State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)

Forms and Documents

Document Name	Status
Form FNS-834 FNS-834 Form	Modified
Supporting Statement - 0584-0577 FNS-834 Direct Cert Rate Data Element Report.docx Supporting Statement A	2016-08-29

IC Document Collections

IC ID	Document Title	Status
204022	FNS-834 Form	Modified

ICR Details

OMB Control No: 0584-0577	ICR Reference No: 201608-0584-001
Status: Historical Active	Previous ICR Reference No: 201309-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/16/2016
	Date Received in OIRA: 09/06/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved
Responses	106	0	0
Time Burden (Hours)	53	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: FNS/USDA must annually collect direct certification data from State Agencies. FNS uses form FNS-834 to collect the data.

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Authorizing Statute(s): US Code: 42 USC 1758 Name of Law: RICHARD B. RUSSELL NATIONAL SCHOOL LUNCH ACT
  

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:
	81 FR 29249	05/11/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60669	09/02/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
FNS-834	FNS-834	State Agency (Nslp/Snap) Direct Certification Rate Data Element Report

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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	106	0	0	106	0	0
Annual Time Burden (Hours)	53	0	0	53	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 reinstatement, without change, of a previously approved information collection for annually reporting data to FNS for calculating direct certification rates via form FNS-834, State Agency Direct Certification Rate Data Element Report. The estimated burden will remain at 106 responses and 53 hours annually.

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Annual Cost to Federal Government: $1,299

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: 09/06/2016

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