Study of Organizations Providing or Administering SNAP Incentives at Farmer's Market (Farmers Market Incentive Provider Study (FMIPS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 5 Westat Confidentiality and Nondisclosure agreement.docx	Supplementary Document	Uploaded 2012-09-05	Available
Attachment 4b - TWG ConferenceCallSummary March2012.docx	Supplementary Document	Uploaded 2012-08-28	Available
Attachment 4a - TWG MeetingSummary December 2011.docx	Supplementary Document	Uploaded 2012-08-28	Available
Attachment 1 IRB Approval Letter.pdf	Supplementary Document	Uploaded 2012-08-28	Available
FMIPS OMB Supporting Statement B 08032012_103112_REV.docx	Supporting Statement B	Uploaded 2012-11-06	Available
FMIPS OMB Supporting Statement A 08032012_103112REV.docx	Supporting Statement A	Uploaded 2012-11-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203885	Self Evaluation Data Non-Response	Other-Self-Evaluation Non-Response	New
203884	Self-Evaluation Data	Other-Self Evaluation Data	New
203883	Telephone Interviews Non-Response	Other-Non-Response placeholder	New
203882	Telephone Interviews	Other-Attachment 2a - Telephone Interviews - Organization Type I	New

ICR Details

OMB Control No: 0584-0571	ICR Reference No: 201208-0584-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Study of Organizations Providing or Administering SNAP Incentives at Farmer's Market (Farmers Market Incentive Provider Study (FMIPS)
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: 01/14/2013
	Date Received in OIRA: 11/20/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved
Responses	315	0	0
Time Burden (Hours)	342	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Farmers Market Incentive Provider Study (FMIPS) will assess how private organizations design, operate, and evaluate SNAP financial incentive programs for clients purchasing fruits and vegetables at farmers markets. It will also assist in assessing how much these programs influence the purchase of fruits and vegetables at farmers markets using SNAP benefits.

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Authorizing Statute(s): US Code: 7 USC 2026 Name of Law: Food and Nutrition Act of 2008
  

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:
	77 FR 9198	02/16/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 224	11/20/2012
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
Telephone Interviews
Telephone Interviews Non-Response
Self Evaluation Data Non-Response
Self-Evaluation Data

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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	315	0	0	315	0	0
Annual Time Burden (Hours)	342	0	0	342	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 request for a new information collection. With approval from OMB, the 315 annual responses and 342 hours will be added to OMB # 0584-0564; Expiration Date: 11/30/2014.

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Annual Cost to Federal Government: $513,970

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: 11/20/2012

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