FNS Generic Clearance For Pre-Testing, Pilot, And Field Test Studies

Forms and Documents

Document Name	Status
032316 FNS Part B - Generic for Pre-testing Pilots and Field Studies.docx Supporting Statement B	2016-03-24
032316 FNS Part A - Generic for Pre-testing Pilots and Field Studies.docx Supporting Statement A	2016-03-24

IC Document Collections

IC ID	Document Title	Status
235145	SNAP E&T Program Participants (Individuals/Households) Respondents Other-Appendix A-5a Pretest Incoming Call Script Eligibility Pre	New
234555	School Nutrition and Meal Cost Study-II, Outlying Areas Cost Study Feasibility Reassessment - SAs, SFA Directors, District Business Managers, School Nutrition Managers, and School Principals (SLT) Other-Appendix B. State-Level Interview Guide	New
229965	School Nutrition and Meal Cost Study - II, Outlying Areas Cost Study Feasibility Assessment Other-Appendix D. Principal Interview Guide	New
227339	Revised - Individuals/Households - Preparation for the Launch of the Summer Meals Study Other-Appendix E.4. Household Eligibility Screener.docx	New
227338	Revised - Business - Preparation for the Launch of the Summer Meals Study Other-Appendix A.3. Sponsor Survey.docx	New
227336	Revised - SLT - Preparation for the Launch of the Summer Meals Study Other-Appendix A.3. Sponsor Survey.docx	New
223971	Pretesting for Direct Certification with Medicaid Demonstrations Other-DCM-FRP Generic OMB Appendix A2	New
223605	NSWP III (IC 2 of 2) Other-Consent Form	New
223021	Turnip the Beet - Pilot Program Other-FINALNominationForm_TurniptheBeet_SummerMealRecognition	New
222785	SNAP Online Purchasing Pilot Other-Attachment A - Online Purchasing Pilot RFV	New
222411	SNAP Teen Nutrition Pilot Testing (Parents/Students) Other-Attachment A - Quantitative Evaluation Survey for High Sch	New
222223	NSWP-III Pretest - SLT (IC 1 of 2) Other-B2. Revised Letter to State Agencies from Regional Offices	New
221756	SNAP Teen Nutrition Pilot Test (State Agencies - Teachers) Other-Attachment B - Moderator PRE - Discussion Guide for Focus	New

ICR Details

OMB Control No: 0584-0606	ICR Reference No: 201503-0584-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: FNS Generic Clearance For Pre-Testing, Pilot, And Field Test Studies
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: 03/24/2016
	Date Received in OIRA: 04/22/2015
Terms of Clearance: Before a testing activity is undertaken, FNS will provide the Office of Management and Budget (OMB) with a memo describing the purpose of the study to be conducted, the sampling approach, the study design, and a copy of questionnaires and debriefing materials to be used.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved
Responses	6,600	0	0
Time Burden (Hours)	4,500	0	0
Cost Burden (Dollars)	28,095	0	0

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Abstract: Under this collection, FNS will conduct various procedures to test questionnaires and survey procedures to improve the quality and usability of information collection instruments.

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Authorizing Statute(s): PL: Pub.L. 111 - 296 305 Name of Law: HHFKA
   US Code: 7 USC 2026(a)(1) 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:
	79 FR 64360	10/29/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 22473	04/22/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
NSWP III (IC 2 of 2)
SNAP E&T Program Participants (Individuals/Households) Respondents
SNAP Teen Nutrition Pilot Testing (Parents/Students)
NSWP-III Pretest - SLT (IC 1 of 2)
Turnip the Beet - Pilot Program
Revised - Business - Preparation for the Launch of the Summer Meals Study
School Nutrition and Meal Cost Study-II, Outlying Areas Cost Study Feasibility Reassessment - SAs, SFA Directors, District Business Managers, School Nutrition Managers, and School Principals (SLT)
Revised - Individuals/Households - Preparation for the Launch of the Summer Meals Study
Revised - SLT - Preparation for the Launch of the Summer Meals Study
SNAP Teen Nutrition Pilot Test (State Agencies - Teachers)
SNAP Online Purchasing Pilot
Pretesting for Direct Certification with Medicaid Demonstrations
School Nutrition and Meal Cost Study - II, Outlying Areas Cost Study Feasibility Assessment

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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	6,600	0	0	6,600	0	0
Annual Time Burden (Hours)	4,500	0	0	4,500	0	0
Annual Cost Burden (Dollars)	28,095	0	0	28,095	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 new generic collection of information that will add 1,500 annual burden hours and 2,200 annual responses (4,500 burden hours and responses over three years) to the OMB inventory as a result of program changes.

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Annual Cost to Federal Government: $42,700

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: 04/22/2015

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