Healthy Food Financing Initiative (HFFI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1559-NEW_SS_HFFI Application.doc	Supporting Statement A	Uploaded 2010-11-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
195232	Healthy Food Financing Initiative Questionnaire	Other-Supplemental Chart	New

ICR Details

OMB Control No: 1559-0040	ICR Reference No: 201011-1559-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/CDFIF	Agency Tracking No:
Title: Healthy Food Financing Initiative (HFFI)
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: 11/19/2010
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/16/2010
	Date Received in OIRA: 11/10/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	6 Months From Approved
Responses	30	0	0
Time Burden (Hours)	900	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The questionnaire will be used by CDFI Program applicants to apply for additional funding under the Healthy Food Financing Initiative (HFFI), a new initiative in the CDFI Fund’s FY 2011 proposed Appropriations. The information collected will be used to select awardees, based on a merit-based selection process. The requested information is required by the CDFI Program Regulations (12 CFR Part 1805) and the respective Notice of Funds Availability.

Emergency Justfication: The CDFI Fund is requesting emergency clearance for the attached questionnaire for the Healthy Food Financing Initiative (HFFI). This initiative is in collaboration, at the directive of the Obama Administration, with the Department of Agriculture (USDA) and the Department of Health and Human Services (HHS). The CDFI Program has developed the questionnaire, in collaboration with USDA and HHS, to solicit information for determining the most appropriate entities for reaching communities lacking access to healthy fresh foods. The CDFI Program is the first program, of the other programs in USDA and HHS, to solicit such information. USDA and HHS will be issuing their own NOFAs in early spring FY 2011 and need to know which entities will be receiving funding through the CDFI Program. The CDFI Fund intends to send the questionnaire to applicants in December 2010; allow at least 30 days for completing and submitting the questionnaire; and review and evaluate the submissions in collaboration with USDA and HHS, all before early spring FY 2011. In order to meet this deadline, an emergency clearance is being requested.

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Authorizing Statute(s): US Code: 12 USC 4701 et seq. Name of Law: Community Development Banking and Financial Institutions
  

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

Did the Agency receive public comments on this ICR? No

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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
Healthy Food Financing Initiative Questionnaire

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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	30	0	0	30	0	0
Annual Time Burden (Hours)	900	0	0	900	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.

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Annual Cost to Federal Government: $0

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)? 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: 11/10/2010

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