Models of SNAP-Education (ED)and Evaluation Study

Forms and Documents

Document Name	Status
memo on second round of cognitive interviews.doc Supplementary Document	2010-01-20
APPENDIX_F._Data_Collection_Methods_for_Impact_Evaluation-SNAP-Ed_I[1].doc Supplementary Document	2009-10-29
APPENDIX H Spanish Language Cover Letters Recruitment Letters and Other Study Materials for Impact Evaluation1_12_10.doc Supplementary Document	2010-01-20
APPENDIX J. NASS Comments.doc Supplementary Document	2009-09-03
APPENDIX_I _Cover_Letters_Recruitment_Letters_and_Other_Study_Materials_for_Process_Evaluation-SNAP-Ed_hjw.doc Supplementary Document	2010-01-20
Appendix G. Common Assumptions for Statistical Models of Parental Reports, etc-SNAP-Ed I.doc Supplementary Document	2009-09-03
APPENDIX_E _Statistical_Methods_for_the_Impact_Evaluation_SNAP-Ed_I_1_12_10hjw.doc Supplementary Document	2010-01-20
Supporting Statement Part B 1_12_10.doc Supporting Statement B	2010-01-20
Supporting Statement Part A 1_13_10.doc Supporting Statement A	2010-01-20

IC Document Collections

IC ID	Document Title	Status
191125	Non Response Placeholder Other-Non response Place Holder	New
190556	Process Evaluation Other-Evaluation Review Form	New
190543	Impact Evaluation Instruments Other-Questionnaire-English_Spanish	New

ICR Details

OMB Control No: 0584-0554	ICR Reference No: 200908-0584-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Models of SNAP-Education (ED)and Evaluation Study
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 with change	Conclusion Date: 01/20/2010
	Date Received in OIRA: 10/29/2009
Terms of Clearance: Approved consistent with revised documents uploaded on 1/20/2010.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved
Responses	5,421	0	0
Time Burden (Hours)	1,548	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purposes of the Models of SNAP-Ed and Evaluation Study are to 1) demonstrate that nutrition education through SNAP can bring about meaningful behavioral change, and 2) show that nutrition education implementers can mount meaningful intervention outcome evaluations.

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Authorizing Statute(s): US Code: 7 USC 2026 Section 17 Name of Law: Food and Nutrition Act of 2008
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 21619	05/08/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 195	10/09/2009
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Non Response Placeholder
Impact Evaluation Instruments
Process Evaluation

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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	5,421	0	0	5,421	0	0
Annual Time Burden (Hours)	1,548	0	0	1,548	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 submission to OMB is for a new project and will result in a total of 1,548 burden hours.

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Annual Cost to Federal Government: $877,111

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 10/29/2009

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