7 CFR Part 210, National School Lunch Program

Forms and Documents

Document Name	Status
Form FNS-640 State and Local Burden Form and Instruction	Modified
Prof Standards Merge from 0588 to 0006.pdf Justification for No Material/Nonsubstantive Change	2015-12-10
12315 NSLP _0006 revision for AE15 interim rule.xlsx Supplementary Document	2015-02-13
21115 Change Worksheet - merge from 0584-0567 to 0584-0006.pdf Justification for No Material/Nonsubstantive Change	2015-02-11
12315 NSLP _0006 revision for AE15 interim rule.xlsx Supplementary Document	2015-02-11
12315 Burden Narrative for Revisions to 0584-0006 for the Merges of 056....docx Supplementary Document	2015-01-23
092313 NSLP _0006 revision for AD60 interim rule.xlsx Supplementary Document	2013-09-23
092013 Change Worksheet - Merge from 0584-0585to 0584-0006.pdf Justification for No Material/Nonsubstantive Change	2013-09-23
ICR Justification Merge Memo - Revenue Rule 030713.docx Justification for No Material/Nonsubstantive Change	2013-03-07
022813 NSLP _0006 with School Food Service Account Revenue Rule Merge (Merge from 0584-0565).xlsx Supplementary Document	2013-02-28
Final NSLP #0006 with DGA revisions 9-6-12.xlsx Supplementary Document	2012-10-24
090612 Burden Narrative for Revisions to 0584-0006 per DGA Rule.docx Supplementary Document	2012-10-24
110712 Supporting Statement_DGA Rule_FINAL.docx Supporting Statement A	2012-11-07

IC Document Collections

IC ID	Document Title	Status
2879	State and Local Burden Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0006	ICR Reference No: 201512-0584-003
Status: Historical Active	Previous ICR Reference No: 201411-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No: AE19 merge with 0006
Title: 7 CFR Part 210, National School Lunch 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: 12/14/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	02/29/2016	02/29/2016
Responses	64,237,646	0	64,237,646
Time Burden (Hours)	10,410,154	0	10,379,474
Cost Burden (Dollars)	0	0	0

---

Abstract: This information is required to administer, operate and document results and compliance of the general and special cash assistance and donations of foods States and participating schools receive for the National School Lunch Program.

---

Authorizing Statute(s): PL: Pub.L. 89 - 642 10 Name of Law: The Child Nutrition Act
   PL: Pub.L. 111 - 296 201 Name of Law: Healthy Hunger-Free Kids Act
   PL: Pub.L. 79 - 396 2 Name of Law: The National School Lunch Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0584-AD59	Final or interim final rulemaking	77 FR 4088	01/26/2012

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 2494	01/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 224	11/20/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State and Local Burden	FNS-640, FNS 66, FNS 66A, FNS-828, FNS-828	Coordinated Review Effort (CRE) Data Report ,   APPLICATION FOR PARTICIPATION IN THE NATIONAL SCHOOL LUNCH, BREAKFAST, AND COMMODITY SCHOOL PROGRAM APPLICATION ,   NATIONAL SCHOOL LUNCH, BREAKFAST, AND COMMODITY SCHOOL PROGRAM APPLICATION ,   School Food Authority Paid Lunch Price Report ,   030713 Revised - FNS-828

---

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	64,237,646	64,237,646	0	0	0	0
Annual Time Burden (Hours)	10,410,154	10,379,474	0	30,680	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 merging of OMB Collection 0584-0588, Expiration date: 4/30/18 to OMB Collection 0584-0006, Expiration date: 2/29/16. This merge will add 30,680 burden hours for recordkeeping to OMB Collection 0584-0006.

---

Annual Cost to Federal Government: $2,615,672

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

---

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: 12/14/2015

---