Uniform Grant Application for Non-Entitlement Discretionary Grants

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Federal Financial SF 425	Form and Instruction	New	Available
Form SF 425 Federal Financial Reporting	Form and Instruction	Unchanged	Available
Form SF 425 Federal Financial Report	Form and Instruction	Unchanged	Available
Form SF 425A Federal Financial Report	Form	Unchanged	Available
Form SF 425 Federal Financial Report	Form	Unchanged	Available
Form SF LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	Unchanged	Available
Form AD 1052 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS	Form and Instruction	Unchanged	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility	Form and Instruction	Unchanged	Repair queued
Form AD 1047 Certification Regarding Debarment, Suspension, and Other	Form and Instruction	Unchanged	Repair queued
Form SF 425 Federal Financial Report	Form and Instruction	Unchanged	Repair queued
Form SF LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	Unchanged	Repair queued
Form SF424b ASSURANCES - NON-CONSTRUCTION PROGRAMS	Form and Instruction	Unchanged	Available
Form SF424a BUDGET INFORMATION - Non-Construction Programs	Form and Instruction	Unchanged	Available
Form SF 424 APPLICATION FOR FEDERAL ASSISTANCE	Form and Instruction	Unchanged	Repair queued
Request for Increase in Burden Hours 0584-0512 March-15-2012.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2012-03-15	Available
2008 SF lobbying 0507 Form.pdf	Supplementary Document	Uploaded 2009-06-03	Available
2008 SF424b 0507 Form.pdf	Supplementary Document	Uploaded 2009-06-03	Available
2008 SF424a 0507 Form.pdf	Supplementary Document	Uploaded 2009-06-03	Available
2008 SF424 0507 Form.pdf	Supplementary Document	Uploaded 2009-06-03	Available
Request to OMB to Use 0584-0512.doc	Supplementary Document	Uploaded 2009-06-02	Available
SS Uniform Grants Package 11-18-2008.doc	Supporting Statement A	Uploaded 2008-11-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201816	Farm to School (REV)	Form and Instruction	New	SF 425
201816	Farm to School (REV)	Other-Request for Application	New
197846	Alternatives to Face-to-Face Interviews in SNAP	Form and Instruction	Unchanged	Federal Financial Reporting
197579	Administer Researcher-Initiated Grants for Research on the WIC Program	Form and Instruction	Unchanged	Federal Financial Report
194669	Food Back Pack	Form	Unchanged	Federal Financial Report
194669	Food Back Pack	Form	Unchanged	Federal Financial Report
194669	Food Back Pack	Form and Instruction	Unchanged	DISCLOSURE OF LOBBYING ACTIVITIES
193853	Summer Food Pilot	Form and Instruction	Unchanged	CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
193853	Summer Food Pilot	Form and Instruction	Unchanged	Certification Regarding Debarment, Suspension, Ineligibility
193853	Summer Food Pilot	Form and Instruction	Unchanged	Certification Regarding Debarment, Suspension, and Other
193229	People's Garden School Pilot		Unchanged
192724	Hunger Free Communities		Unchanged
192359	Food Safety Research		Unchanged
192296	TEFAP- Emergency Food Program Infrastructure Grant		Unchanged
192209	Child Wellness		Unchanged
191258	Healthy Incentives Pilot (HIP)	Form and Instruction	Unchanged	Federal Financial Report
191258	Healthy Incentives Pilot (HIP)	Form and Instruction	Unchanged	DISCLOSURE OF LOBBYING ACTIVITIES
191258	Healthy Incentives Pilot (HIP)	Form and Instruction	Unchanged	ASSURANCES - NON-CONSTRUCTION PROGRAMS
191258	Healthy Incentives Pilot (HIP)	Form and Instruction	Unchanged	BUDGET INFORMATION - Non-Construction Programs
191258	Healthy Incentives Pilot (HIP)	Form and Instruction	Unchanged	APPLICATION FOR FEDERAL ASSISTANCE
189413	Request for Application for Elderly & Working Poor Grant	Other-Guidance for Grant Proposal	Unchanged

ICR Details

OMB Control No: 0584-0512	ICR Reference No: 201203-0584-001
Status: Historical Active	Previous ICR Reference No: 200906-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No: Increase Burden Inventory
Title: Uniform Grant Application for Non-Entitlement Discretionary Grants
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: 03/19/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/15/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	09/30/2012	09/30/2012
Responses	1,630	0	572
Time Burden (Hours)	77,024	0	31,340
Cost Burden (Dollars)	0	0	0

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Abstract: A uniform grant application package for non-entitlement discretionary grant programs is needed to evaluate and rank applicants and protect the integrity of the grantee selection process.

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Authorizing Statute(s): PL: Pub.L. 108 - 269 7 Name of Law: Child Nutrition Act of 1966
  

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:
	73 FR 49159	08/20/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 223	11/18/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Administer Researcher-Initiated Grants for Research on the WIC Program	SF 425	Federal Financial Report
Alternatives to Face-to-Face Interviews in SNAP	SF 425	Federal Financial Reporting
Child Wellness
Farm to School (REV)	Federal Financial Reporting	SF 425
Food Back Pack	SF 425A, SF 425, SF LLL	DISCLOSURE OF LOBBYING ACTIVITIES ,   Federal Financial Report ,   Federal Financial Report
Food Safety Research
Healthy Incentives Pilot (HIP)	SF 424, SF424b, SF 425 , SF424a, SF LLL	APPLICATION FOR FEDERAL ASSISTANCE ,   BUDGET INFORMATION - Non-Construction Programs ,   ASSURANCES - NON-CONSTRUCTION PROGRAMS ,   DISCLOSURE OF LOBBYING ACTIVITIES ,   Federal Financial Report
Hunger Free Communities
People's Garden School Pilot
Request for Application for Elderly & Working Poor Grant
Summer Food Pilot	AD 1052, AD 1048, AD 1047	Certification Regarding Debarment, Suspension, and Other ,   Certification Regarding Debarment, Suspension, Ineligibility ,   CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
TEFAP- Emergency Food Program Infrastructure Grant

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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	1,630	572	0	0	1,058	0
Annual Time Burden (Hours)	77,024	31,340	0	0	45,684	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: The Healthy, Hunger-Free Kids Act of 2010, authorized the Secretary to award competitive grants under the Farm to School Program. Also, we anticipate two additional grant programs will use the Uniform Grant Application Package in FY 2012. They are the School Breakfast Expansion Grants, authorized in the Healthy, Hunger-Free Kids Act of 2010, and a SNAP Grant, entitled Development of State Geographic Information System Capacity.

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Annual Cost to Federal Government: $358,720

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: 03/15/2012

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