An Assessment of the Roles and Effectiveness of Community-Based Organizations in the Supplemental Nutrition Assistance Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0578 change justification 6-24-15.xlsx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-06-30	Available
0578 Change Justification - CPI Demos PRAO recommendations OCIO 10-7-15.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-10-07	Available
03 11 13 CBO Part B.docx	Supporting Statement B	Uploaded 2013-03-11	Available
CBO - Appendix G - NASS Comments.docx	Supplementary Document	Uploaded 2012-12-11	Available
CBO - Appendix E - Confidentiality Pladge.docx	Supplementary Document	Uploaded 2012-12-11	Available
030713 CBO - Part A.docx	Supporting Statement A	Uploaded 2013-03-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206064	State, Local and Tribal Governments	Other-CBO - Appendix A.1A - State SNAP Director Email	Unchanged
205075	Non-Respondent: Individuals and Households	Other-Non-respondent placeholder for individuals and households	Modified
205074	Individuals and Households	Other-Pre-survey notification letter	Modified
205059	Community Based Organizations- Not for Profit	Other-Interview recruitment email	Unchanged

ICR Details

OMB Control No: 0584-0578	ICR Reference No: 201506-0584-002
Status: Historical Active	Previous ICR Reference No: 201212-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No: Change Justification for CPI Survey
Title: An Assessment of the Roles and Effectiveness of Community-Based Organizations in the Supplemental Nutrition Assistance Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/18/2015
	Date Received in OIRA: 10/07/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	05/31/2016	05/31/2016
Responses	15,205	0	10,510
Time Burden (Hours)	1,323	0	1,144
Cost Burden (Dollars)	0	0	0

---

Abstract: To provide more timely and efficient services to the growing number of SNAP applicants, State and local SNAP offices are partnering with community-based organizations (CBOs) that have the capacity to conduct applicant interviews for SNAP. In order to assess the impact of these partnerships on SNAP performance, the U.S. Department of Agriculture's (USDA) FNS is requesting Office of Management and Budget (OMB) approval to collect information from participating SNAP offices and partnering CBOs, as well as from a sample of SNAP participants.

---

Authorizing Statute(s): US Code: 7 USC 2026 Name of Law: The Food and Nutrition 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:
	77 FR 28349	05/14/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 45	03/07/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Community Based Organizations- Not for Profit
State, Local and Tribal Governments
Individuals and Households
Non-Respondent: Individuals and Households

---

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	15,205	10,510	0	4,695	0	0
Annual Time Burden (Hours)	1,323	1,144	0	179	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a new collection of information effort that will add 1143.70 burden hours to the OMB inventory.

---

Annual Cost to Federal Government: $669,461

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

---

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: 10/07/2015

---