Evaluation of the Impact of the Household-Based Summer Demonstrations on Food Insecurity Among Children (SEBTC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Table 2 -Changes and Reasons Table Summer Questionnaire-Jan17.docx	Supplementary Document	Uploaded 2012-02-10	Available
Table 1-Changes and Reasons Table Spring Baseline Questionnaire-jan23.docx	Supplementary Document	Uploaded 2012-02-10	Available
Change Justification Memo v3 REVISED-to FNS Jan 23w.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-03-08	Available
Appendix L Consent Language Final.doc	Supplementary Document	Uploaded 2011-03-17	Available
FNS Cover Memo.doc	Supplementary Document	Uploaded 2011-03-17	Available
Appendix G full IRB approval.pdf	Supplementary Document	Uploaded 2011-03-17	Available
Appendix C.docx	Supplementary Document	Uploaded 2011-02-07	Available
Appendix G_IRB#0535 _SUMMERFOODS_partial approval 2-8-2011.pdf	Supplementary Document	Uploaded 2011-02-08	Available
Appendix F Confidentiality for Contractors 2-8-2011.docx	Supplementary Document	Uploaded 2011-02-08	Available
SEBTC Revised OMB Part A 3-16-11 final.doc	Supporting Statement A	Uploaded 2011-03-17	Available
SEBTC Revised OMB Part B 3 16 11 final.doc	Supporting Statement B	Uploaded 2011-03-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196147	Non Responding Households	Other-Non Responders	Unchanged
196143	State Agencies, Grantees and SFA	Other-Interview with Grantee and Major Partners	Modified
196142	Business- Profit & Not -for- Profit	Other-april EBT processor Final	Modified
196141	SEBTC - Households	Other-Appendix A :Spanish baseline instrument	Modified

ICR Details

OMB Control No: 0584-0559	ICR Reference No: 201201-0584-009
Status: Historical Active	Previous ICR Reference No: 201012-0584-005
Agency/Subagency: USDA/FNS	Agency Tracking No: Change Justification for SEBTC
Title: Evaluation of the Impact of the Household-Based Summer Demonstrations on Food Insecurity Among Children (SEBTC)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/12/2012
	Date Received in OIRA: 03/08/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	03/31/2014	03/31/2014
Responses	30,672	0	30,672
Time Burden (Hours)	15,974	0	15,974
Cost Burden (Dollars)	0	0	0

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Abstract: Summer Food for Children Evaluation demonstration projects will develop and test methods of providing access to food for low-income children in urban and rural areas during the summer months when schools are not in regular session, as well as a rigorous independent evaluation of the projects regarding their effectiveness.

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Authorizing Statute(s): PL: Pub.L. 111 - 80 749(g) Name of Law: 2010 Agriculture Appropriations Act
  

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 68317	11/05/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 32	02/16/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
State Agencies, Grantees and SFA
Non Responding Households
Business- Profit & Not -for- Profit
SEBTC - Households

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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	30,672	30,672	0	0	0	0
Annual Time Burden (Hours)	15,974	15,974	0	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 of information. This program change will add 15,974 burden hours to the OMB collection inventory.

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Annual Cost to Federal Government: $28,000,000

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

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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: 03/08/2012

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