Supplemental Nutrition Assistance Program Employment and Training (E&T) Program

Forms and Documents

Document Name	Status
Form FNS-583 Supplemental Nutrition Assistance Program Employment and Training (E&T) Program Form and Instruction	Modified
Supporting Statement for FNS-583-2014 Draft April PRAO and OCIO recommendations 6-2-14.docx Supporting Statement A	2014-06-03

IC Document Collections

IC ID	Document Title	Status
3043	Supplemental Nutrition Assistance Program Employment and Training (E&T) Program Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0339	ICR Reference No: 201405-0584-001
Status: Historical Active	Previous ICR Reference No: 201302-0584-010
Agency/Subagency: USDA/FNS	Agency Tracking No: RENEWAL
Title: Supplemental Nutrition Assistance Program Employment and Training (E&T) Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2014
	Date Received in OIRA: 06/17/2014
Terms of Clearance: Previous terms continue: In accordance with 5 CFR 1320, the information collection is approved. However, this approval extends only to the instrument contained in the collection (FNS-583.pdf). Collection by other means, i.e., through the Food Program Reporting System, was not requested nor were the instruments included. Any collection via these means is not approved and is being conducted in violation of the Paperwork Reduction Act. Approval is only given for 12 months. During those 12 months, an ICR should be submitted for the Food Program Reporting System that will incorporate the submission of information associated with this collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	924	0	924
Time Burden (Hours)	21,889	0	21,889
Cost Burden (Dollars)	0	0	0

---

Abstract: The FNS E&T Program Activity Report is used to report on E&T activities conducted by State agencies. Data reported on the FNS-583 are the basic elements of information used in program planning and management.

---

Authorizing Statute(s): PL: Pub.L. 108 - 269 6(d) Name of Law: The Food Stamp Act of 1977
   PL: Pub.L. 104 - 193 815-817 Name of Law: Personal Responsibility and Work Opportunity Reconciliation Act of 1996
   PL: Pub.L. 105 - 33 1002 Name of Law: Balance Budget Act of 1997
   PL: Pub.L. 107 - 171 4121 Name of Law: Farm Security and Rural Investment Act of 2002
   PL: Pub.L. 100 - 234 4108 Name of Law: Food, Conservation and Energy Act of 2008
  

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:
	79 FR 6536	02/04/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 116	06/17/2014
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Supplemental Nutrition Assistance Program Employment and Training (E&T) Program	FNS-583	Supplemental Nutrition Assistance Program Employment and Training (E&T Program Activity Report

---

ICR Summary 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	924	924	0	0	0	0
Annual Time Burden (Hours)	21,889	21,889	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:

---

Annual Cost to Federal Government: $8,825

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

---

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: 06/17/2014

---