The Pennsylvania Rural Eligibility Pilot Evaluation

Forms and Documents

Document Name	Status
SS Part A rev 8-15-06.doc Supporting Statement A	2006-08-15
Legislation Summaries.doc Supplementary Document	2006-07-31
SS Part B.doc Supporting Statement B	2006-07-31

IC Document Collections

IC ID	Document Title	Status
44393	Monitor Survey Other-Survey	New
44392	Site Survey Other-Survey	New
44391	Sponsor Survey Other-Survey	New

ICR Details

OMB Control No: 0584-0539	ICR Reference No: 200607-0584-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: The Pennsylvania Rural Eligibility Pilot Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/16/2006
	Date Received in OIRA: 08/15/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2009	36 Months From Approved
Responses	306	0	0
Time Burden (Hours)	77	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The three surveys being submitted are focused on learning about the impact of changing the Summer Food Service Program (SFSP) eligibility threshold from 50% of the children at 185% of the poverty line to 40% of children at 185% of the poverty line in rural PA. This research, mandated by Congress to assess the PA pilot, will primarily assess differences between 40% and 50% sites regarding the numbers, types, and sizes of sponsors and sites, the numbers, types, and characteristics of children, the geographic locations of sites, and the ancillary services offered at sites. There are other secondary topics on which this research will focus.

---

Authorizing Statute(s): PL: Pub.L. 108 - 265 116 Name of Law: Child Nutrition and WIC Reauthoriztion Act of 2004
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 265 116 Name of Law: Child Nutrition and WIC Reauthorization Act of 2004

---

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:
	71 FR 27667	05/12/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 157	08/15/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Site Survey
Sponsor Survey
Monitor 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	306	0	306	0	0	0
Annual Time Burden (Hours)	77	0	77	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: This is a new collection. The increase of 77 hours is attributed to a Program Change due to new statute.

---

Annual Cost to Federal Government: $58,972

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

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)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 08/15/2006

---