supports eligible entities including State agencies, Tribal entities, and nonprofits with tax exempt status that have experience in providing support or relief services to farmworkers, meatpacking workers, or grocery store workers.
Emergency Justfication:
A burden is being imposed on eligible State agencies, tribal entities and non-profit organizations provide grants to food and farm workers to respond to coronavirus, including for measures to protect workers against the Coronavirus Disease 2019 (COVID-19). This program is authorized and funded under subtitle B, Section 751 of the Consolidated Appropriations Act of 2021 (Pub. L. No. 116-260).
Authorizing Statute(s):
PL:
Pub.L. 116 - 260 751
Name of Law: the Consolidated Appropriations Act of 2021
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
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Farm and Food Workers and Relief Program Only
None, None, none, None, None, None
Peer Reviewer Application and Qualification Form
,
Peer Reviewer AMS Grant Program Score Sheet
,
FFWR narrative Submission
,
Negotiated Indirect Cost Agreement
,
Project Beneficiaries Questionnaire
,
Accounting System and Financial Capability Questionnaire
Standard all Grant Programs
None, None, AMS-33, None, None, None
Request For Application
,
Notice of Award and Grant Agreement
,
AMS Grants Terms and Conditions
,
Amendment Request
,
Interim Performance Report
,
Final Performance Report
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
924
0
0
924
0
0
Annual Time Burden (Hours)
1,726
0
0
1,726
0
0
Annual Cost Burden (Dollars)
0
0
0
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 is a new collection.
Annual Cost to Federal Government:
Does this IC contain surveys, censuses, or employ statistical methods?
No
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?
Yes
Agency Contact:
John Miklozek 202 720-1403
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:
11/02/2021
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