Evaluation of Supplemental Nutrition Assistance Program (SNAP) Employment and Training Pilots”.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
BB_Confidentiality pledge.pdf	Supplementary Document	Uploaded 2015-11-09	Available
X_Sample Respondent Burden Table 11.6.2015.xlsx	Supplementary Document	Uploaded 2015-11-09	Available
OMB Part A _011316 v2.docx	Supporting Statement A	Uploaded 2016-01-15	Available
Z_MOU template.docx	Supplementary Document	Uploaded 2015-10-23	Available
Y_NASS Reviewer Comments and Responses to Comments_CoverPg.docx	Supplementary Document	Uploaded 2015-10-23	Repair queued
N. SNAP ET Pretest Memo 07 17 15 (090415).pdf	Supplementary Document	Uploaded 2015-10-22	Available
B_Research objectives and questions by data source.docx	Supplementary Document	Uploaded 2015-10-22	Available
AA_Document Review List.docx	Supplementary Document	Uploaded 2015-10-22	Available
A_Agricultural Act of 2014_with cover page (page 153-163).pdf	Supplementary Document	Uploaded 2015-10-22	Available
0- OMB Part B 10.22.15 final clean.docx	Supporting Statement B	Uploaded 2015-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218673	Business Non-respondents	Other-Non Respondent Placeholder	New
218672	Business Respondents	Other-H_Master Site Visit Protocol	New
218671	State Agency	Other-H_Master Site Visit Protocol	New
218670	Individuals/Households Non-respondents	Other-Non Respondent Placeholder	New
218669	Individual/Households Respondents	Other-C.1_Registration Document_English	New

ICR Details

OMB Control No: 0584-0604	ICR Reference No: 201510-0584-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Evaluation of Supplemental Nutrition Assistance Program (SNAP) Employment and Training Pilots”.
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: 01/19/2016
	Date Received in OIRA: 11/10/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	162,082	0	0
Time Burden (Hours)	41,764	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In response to a congressional mandate, this new information collection request will help determine if the employment and training programs and services provided by each pilot program led to unsubsidized work, increased earnings, and reduced reliance on public assistance programs.

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Authorizing Statute(s): PL: Pub.L. 113 - 79 4022 Name of Law: Agricultural Act 2014 (The Farm Bill)
  

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 28936	05/20/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 69634	11/10/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Individual/Households Respondents
Individuals/Households Non-respondents
State Agency
Business Respondents
Business Non-respondents

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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	162,082	0	0	162,082	0	0
Annual Time Burden (Hours)	41,764	0	0	41,764	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection that will add 41,764.69 burden hours and 162,082 annual responses to the OMB information collection inventory as a result of program changes.

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Annual Cost to Federal Government: $4,388,270

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: 11/10/2015

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