Operating Guidelines, Forms, and Waivers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 425 Federal Financial Report	Form	Modified	Available
Form SF 425 Federal Finanacial Report Remarks screen	Form	Modified	Available
Form SF 425 Federal Financial Report	Form	Modified	Available
Form FNS-366B Part B - Program and Budget Summary Statement	Form and Instruction	Modified	Available
Form FNS-366A Part A - Program and Budget Summary Statement	Form and Instruction	Modified	Available
0584-0083_Supporting_Statement_10-28-10_w-OCIO_edits.docx	Supporting Statement A	Uploaded 2010-10-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2990	Operating Guidelines, Forms, and Waivers	Instruction	Modified
2990	Operating Guidelines, Forms, and Waivers	Form	Modified	Federal Financial Report
2990	Operating Guidelines, Forms, and Waivers	Form	Modified	Federal Finanacial Report Remarks screen
2990	Operating Guidelines, Forms, and Waivers	Form	Modified	Federal Financial Report
2990	Operating Guidelines, Forms, and Waivers	Form and Instruction	Modified	Part B - Program and Budget Summary Statement
2990	Operating Guidelines, Forms, and Waivers	Form and Instruction	Modified	Part A - Program and Budget Summary Statement

ICR Details

OMB Control No: 0584-0083	ICR Reference No: 200912-0584-001
Status: Historical Active	Previous ICR Reference No: 200905-0584-008
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Operating Guidelines, Forms, and Waivers
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/22/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/29/2010
Terms of Clearance: Approved consistent with the understanding that FNS will continue to work closely with OMB for approval under the PRA of the Food Programs Reporting System (FPRS). When that data entry system is approved as a reporting instrument, the burden for the various programs using the SF-425 will be captured under the FPRS collection and subtracted from the program-specific ICRs.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	36 Months From Approved	12/31/2010
Responses	1,034	0	532
Time Burden (Hours)	7,537	0	3,262
Cost Burden (Dollars)	0	0	0

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Abstract: The FNS-366A is used by State agencies to request Federal funding of State administrative costs to operate the Food Stamp Program. The FNS-366B is used to report Program activity. The data is used for monitoring.

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Authorizing Statute(s): PL: Pub.L. 108 - 269 16(a) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11(d) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 11(e) Name of Law: Food Stamp Act of 1977
   PL: Pub.L. 108 - 269 7(i) Name of Law: Food Stamp Act of 1977
  

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:
	75 FR 8032	02/23/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 62498	10/12/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Operating Guidelines, Forms, and Waivers	SF 425 , FNS-366A, FNS-366B, SF 425, SF 425	Part A - Program and Budget Summary Statement ,   Part B - Program and Budget Summary Statement ,   Federal Financial Report ,   Federal Finanacial Report Remarks screen ,   Federal Financial Report

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ICR Summary of Burden

table that charts list 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	1,034	532	0	0	502	0
Annual Time Burden (Hours)	7,537	3,262	0	0	4,275	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 revision of a currently approved collection. The burden hours have increased from 3,262 to 7,537. The reason for the increase is due to accounting for burden for the SF 425 (which was previously approved under the SF 269 [OMB Control Number 0348-0039], but will now be included as part of this FNS collection.)

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Annual Cost to Federal Government: $758,301

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)? Yes

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: 10/29/2010

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