WIC Farmers' Market Nutrition Program (FMNP) Forms and Regulations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 683 State Agency	Form and Instruction	Modified	Available
Attachment A-FMNP ICB Narrative Statement PRAO recommendations w-edits 9-26-14.docx	Supplementary Document	Uploaded 2014-09-26	Available
Copy of Attachment B-FMNP Burden Summary Chart 9-16-14 FNS 683 in FPRS PRAO recommendations w-edits.xls	Supplementary Document	Uploaded 2014-09-26	Available
FMNP Justification 9-26-14 PRAO comments w-edits w OCIO recommendations.doc	Supporting Statement A	Uploaded 2014-09-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3064	WIC Farmers' Market		Modified
184656	State Agency	Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0447	ICR Reference No: 201408-0584-005
Status: Historical Active	Previous ICR Reference No: 201012-0584-004
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Farmers' Market Nutrition Program (FMNP) Forms and Regulations
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/12/2014
	Date Received in OIRA: 09/29/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	11/30/2014
Responses	18,434	0	18,750
Time Burden (Hours)	23,661	0	23,917
Cost Burden (Dollars)	0	0	0

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Abstract: FMNP State agencies use the FNS-683 and FNS-203 to report financial and recipient data to FNS as required by 7 CFR 3016. FNS will use this data for funding and program management decisions.

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Authorizing Statute(s): US Code: 42 USC Chapter 13 Section 1786 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:
	79 FR 5368	01/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 187	09/26/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
WIC Farmers' Market
State Agency	FNS 683	WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT

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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	18,434	18,750	0	-224	-92	0
Annual Time Burden (Hours)	23,661	23,917	0	-72	-184	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a revision of a currently approved collection. FNS Forms 683 Worksheet (Financial Report) and 203 Worksheet (Program Report) was consolidated, merged and renamed Annual Financial and Program Data Report and is now contained in The Food Programs Reporting System (FPRS) OMB Control No. 0584-0594, Expiration Date: 6/30/2017. As a result of this merge, there is an adjustment which decreases the burden estimates for this collection by -184 burden hours and -92 responses. The most recent annual report shows that 47 State agencies administer the FMNP, this is an increase in the number of State agencies participating in the FMNP from 45 to 47 State agencies, including the authorization of 3,322 farmers' markets, 17,713 farmers, and 2,758 roadside stands authorized to accept FMNP coupons (for a total of 23,793 authorized entities).

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Annual Cost to Federal Government: $171,949

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: 09/29/2014

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