National Hunger Clearinghouse Database Forms (FNS 543 and 543A)

Forms and Documents

Document Name	Status
Form FNS-543 National Hunger Clearinghouse Database Form FNS 543 (BUS) Form	Modified
Form FNS-543A Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies Form	Modified
Supporting Statement-2015 FNS-543 USDA National Hunger Clearinghouse Database Form Final 9.8.15.docx Supporting Statement A	2015-09-11
USDA National Hunger Hotline Newsletter - June 2015 .pdf Supplementary Document	2015-08-25

IC Document Collections

IC ID	Document Title	Status
3074	National Hunger Clearinghouse Database Form FNS 543 (BUS) Form	Modified
210060	Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies Form	Modified

ICR Details

OMB Control No: 0584-0474	ICR Reference No: 201501-0584-005
Status: Historical Active	Previous ICR Reference No: 201404-0584-007
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: National Hunger Clearinghouse Database Forms (FNS 543 and 543A)
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: 10/21/2015
	Date Received in OIRA: 09/11/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	36 Months From Approved	10/31/2015
Responses	655	0	41,750
Time Burden (Hours)	160	0	1,292
Cost Burden (Dollars)	0	0	0

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Abstract: To maintain and further develop the National Hunger Clearinghouse (NHC). NHC database information is updated yearly through the use of the simple database forms FNS 543 and 543-A.

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Authorizing Statute(s): PL: Pub.L. 103 - 448 123 Name of Law: National School Lunch 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:
	80 FR 30998	06/01/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 54762	09/11/2015
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
National Hunger Clearinghouse Database Form FNS 543 (BUS)	FNS-543	NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM
Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies	FNS-543A	Summer Feeding - National Hunger Clearinghouse Database Form

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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	655	41,750	0	-41,095	0	0
Annual Time Burden (Hours)	160	1,292	0	-1,132	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a revision of a currently approved collection. The current burden inventory for the FNS 543 used by Business in this collection is 1,292 burden hours and 41,750 total annual responses. There are 292 hours & 1,750 responses for FNS 543 and 1,000 hours & 40.000 responses for FNS-543A. The number of estimated respondents using FNS 543 has decreased from 1,750 to 600; a difference of -1.150 respondents and identical decrease for the total annual responses. The program adjustment is due to a decreased number of expected respondents. There is a decrease in the burden hours for FNS 543 decreased from 292 to 100 burden hours needed. This reflects a decrease of -192 burden hours for this form these program adjustments are due to a decreased estimate of the time per response (from 10 minutes to 5 minutes). Additionally, there are program adjustments due to the number of respondents State Agency using the FNS-543-A form which increased from 53 to 55; a total increase of 2 respondents. The current burden inventory for FNS 543-A is 1000 burden hours and 40,000 responses. The requested burden for this form is 55 total annual responses and 60 burden hours. The revision are due to program changes in the decrease frequency to once submission annually which reflects a decrease of -39,945 responses and -940 burden hours for FNS 543A.

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Annual Cost to Federal Government: $293,551

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: 09/11/2015

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