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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS-543 National Hunger Clearinghouse Database Form FNS 543 (BUS)	Form	Unchanged	Available
Form FNS-543A Summer Feeding - National Hunger Clearinghouse Excel Form FNS 543A State Agencies	Form	Modified	Available
041416 Change Justification Memo - Change to Form.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2016-04-14	Available
Supporting Statement-2015 FNS-543 USDA National Hunger Clearinghouse Database Form Final 9.8.15.docx	Supporting Statement A	Uploaded 2015-09-11	Repair queued
USDA National Hunger Hotline Newsletter - June 2015 .pdf	Supplementary Document	Uploaded 2015-08-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3074	National Hunger Clearinghouse Database Form FNS 543 (BUS)	Form	Unchanged
210060	Summer Feeding - National Hunger Clearinghouse Excel Form FNS 543A State Agencies	Form	Modified

ICR Details

OMB Control No: 0584-0474	ICR Reference No: 201604-0584-001
Status: Historical Active	Previous ICR Reference No: 201501-0584-005
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: National Hunger Clearinghouse Database Forms (FNS 543 and 543A)
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: 05/18/2016
	Date Received in OIRA: 04/18/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	10/31/2018	10/31/2018
Responses	655	0	655
Time Burden (Hours)	160	0	160
Cost Burden (Dollars)	0	0	0

---

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.

---

Authorizing Statute(s): PL: Pub.L. 103 - 448 123 Name of Law: National School Lunch Act
  

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:
	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

---

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

table that charts list of burden

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 Excel Form FNS 543A State Agencies	FNS-543A	Summer Feeding - National Hunger Clearinghouse Excel Form

---

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	655	655	0	0	0	0
Annual Time Burden (Hours)	160	160	0	0	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: No

Burden Reduction Due to:

Short Statement:

---

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

---

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: 04/18/2016

---