Evaluation of the Underserved Elderly and Working Poor (EWP) in Supplemental Nutrition Assistance Program (SNAP) FY 2009 Pilots

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Part_B_8-26-10.docx	Supporting Statement B	Uploaded 2010-08-26	Available
OMB Supporting Statement 6-14-2010.docx	Supporting Statement A	Uploaded 2010-06-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193210	Elderly & Working Poor	Other-Recruitment Script Working Poor - Spanish	New

ICR Details

OMB Control No: 0584-0558	ICR Reference No: 201005-0584-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No: EWP
Title: Evaluation of the Underserved Elderly and Working Poor (EWP) in Supplemental Nutrition Assistance Program (SNAP) FY 2009 Pilots
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: 10/21/2010
	Date Received in OIRA: 08/26/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	195	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Less than one-third of eligible elderly (age 60 and older) persons and less than three-fifths of persons in eligible households with someone working participate in the Supplemental Nutrition Assistance Program (SNAP). These participation rates suggest that many people in these two groups who may need nutrition assistance are not receiving SNAP benefits. Without SNAP, elderly individuals may not be able to meet their nutritional needs or may forgo medicine for food; working people may not be able to adequately feed their families, despite their work efforts. The Food and Nutrition Service (FNS), responding to a Congressional request, has funded six State demonstration programs to increase SNAP access to eligible households with either persons over age 60 or with adult members who are working or looking for work.

---

Authorizing Statute(s): PL: Pub.L. 118 - 8 TitleIV Domestic Food Program Name of Law: The Omnibus Appropriations Act 2009
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 20977	04/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 163	08/24/2010
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Elderly & Working Poor

---

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	1,200	0	0	1,200	0	0
Annual Time Burden (Hours)	195	0	0	195	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 information collection resulting in a program change of 195 burden hours.

---

Annual Cost to Federal Government: $366,242

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]? 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

---

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: 08/26/2010

---