Child and Adult Care Food Program (CACFP) Family Day Care Homes Meal Claims Feasibility Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CACFP_MCS OMB Part A 1012 Final.docx	Supporting Statement A	Uploaded 2016-10-12	Available
CACFP_MCS OMB Part B 0930 Final.docx	Supporting Statement B	Uploaded 2016-10-12	Available
CACFP_MCS_Appendix B-5 NASS Review Comments Final.docx	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix B-1-1 Contact Letter to Regional Office Final.docx	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix A11 Estimated Burden of the CACFP Meal Claim Feasibility Study Final.xlsx	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix A4 Summary Pilot Study Final.docx	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix A3 Study Objectives Final.docx	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix A2 IPERIA2012.pdf	Supplementary Document	Uploaded 2016-10-11	Available
CACFP_MCS_Appendix A1 IPERA2010.pdf	Supplementary Document	Uploaded 2016-10-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223857	Parents (Individuals and Households) - Nonrespondents	Other-Non Respondents Burden Instrument	New
223856	Sponsor and Providers - Nonrespondents	Other-Non Respondents Burden Instrument	New
223855	State Agencies - Nonrespondents	Other-Non Respondents Burden Instrument	New
223844	Parents (Individuals/Households)	Other-Appendix A-8. Parent User Guide for Child Attendance Repor	New
223837	Sponsors and Providers	Other-Appendix A-7. Provider User Guide for Meal Service Reporti	New
223836	State Agencies	Other-Appendix B-2-1 Telephone Follow-up Script to Recruit State	New

ICR Details

OMB Control No: 0584-0623	ICR Reference No: 201610-0584-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Child and Adult Care Food Program (CACFP) Family Day Care Homes Meal Claims Feasibility Study
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 without change	Conclusion Date: 04/26/2017
	Date Received in OIRA: 11/08/2016
Terms of Clearance: As discussed with the Program, given the iterative nature of efforts related to claims measurement, if there are plans for similar collections in the future to test alternative collection methods we would like to have a conversation early in the process (i.e., before a statement of work is issued) to understand how any new efforts fit into the work already completed.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved
Responses	23,380	0	0
Time Burden (Hours)	3,285	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The objective of this feasibility study is to design and test a data collection method that enables USDA/FNS to estimate erroneous payments due to meals claimed improperly by family day care home providers participating in the CACFP. Specifically, the study focuses on accurately estimating meals that are claimed but not served.

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Authorizing Statute(s): PL: Pub.L. 111 - 204 1508 Name of Law: Improper Payments Elimination and Recovery Act (IPERA) of 2010
   PL: Pub.L. 112 - 248 4053 Name of Law: Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA)
  

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 76927	12/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 78565	11/08/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Sponsors and Providers
State Agencies
State Agencies - Nonrespondents
Sponsor and Providers - Nonrespondents
Parents (Individuals and Households) - Nonrespondents
Parents (Individuals/Households)

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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	23,380	0	0	23,380	0	0
Annual Time Burden (Hours)	3,285	0	0	3,285	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 submission is a new information collection request as a result of program changes and will add 3,285 burden hours and 23,380 responses to OMB's inventory.

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Annual Cost to Federal Government: $386,737

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

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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: 11/08/2016

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